QuestionSBA
QuestionChoice
Although ivabradine can be used in the management of angina pectoris they are not known to exacerbate psoriasis.
10003543
c
Ivabradine (Procoralan)
QuestionChoice
Macrolides are the first-line medication in penicillin-allergic patients who have mild community-acquired pneumonia. However, this question is about her psoriasis, not her new respiratory symptoms.

Statins are metabolised via the cytochrome P450 system. P450 inhibitors such as clarithromycin, a macrolide, can increase the risk of myalgia and rhabdomyolysis, and therefore both medications should not be co-prescribed. However, this combination is unlikely to have exacerbated this patient's psoriasis.
10003545
e
Atorvastatin & Clarithromycin
QuestionChoice
Beta-blockers are known to exacerbate psoriasis. Drugs ending -lol are typically beta blockers.

To remember the drugs which may exacerbate psoriasis, use the memory aid 'BALI':

* Beta-blockers
* Anti-malarials (e.g. chloroquine), ACE inhibitors and Alcohol
* Lithium
* Ibuprofen (NSAIDs) and Infliximab.
10003541
a
Carvedilol
QuestionChoice
Dithranol is a topical agent commonly used in the management of psoriasis. This would be beneficial for this patient.
10003544
d
Dithranol (Anthralin)
QuestionChoice
Although calcium channel blockers are used in the management of angina pectoris they are not known to exacerbate psoriasis.
10003542
b
Amlodipine
Concept
Chapter
2693
3914
psoriasis
Topic
144
Dermatology
13255
A 67-year-old lawyer has a productive cough which started yesterday. She has also had a flare-up of her psoriasis over the last month. Her repeat medications have recently been altered following a diagnosis of angina pectoris 2 months ago. She has a 50-pack-year smoking history and also takes sertraline for depression. She is allergic to penicillin and sulphonamides.

Which of the following drugs is most likely to be contributing to her flare-up of psoriasis?
a