Which of the following antihypertensive drug is contraindicated in gestational hypertension?

Option 2 : Enalapril

Concept:

• Hypertension -> increased blood pressure more than 140/90 mm of Hg
• Gestational hypertension -> hypertension that occurs only during pregnancy and will reduce after the delivery
• Pre eclampsia is another name for gestational hypertension
• Sometimes it includes seizures along with hypertension

Explanation:

• Enalpril is contraindicated in the gestational hypertension
•  ACE inhibitors are contraindicated during the pregnancy because of increased risk of fetal renal damage.
• This occurs in 6% of pregnant women
• IUGR, LBW and premature deliveries can occur due to hypertension

• Nifidipine -> Calcium channel blocker
• Labetalol -> Beta blocker
• Enalpril -> ACE inhibitor
• Methyldopa -> Anti hypertensive