ALL PHARM Flashcards
what are CCBs used for?
HTN, arrythmias
what are ACE-inhibitors used for?
uncomplicated HTN, good choice for 55+
what are beta blockers used for?
HTN, arrythmias
diltiazem drug class
CCB
amlodipine drug class
CCB
CI CCBs
pregnancy, CHF
are there any adverse effects or CI for amlodipine?
CI: preg, CHF (all CCB)
AEs: depletes potassium
verapamil drug class
CCB
CI diltiazem
pregnancy, CHF (all CCB)
are there any adverse effects or CI for verapamil?
CI: pregnancy, CHF (all CCB)
AE: depletes vitamin E
what are the beta blockers? which are the specific B1 BBs?
-olols
B1 specific: atenolol, metoprolol
CIs of beta blockers
asthma
diabetes
AEs beta blockers
rebound HTN if not tapered properly
what are the ACE inhibitors?
-prils
are there any adverse effects and/or CIs for ACE-inhibitors?
CI: pregnancy
AE: dry persistent cough, hyperkalemia, edema
what are the ARBs used for?
uncomplicated HTN
often used if someone is having ACEi SEs
what are the ARBs?
-sartans
are there any AEs or CI for ARBs?
CI: pregnancy
AE: hyperkalemia
what are the alpha 2 agonists?
clonidine
what is clonidine used for?
emergency BP lowering
clonidine AEs
vasodilation
dec peripheral resistance > mental depression, swelling of lower limbs
what are the alpha 1 antagonists?
-zosins
what are alpha 1 antagonists (alpha blockers) used for?
HTN, BPH (dec norepi > dec sys resistance)
are there any AEs or CIs for alpha 1 antagonists?
AE: syncope (1st dose), anesthia, rare priapism or ED
what are the sympathomimetics? what are they used for?
epinephrine
HF, bradycardia, stabilization before pacemaker implantation
what are the K wasting diuretics?
thiazide (HCTZ)
furosemide (loop)
aer there any CI or AE for the K wasting diuretics?
CI: sulfonamide drugs
AE: hypokalemia, hypertriglyceridemia
what are the K sparing diuretics?
triamterene
spironolactone
what drug class are the statins?
HMG CoA Reductase inhibitors
what is cholesevalam?
bile sequestrant
what is gemfibrozil?
fibrate; decrease FFA uptake by liver > lowers VLDL
may inc HDL
are there any AEs or CIs for gemfibrozil?
AE: inc homocysteine, DVT, SOB, PE, hemoptysis
what is ezetimibe?
cholesterol absorption inhibitor
are there any adverse effects or CIs for ezetimibe?
CI: severe liver disease, cyclosporine, fibrates
what are the antiarrythmics?
class I - Na ch blockers: lidocaine, flecicaine
class III - k channel blockers: amiodarone
are there any AEs or CI for class I antiarrythmics?
CI: amiodarone, CYP450, digoxin, fluoxetine, paroxetine
are there any AEs or CI for class III antiarrythmics?
AEs: pulmonary toxicity, hyper/hypo thyroid, AV block, bradycardia
short term use only, many toxicities
what is digoxin?
glycoside; used for HF and afib (rate control)
are there any AEs or CIs for digoxin?
CI: CCB, BB, potassium wasters, abx, amiodarone, quinidine
low K inc MOA digoxin so monitor levels
what are the cardiac vasodilators?
nitroglycerin
hydralazine
isosorbide monocitrate
are there any AEs or CI for the cardiac vasodilators?
AE: headache
are there any AEs or CI for hydralazine?
prolonged use can cause lupus, deplete B6, and inc hypotensive effects of BP drugs/alcohol
are there any AEs or CI for isosorbide monocitrate?
CI: PDE inhibitors like sildenafil
what is a risk of IV potassium chloride?
AP termination > death
what is benzoyl peroxide usually used for and what is its MOA?
comolytic, bactericidal
acne
what is isotretinoin usually used for and what is its MOA?
dec sebum; acne
are there any CIs or AEs for isotretinoin?
black box warning for birth defects
what is tretinoin usually used for and what is its MOA?
synth vit A; acne
flammable