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What is the major reason that monoamine oxidase inhibitors (MAOIs) are rarely used in clinical practice today?

A.

They are under a scheduled drug classification.

B.

They are ineffective in treating depression or anxiety disorders.

C.

They can cause gastrointestinal (GI) bleeding and esophageal varices.

D.

They may cause dangerous interactions with some foods and drugs.

Answer and Explanation

The Correct Answer is D

A. While MAOIs may have some regulatory considerations, they are not classified under a scheduled drug classification like controlled substances.  

 

B. MAOIs are effective in treating depression and anxiety disorders, which is not the reason for their limited use.  

 

C. Although MAOIs can have some side effects, they are more notably associated with dietary and drug interactions rather than causing GI bleeding or esophageal varices.  

 

D. MAOIs can cause dangerous interactions with foods that contain tyramine (like aged cheeses and fermented products) and certain medications, leading to hypertensive crises, making their use cautious and limiting in clinical practice.


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View Related questions

Correct Answer is C

Explanation

A. It has a peak effect of 4-6 hours is incorrect; short-acting insulin typically peaks between 2 to 3 hours after administration.

B. It should be given once daily in the evening is incorrect; short-acting insulin is usually administered before meals, not as a once-daily dose.

C. It starts to take effect within 30 minutes to 1 hour after administration is correct; this timing is critical for managing blood glucose levels during meals.

D. It has a duration of action of 24 hours is incorrect; short-acting insulin usually has a duration of about 3 to 6 hours.

Correct Answer is A

Explanation

A. Nitroglycerin is contraindicated with erectile dysfunction medications such as sildenafil (Viagra) because both can cause significant drops in blood pressure when used together, potentially leading to severe cardiovascular complications.

B. Furosemide is a diuretic and does not have a direct contraindication with erectile dysfunction medications, although it may contribute to electrolyte imbalances.

C. Verapamil is a calcium channel blocker that does not directly contraindicate the use of erectile dysfunction medications but should be monitored for potential interactions affecting heart rate and blood pressure.

D. Acetaminophen is a pain reliever and does not pose a contraindication for erectile dysfunction medications.

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