A 44-year-old woman maintained on Irbesartan and Terbutaline was noted to have blood pressure elevations for the past two weeks. What drug would you avoid in this patient?*1 pointAtenololBisoprololCeliprololPropanololNebivolol
Question
A 44-year-old woman maintained on Irbesartan and Terbutaline was noted to have blood pressure elevations for the past two weeks. What drug would you avoid in this patient?*1 pointAtenololBisoprololCeliprololPropanololNebivolol
Solution
The drug to avoid in this patient would be Propranolol. This is because Propranolol is a non-selective beta blocker, which means it blocks both beta-1 and beta-2 receptors. Terbutaline, which the patient is already taking, is a beta-2 agonist used to treat conditions like asthma. If you were to add Propranolol, it could potentially block the effects of Terbutaline, leading to bronchospasm and other respiratory problems. Therefore, it would be best to avoid Propranolol in this patient.
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