Anti-hypertensive drugs Flashcards
First line drugs for hypertensino
diuretics, CCBs, ACEi, ARBs
NIfedipine class and MOA
CCB: dihydropyridine…dilates vascular smooth muscle
Nifedipine AE
acute tachycardia, peripheral edema
Clonidine class and MOA
sympatholytic drug, centrally acting… reducing sympathetic outflow from CNS
Clonidine AE
sedation, dry mough, dermatitis
Methyldopa class and MOA
same as clonidine central acting sympatholytic drug
note: USED IN PREGNANCY
Reserpine class and MOA
indirect acting adrenergic blocking agent… stoping vesicular storage
note: normally combined with diuretics
Reserpine AE
depression, nasal congestion
Phenoxybenamein class and indication
non selective a blocker…used in pheochromocytoma
Pehenoxybenazmine AE
tachycardia
Prazosin class
selective a1 antagonist
prazosin substitutes
terazosin, doxasosin
have longer half lives
prazosin AE
hypotension
nonselective BB
propranolol, nadolol, pindolol
selective BB
Esmolol, metoprolol, atenolol
BB with alpha activitiy
Labetolol, and carvedilol
BB contraindications
Cardio shock, bradycardia, asthma, hf, also masks hypoglycemia in diabetics
minoxidil
vasodilator
other vasodilators
hydralazine, nitroprusside
both for emergencies
ACEi drugs
captopril (short 1/2) elanapril Lisinopril (1 day dosing)
Acei AE
hyperkalemia, dry cough, angioedema
contra: pregnancy bilateral renal stenosis
Losartan class ad MOR
ARB
Losartan AE
hyperkalemia
contra in PREGNANCY