Canadian Pharmacist Qualifying Exam Practice · Question
A patient reports experiencing vivid dreams and insomnia after starting a new antihypertensive medication. Which class is most likely responsible?
Lipophilic beta-blockers (e.g., propranolol, metoprolol) can cross the blood-brain barrier and are associated with central nervous system side effects like vivi
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Question: A patient reports experiencing vivid dreams and insomnia after starting a new antihypertensive medication. Which class is most likely responsible?
Answer options:
- Thiazide diuretics
- Calcium channel blockers ✅ Beta-blockers (lipophilic)
- ACE inhibitors
Correct answer: Beta-blockers (lipophilic)
Explanation: Lipophilic beta-blockers (e.g., propranolol, metoprolol) can cross the blood-brain barrier and are associated with central nervous system side effects like vivid dreams, nightmares, and insomnia.
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