Quick Recall

Patient N is brought to the ER by his employer with significant sinus bradycardia and hypotension. The employer mentions about N suffering from hypertension and also brings forth the medication strip of cimetidine which N had taken that day. Which medication for N’s hypertension is Doctor M most likely to find which may have caused the interaction to present with such symptoms?

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Metropolis Should be avoided with cimetidine , mostly cause hypertension and bradycardia.

Thanks Dr Dinesh Gupta
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Metoprolol Synergistic effect so avoid concarent use

Cause hypotensive effect
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Cetrizine inhibits the metabolism of metaprolol by inhibiting the activity of CYP2D6

Metoprolol

Atenolol

The correct answer is, " Metoprolol"

SUGGESTIVE OF METOPROLOL

Metoprolol

Metoprolol