Question

A Hypertensive patient wants to conceive . Which of the following medicines needs to be Stopped

• A. Calcium Channel Blockers
• B. ACE inhibitors
• C. Alpha Methyl dopa
• D. Labetolol

Answer 1

The Correct Option is B

When considering the management of hypertension in a patient who wishes to conceive, it is crucial to evaluate the safety of antihypertensive medications during pregnancy. Several medications used to treat hypertension have specific restrictions or considerations due to their potential effects on both the mother and the developing fetus.

For a hypertensive patient planning to conceive, the following medicines must be considered:

• Calcium Channel Blockers: Generally considered safe in pregnancy and are commonly used to control blood pressure.
• ACE Inhibitors: These are contraindicated during pregnancy due to their association with fetal renal damage, oligohydramnios, and other serious abnormalities. Therefore, ACE inhibitors must be stopped if a patient wishes to conceive.
• Alpha Methyl dopa: This is one of the preferred medications during pregnancy due to its long history of safe use.
• Labetolol: This is also considered safe and commonly used to manage high blood pressure during pregnancy.

Based on the safety profiles of these medications, the correct action for a hypertensive patient wishing to conceive would be to stop ACE inhibitors and consider switching to medications such as Labetolol or Alpha Methyl dopa, which have been shown to be safer during pregnancy.