A 48-year-old man with refractory hypertension uncontrolled on lisinopril and hydrochlorothiazide is started on a potent arteriolar vasodilator. Current vital signs show BP 138/82 mmHg, HR 88/min, RR 16/min. At follow-up, he reports increased scalp hair growth and denies chest pain or dyspnea. Recent labs show normal renal function with serum creatinine 0.9 mg/dL. Which medication most likely accounts for both the blood pressure improvement and hirsutism?
- A)Prazosin
- B)Verapamil
- C)Nitroprusside
- D)Hydralazine
- E)MinoxidilGABARITO
Explicação
Minoxidil is a potassium channel opener that causes arteriolar vasodilation and is used in severe refractory hypertension. Hypertrichosis is a classic adverse effect, which led to its topical use for androgenetic alopecia. The combination of resistant hyperten... Ver explicação completa e trilha adaptativa →