#213 Hypertension First-Line Medications Troubleshooting | Bread & Butter Series

#213 Hypertension First-Line Medications Troubleshooting | Bread & Butter Series

Why can lower-dose combinations be more effective and better tolerated than maximizing one medication? How to troubleshoot common challenges such as amlodipine edema, gout, electrolyte abnormalities, and the patient who says they cannot tolerate anything? Why ACT (ARBs, Calcium Channel Blockers, Thiazides) is the preferred first-line framework, and how to personalize medication choices based on comorbidities and side effects.


🔹Sponsor: Oakstone CME

Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP


🔹Transcript and Shownotes


03:00 | Diagnosing Hypertension

04:10 | When to Start Combination Therapy Instead of Monotherapy

07:00 | Choosing First-Line Therapy Using the ACT Framework

13:23 | Why ARBs Are Often Preferred Over ACE Inhibitors

16:02 | Choosing the Right ARB: Candesartan vs Losartan

18:39 | Comparing Potency & Duration Across First-Line Antihypertensives

20:54 | Amlodipine Edema: Why It Happens and How to Fix It

23:54 | Thiazides: Practical Tips, Electrolyte Problems & Class-Killer Side Effects

29:33 | Managing Patients Who 'Can't Tolerate' Blood Pressure Medications


Tags: Hypertension Management, High Blood Pressure, Primary Care, Internal Medicine, Core IM



Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Our Sponsors:
* Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io


Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy

Det här avsnittet är hämtat från ett öppet RSS-flöde och publiceras inte av Podme. Det kan innehålla reklam.

Avsnitt(227)

#219 Updates in Triglycerides

#219 Updates in Triglycerides

“The triglycerides are high. Now what?” This episode breaks down a practical approach to elevated TGs, from knowing when to check ApoB or non-HDL-C to choosing lifestyle changes, lipid-lowering medica...

29 Sep 33min

#218 Early-Onset CRC: 5 Pearls Segment Part 1

#218 Early-Onset CRC: 5 Pearls Segment Part 1

“Too young for colon cancer.” This episode unpacks the red flags of early-onset CRC, from blood in the stool and iron deficiency anemia to persistent abdominal pain and changes in bowel habits, and of...

23 Sep 15min

#217 Treatment for Alcohol Use Disorder: 5 Pearls Segment

#217 Treatment for Alcohol Use Disorder: 5 Pearls Segment

“It didn’t work.” This episode breaks down practical treatment options (dosing options for naltrexone, acamprosate, topiramate, gabapentin) and counseling pearls to help you meet patients where they a...

16 Sep 37min

#216 Clinician Grief: At the Beside Segment

#216 Clinician Grief: At the Beside Segment

Have you ever lost a patient and found yourself thinking about them long after the shift ended? This episode explores the grief clinicians can carry after a patient dies, including the losses that are...

8 Sep 39min

#215 Gallbladder & Biliary Testing: 5 Pearls Segment

#215 Gallbladder & Biliary Testing: 5 Pearls Segment

How to choose between RUQ ultrasound, CT, HIDA, MRCP, EUS, and ERCP based on the clinical picture? When should you move from diagnostic imaging to therapeutic ERCP, and what should you know about sphi...

25 Aug 34min

#214 Hyponatremia Management: A Core IM Classic

#214 Hyponatremia Management: A Core IM Classic

Throwback: Should you really fluid-restrict every patient with SIADH? When can IV fluids make hyponatremia better or worse? Are salt tabs actually doing enough? And what can urine studies tell you bef...

12 Aug 44min

#212 Top 10 Highlights of the New Lipid Guidelines

#212 Top 10 Highlights of the New Lipid Guidelines

Learn from primary care docs what has been practiced and changed from the 2026 ACC/AHA Lipid Guidelines! Learn how the new CPR framework (Calculate, Personalize, Reclassify) and PREVENT risk calculato...

15 Juli 23min

Populärt inom Utbildning

historiepodden-se
det-skaver
rss-bara-en-till-om-beroende-medberoende
rss-dr-bjorklund
nu-blir-det-historia
harrisons-dramatiska-historia
rss-viktmedicinpodden
allt-du-velat-veta
roda-vita-rosen
johannes-hansen-podcast
i-vantan-pa-katastrofen
not-fanny-anymore
rss-foraldramotet-bring-lagercrantz
rikatillsammans-om-privatekonomi-rikedom-i-livet
rss-ai-med-jonas-benjamin
sektledare
sa-in-i-sjalen
rss-basta-livet
rss-max-tant-med-max-villman
rss-traningsklubben