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Old 09-16-2010
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Drug Challenging Question #7

7) A 65- year- old retired truck driver who smokes a pack of cigarettes daily is diagnosed with essential hypertension. He has no previous history of cardiovascular disease or sexual dysfunction. In the primary care physician’s office, his blood pressure is 170/95 mmHg. He is prescribed a single therapeutic agent. Shortly after the beginning of the treatment, he experiences difficulties in obtaining and maintaining an erection.

What medication is most likely to have caused this adverse effect?

A) Hydrochlorothiazide
B) Enalapril
C) Losartan
D) Prazosin
E) Verapamil

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Old 09-16-2010
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Is it E) Verapamil?
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Old 09-17-2010
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Quote:
Originally Posted by good_boy_1234 View Post
Is it E) Verapamil?
Care to give some reasoning behind choosing E?
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Old 09-17-2010
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Quote:
Originally Posted by TheOneTheOnly View Post
Care to give some reasoning behind choosing E?
Sorry...I changed my choice to Prazosin
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Old 09-17-2010
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Quote:
Originally Posted by good_boy_1234 View Post
Sorry...I changed my choice to Prazosin
Yeah I think thats it, 1st dose hypotension problem

its not used anymore in the USA, only very rarely

HTN management is now

Diuretic, Beta Blocker, ACEI, ARB ( lots of DM II), CCB driven therapy now.
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