This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Opioids and Alcohols, Subject name: Pharmacology
Use of morphine should be avoided in all of the following patients EXCEPT? 
Select and explain. 
A. Ischemic hea disease patients, B. Bronchial asthma patients, C. Elderly male patients, D. Biliary colic patients
A: Ischemic hea disease patients
Answer: A: Ischemic hea disease patients 
Explanation: Morphine is used for the treatment of myocardial infarction (ischemic hea disease) and LVF. Morphine is contra-indicated in extremes of age i.e., very young and elderly persons. It is also contra-indicated in bronchial asthma because it can cause respiratory depression and worsen the condition. By increasing intrabiliary pressure, morphine can worsen the pain of biliary colic.