Question

65 yo AA male presents with a hx of HTN, obesity, depression, OA and A fib. On PE his BP is 155/89 mmHg and his HR is 68 BPM. The patient is adherent to: Naproxen (for OA), Venlafaxine XR (for depression), and Metoprolol succinate XL 100 mg PO daily (for A fib and HTN)

1. Which medications might contribute in complicating BP management for this patient?

Answer 1

1. Which medications might contribute in complicating BP management for this patient?

Naproxen.

Rationale: Naproxen is an anti-inflammatory drug used to manage the symptoms of osteoarthritis. It is an enteric coated tablet that absorbs the sodium and results in sodium retention. Sodium retention may increase blood pressure and also decrease the effect of hypertensive medication. So this medication will complicate the blood pressure management.