| Pregnancy / Pre-eclampsia | Labetalol, Methyldopa, Nifedipine ER, Hydralazine (IV) | ACEi, ARB, Aliskiren, Diuretics (if not required) | Labetalol = first-line |
| Chronic Kidney Disease (CKD) | ACEi / ARB ± Loop diuretic; Add CCB | NSAIDs, Aliskiren (with ACEi/ARB), high-dose K⁺ sparing | Monitor creatinine and potassium |
| Asthma / COPD | ARB, ACEi, CCB, Alpha-blocker | Non-selective beta-blockers | Bisoprolol/Nebivolol may be cautiously used |
| Chronic Liver Disease (CLD) | ACEi/ARB (low dose), Amlodipine | Methyldopa (hepatotoxicity), Minoxidil (fluid retention) | Dose titrate carefully |
| Heart Failure (HFrEF) | ACEi/ARB/ARNI + Beta-blocker (Bisoprolol, Carvedilol, Metoprolol) + MRA | Non-DHP CCB (Verapamil, Diltiazem) | Use loop diuretics for congestion |
| Diabetes Mellitus | ACEi/ARB + CCB or Thiazide | Beta-blockers (mask hypoglycemia) if no cardiac indication | Prefer ACEi/ARB to protect kidneys |
| Post-MI / CAD | Beta-blocker + ACEi/ARB | Dihydropyridine CCB (alone) | Add statin and antiplatelet as indicated |
Thanks for the thoughts you write about through this website. In addition, many young women that become pregnant never even make an effort to get medical health insurance because they are concerned they wouldn’t qualify. Although a few states today require that insurers present coverage no matter what about the pre-existing conditions. Fees on these kind of guaranteed options are usually higher, but when taking into consideration the high cost of health care it may be a new safer route to take to protect one’s financial potential.