ACS Drugs Flashcards
What is Vasospastic Angina?
Episodes of vasoconstriction of coronary arteries
What is the 1st choice of drugs to treat Vasospastic Angina?
CCBs
– ex. amlodipine or diltiazem
What is the 1st choice of drug to treat Vasospastic Angina?
CCBs
– Amlodipine or Diltiazem
If CCBs are not available for Vasospastic Angina, what should be used?
Long acting Nitrates
What 3 drug classes are used for Anti-platelets with ACS?
- Thromboxane A2 synthesis (-)
- ADP receptor blockers
- Glycoprotein receptor blockers
What 2 drug classes are used as thrombolytics in treating ACS?
- Tissue type plasminogen (+)
- Streptokinase
What drug (-) Thromboxane A2 synthesis?
Aspirin
What directly, does Aspirin (-)?
Cyclooxygenase – this inhibits synthesis of Thromboxane A2
Why does Aspirin want to (-) Thromboxane A2 synthesis?
It causes platelet aggregation
Adverse effects of Aspirin?
GI bleeding and aspirin allergy
What are 3 ADP (p2y12) receptor blockers?
Clopidogrel
Prasugrel
Ticagrelor
What are 3 ADP (p2y12) receptor blockers?
Clopidogrel
Prasugrel
Ticagrelor
What do ADP (p2y12) receptor blockers cause to happen?
- Increased adenylyl cyclase
- Increases cAMP
= (-) platelet activation
What do ADP (p2y12) receptor blockers cause to happen?
- Increased adenylyl cyclase
- Increases cAMP
= (-) platelet activation
Side effect of ADP (p2y12) receptor blockers?
Bleeding