Cardiovascular
Hypertension: Drug Selection Notes (Young, Old, IHD, HF, Pregnancy)
ہائی بلڈ پریشر: دوا کا انتخاب
A one-page note choosing antihypertensives by age and co-existing disease.
- ICD-10
- —
- Source
- OPD handbook p.214 (handwritten note sheet, photographed)
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
Treatment
Step 1 of 5
1. Young patient (below 50)
- Tab Xavor / Ezidoy 50 mg OD, or Tab Zestril 5 mg OD, or Tab Tenormin 50 mg OD (marked with an asterisk)
Prescription
LosartanAngiotensin receptor blocker
DoseOD
Brand Tab Xavor / Ezidoy 50 mg
Also sold as Cozaar, Eziday, Xavor, Ezidoy
Caution: Contraindicated in pregnancy; Monitor potassium and creatinine
Step 2 of 5
2. Old patient
- Tab Omsana AM 20/5, or Tab Amlo-Q 5 mg OD, or Tab Tarka 2/180 mg OD, or Tab Am Telsan
Prescription
AmlodipineCalcium channel blocker
DoseOD
Brand Tab Amlo-Q 5 mg
Also sold as Norvasc, Corsafe, Zodip, Amlo-Q
Caution: Ankle oedema; Dose reduction in severe liver disease
Step 3 of 5
3. If IHD
- Add a beta-blocker: Tab atenolol 50 mg OD, or Tab diltiazem 30 mg TDS
Prescription
Step 4 of 5
4. With heart failure
- Tab Lasix 20 mg OD; Tab Capril 50 mg (the rest of the line is cut off)
Prescription
Step 5 of 5
5. In pregnancy
- Tab Aldomet (methyldopa) 250 mg TID
- Severe hypertension: Tab Co-Renitec (enalapril 10 mg + hydrochlorothiazide) and Tab Minipress (prazosin), as written in the book (note: ACE inhibitors are generally avoided in pregnancy; have this confirmed by an obstetrician)
Prescription