Published Paper Details:

Beta blockers (eg: Atenolol) also called beta adrenergic blocking agents, block the release of the stress hormones adrenaline and noradrenaline in certain parts of the body. This results in slowing of the heart rate and decreases the force at which blood is pumped around the body. Beta blockers also block kidneys from producing a hormone called angiotensin II. This results in lowering the blood pressure. Angiotensin receptor blockers ( eg: Telmisartan) dilate the blood vessels, and are used in the treatment of conditions such as high blood pressure, heart failure, or kidney diseases. They work by blocking the action of angiotensin II which results in low blood pressure. A 74 years old female patient was admitted in general medicine ward in tertiary care hospital in Hyderabad. As above mentioned complaints it came to know that patient is suffering with orthostatic hypotension and admitted in emergency department proceed for further management. Patient present with chief complaints like vomiting multiple episodes since 5 days, shortness of breath According to her past medical history she was taking Atenolol (Beta blockers),Telmisartan(ARBs).On examination her vitals: BP-90/60mmhg,Pulse rate:75 bpm, Spo2:98% on 2co2 ,Temp:98.6.Her systemic examination was found to be as CVS: s1s2+,BAE+,GRBS:155mm/dl. As her blood pressure decrease than the normal physicians suggest to stop the anti-hypertensive This adverse reaction is considered as drug related type ADR as per WHO scale.