Contraindications of different coexisting conditions

Urinary incontinence:

• alpha blockers are contraindicated (1)

Gout:

• diuretics may precipitate gout

Heart failure:

• rate-limiting calcium antagonists are contraindicated

Heart block

• beta-blockers and rate-limiting calcium antagonists are contraindicated

Asthma and COPD:

• beta blockers are contraindicated

Peripheral vascular disease:

• beta blockers; ACE inhibitors and angiotensin II receptor antagonists are used with caution because of an association with renal artery stenosis

Renal artery stenosis:

• ACE inhibitors and angiotensin II receptor antagonists are contraindicated

Reference:

• BMJ (1999), 319, 630-5.