#9 Cardiovascular Flashcards
BRAND NAME: clopidogrel
Plavix
COMMON STRENGTHS: clopidogrel
75mg
COMMON FREQUENCY: clopidogrel
300mg loading dose, 75mg daily
INDICATIONS/USE: clopidogrel
to reduce rate of heart attack and stroke
COUNSELING TIPS: clopidogrel
- avoid NSAIDs unless instructed due to increased bleeding risk
- seek medical attention for unusual or prolonged bleeding or bruising
- avoid abrupt discontinuation
BRAND NAME: warfarin
Coumadin
COMMON STRENGTHS: warfarin
1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg, 10mg
COMMON FREQUENCY: warfarin
QD
INDICATIONS/USE: warfarin
- to prevent blood clots
- atrial fibrillation
COUNSELING TIPS: warfarin
- avoid NSAIDs unless instructed due to increased bleeding risk
- seek medical attention for unusual or prolonged bleeding or bruising
- avoid abrupt discontinuation
- keep dietary vitamin K (green leafy vegetables) and alcohol consumption consistent
- many drug interactions; discuss new meds with RPh
- take missed dose ASAP, but don’t double dose same day
BRAND NAME: rivaroxaban
Xarelto
COMMON STRENGTHS: rivaroxaban
2.5mg, 10mg, 15mg, 20mg
COMMON FREQUENCY: rivaroxaban
daily, BID
INDICTIONS/USE: rivaroxaban
- to prevent blood clots
- atrial fibrillation
COUNSELING TIPS: rivaroxaban
- seek medical attention for unusual or prolonged bleeding or bruising
- gastroenteritis
- vomiting
- cough (pediatric patients)
BRAND NAME: furosemide
Lasix
COMMON STRENGTHS: furosemide
20mg, 40mg, 80mg
COMMON FREQUENCY: furosemide
daily, BID
INDICATIONS/USE: furosemide
- edema (swelling)
- heart failure
- hypertension
COUNSELING TIPS: furosemide
- sun sensitivity
- decreased electrolytes (Ca++, K++, Mg++)
- dizziness upon standing
- avoid taking at bedtime - increases urination
BRAND NAME: spironolactone
Aldactone
COMMON STRENGTHS: spironolactone
25mg, 50mg, 100mg
COMMON FREQUENCY: spironolactone
daily, BID
INDICATIONS/USE: spironolactone
- heart failure
- hypertension
- non-FDA: acne, hormone therapy
COUNSELING TIPS: spironolactone
- gynecomastia
- increased serum potassium
- diarrhea
- irregular menses
BRAND NAME: hydrochlorothiazide
Microzide
COMMON STRENGTHS: hydrochlorothiazide
12.5mg, 25mg, 50mg
COMMON FREQUENCY: hydrochlorothiazide
QD
INDICATIONS/USE: hydrochlorothiazide
- edema
- hypertension
COUNSELING TIPS: hydrochlorothiazide
- sun sensitivity
- dizziness upon standing
- avoid taking at bedtime - increases urination
BRAND NAME: lisinopril
Zestril, Prinivil
COMMON STRENGTHS: lisinopril
5mg, 10mg, 20mg, 30mg, 40mg
COMMON FREQUENCY: lisinopril
QD
INDICATIONS/USE: lisinopril
- hypertension
- heart failure
- heart attack
- migraine prevention
COUNSELING TIPS: lisinopril
- avoid during pregnancy
- dizziness
- dry cough
- headache
- increases serum potassium
BRAND NAME: losartan
Cozaar
COMMON STRENGTHS: losartan
25mg, 50mg, 100mg
COMMON FREQUENCY: losartan
QD
INDICATIONS/USE: losartan
- hypertension
- heart failure
- diabetic nephropathy
COUNSELING TIPS: losartan
- avoid during pregnancy
- dizziness
- headache
- increases serum potassium
BRAND NAME: amlodipine
Norvasc
COMMON STRENGTHS: amlodipine
2.5mg, 5mg, 10mg
COMMON FREQUENCY: amlodipine
QD
INDICATIONS/USE: amlodipine
- hypertension
- management of angina (chest pain)
- Raynaud’s Phenomenon
COUNSELING TIPS: amlodipine
- leg swelling (edema)
- headache
BRAND NAME: metoprolol tartrate / metoprolol succinate
Lopressor (IR) / Toprol XL (ER)
COMMON STRENGTHS: metoprolol tartrate / metoprolol succinate
- IR: 25mg, 50mg, 100mg
- XL: 25mg, 50mg, 100mg, 200mg
COMMON FREQUENCY: metoprolol tartrate / metoprolol succinate
- IR: BID
- XL: daily
INDICATIONS/USE: metoprolol tartrate / metoprolol succinate
- hypertension
- post heart attack
- management of angina (IR only)
- heart failure (XL only)
COUNSELING TIPS: metoprolol tartrate / metoprolol succinate
- dizziness
- fatigue (goes away within 7 days)
- take with food - better absorption
- lowers heart rate
- do not discontinue medication abruptly - increased cardiovascular risk