Condition Preferred Drugs Avoid / Contraindicated Comments 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, […]
Drug Class / Salt Examples CKD / Renal Disease CLD / Liver Disease Asthma / COPD Pregnancy Heart Failure (HFrEF) Diabetes Mellitus Special Notes / Comments ACE Inhibitors (Enalapril, Lisinopril, Ramipril, Perindopril) ✅ Preferred – renoprotective ⚠️ Use low dose; monitor LFTs ✅ Safe ❌ Contraindicated (fetotoxic) ✅ First-line ✅ Reduces microalbuminuria Stop if creatinine
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Did you know that one in every three adults worldwide suffers from high blood pressure (hypertension)?It’s a truly alarming fact and what makes it even more dangerous is that it’s known as a “Silent Killer.”That’s because most people don’t feel any symptoms until serious damage has already occurred to the heart, brain, or kidneys. 💖
🌡️ A Shocking Truth: 1 in 3 Adults Has High Blood Pressure! Read More »
🧠 PIMS Exam Preparation Guide — Tips, Syllabus & Strategy Planning to take the PIMS Exam? Whether it’s for FCPS, specialty registration, or internal hospital recruitment at PIMS (Pakistan Institute of Medical Sciences), this guide gives you a complete roadmap. Read on for syllabus breakdowns, study strategies, resources, and sample schedule. What Is the PIMS
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