Which drug is commonly used in senior dogs like 'Cali' to manage both proteinuria and hypertension?

• A. Amlodipine
• B. Telmisartan
• C. Enalapril
• D. Furosemide

Answer: (B)

The key idea is choosing a medication that can both lower blood pressure and reduce proteinuria to protect kidney function in an older dog. Telmisartan is an angiotensin II receptor blocker, so it lowers systemic blood pressure and also decreases glomerular pressure, which in turn reduces the amount of protein leaking into the urine. This dual action makes it especially useful for senior dogs with hypertension and proteinuria, helping slow kidney disease progression. Amlodipine mainly lowers blood pressure without addressing proteinuria. Enalapril can reduce both, but telmisartan often provides good proteinuria reduction with favorable tolerability in older dogs. Furosemide is a diuretic used for edema or heart failure, not for proteinuria. So telmisartan best fits the goal of managing both conditions.