A patient has had hypertension for approximately 7 years and now is interested in becoming pregnant. What is the best antihypertensive drug for this woman, who is about to become pregnant?
a. Aliskiren (Tekturna)
b. Lisinopril (Prinivil)
c. Methyldopa (Aldomet)
d. Valsartan (Diovan)
ANS: C
Methyldopa (Aldomet) is the only antihypertensive drug that should be taken by pregnant women or women who want to become pregnant, because it does not cause fetal harm.
Pregnant woman should not take direct renin inhibitors [Aliskiren (Tekturna)], ACE inhibitors [Lisinopril (Prinivil)], or angiotensin-receptor blockers (ARBs) [Valsartan (Diovan)], because they cause fetal harm.
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