antihypertennsives Flashcards
Prazosin
antihypertensive
- Hypertension, PVD, Urinary retention
Block α1 receptor sites
- Postural hypotension, nasal congestion, fatigue,
Metoprolol, Atenolol
antihypertensive
- Hypertension, Angina, Cardiac arrhythmia
Congestive heart failure
blocks β1 adrenergic receptors in heart - decrease HR - bp and ouput
- dizzy, tired, cold,
Propranolol
antihypertensive
- hypertension , angina , arrythmia,
Non-selectively blocks β-receptors, to inhibit SNS response - decrease HR and BP.
- abdo pain , cold
labetalol
antihypertensive,
- gestational hypertension
Non-selectively blocks all peripheral adrenoreceptors (α & β receptors)
methyldopa
antihypertensive,
- hypertension
Stimulates the α2-receptors (presynaptic), resulting in inhibition of noradrenaline release and diminished SNS response. reduced output and bp
- oedema
Verapamil, Diltiazem, Nifedipine
antihypertensive
- hypertension ,angina
blocks flow of calcium ions in to cell,
decrease force of contraction , vasodilation in heart muscle.
- hypotension , flush , skin rash
captopril, Enalapril
ACE inhibitor, antihypertensive
- hypertension
inhibts the angiotensin converting enzyme to interrupt the pathway and prevent vasoconstriction and sodium and fluid retention. so bp cant increase.
- hypo, low salt
losartan , candesartan
antihypertensive
- hypertension , chronic heart failure.
decrease in systemic vascular resistance
- headache, hypo , dizzy
chlorothiazide, hydrochlorothiazide
antihypertensive
-hypertension
acts on cortical segments, decreases sodium reabsorption
- hyponatremia, hypokalaemia.
frusemide
antihypertensive , loop diuretic
- oedema and sometimes hypertension
inhibits reabsorption of sodium ,potassium and chloride ions in loop of henle, water loss etc
- deafness, dizziness, electrolyte imbalance
spironolactone
Potassium sparing diuretic, antihypertensive
- prevent potassium loss
inhibits action in distal tubule leading to sodium loss and potassium retention.
- dry mouth, headache, GI
amiloride
Potassium sparing diuretic, antihypertensive
- prevent potassium loss
acts directly on potassium/sodium interchange causing sodium loss and potassium retention
- nausea, abdo pain, loss appetite
mannitol
Osmotic diuretic, antihypertensive
- oedema
directly interferes with osmosis
- electrolyte imbalance, dehydration