<prompt> Drug of choice for managing asthmatic patient with hypeension: March 2009TimololPropranololMetoprololAmlodipine  <response>: Ans. D: Amlodipine The management of hypeension in a patient with asthma or chronic obstructive pulmonary disease COPD may be made difficult by the asthma-inducing effect of some antihypeensives. As an example, beta blockers should be used with great caution or not at all in patients with chronic asthma including chronic obstructive pulmonary disease or acute allergic or exercise-induced bronchospasm. Calcium channel blockers are suitable as first line antihypeensive agent for: Asthma COPD patients. Recurrent stroke prevention Elderly with poor aerial wall compliance Isolated systolic hypeension RaynaudsPVD patients Pregnant hypeensives Diabetes 