Height = 74 in --> BMI = (215 / 74²) × 703 ~ 27.6

Diltiazem (a non-dihydropyridine CCB) does not significantly prolong QT, while most antiarrhythmics, especially Class IA (eg, quinidine, procainamide) and III (eg, dofetilide, sotalol, amiodarone), do.

Qsymia contains phentermine and topiramate ER, both of which are teratogenic and require a REMS program with pregnancy testing.

Tamsulosin blocks alpha-1 receptors in the prostate to improve urinary flow. The standard dose is 0.4 mg daily.

In patients with type 2 diabetes and established CVD or heart failure, SGLT2 inhibitors have shown both cardiovascular and renal benefit. Empagliflozin specifically is indicated for use in patients with HFrEF and CKD, including those with eGFR ?20, depending on the specific agent and FDA label. Canagliflozin should be avoided in eGFR <30. Exenatide and lixisenatide (GLP-1 receptor agonists) primarily show benefit in reducing atherosclerotic cardiovascular disease (ASCVD) events, like stroke or myocardial infarction, but not heart failure–specific outcomes.

Triamcinolone for asthma is marketed as Azmacort; Nasacort AQ is for allergic rhinitis.

Maria is taking lisinopril and has CKD. Combined oral contraceptives like Yaz and Yasmin contain drospirenone, which is potassium-sparing. Her renal impairment and ACE inhibitor use increase the risk of hyperkalemia.

Hydroxychloroquine may cause retinal toxicity. It should be taken with food and monitored with labs for blood dyscrasias. It is dosed once to twice daily for SLE and may cause DECREASE in platelets.

Anthracyclines like doxorubicin, daunorubicin, idarubicin, and epirubicin have lifetime dose limits due to risk of cardiotoxicity.

All women of childbearing age should get folic acid to prevent neural tube defects in case of pregnancy. It’s recommended regardless of birth control use.