ANTIHYPERTENSIVE-Angiotensin Antagonists Flashcards
What are the angitensin antagonist
ACEi
ARBs
What are the effects of ACEi
Vasodilation
☝🏻️bradykinin
☝🏻️PG effect (from bradykinin effect)
Which is more potent?
ACEi
Or
ARBs
ACEi
ACEi is C/I with?
NSAIDs
What are the acute ACEi?
Captopril
Lisinopril
Enalaprilat
What are the prodrugs of ACEi
The rest of -prils
Enalapril–> enalaprilat
Perindipril–> perindoprilat
What is the MOA of ARBs
Inhibit binding of angiotensin II to its receptor causing vasodilation
What are the drugs in ARBs
Losartan
Candesartan
Irbesartan
SE in ACEi
Idiosyncratic cough
–bec of bradykinin
Angioedema
What are the remedy in idiosyncratic cough
- 👇🏻dose
- stop tx and restart at lower dose
-if intolerance and recurrent:
Shift to ARBs
Remedy for angioedema
Stop right away and shift to ARBs
SE in ARBs
- hyperkalemia
- interstitial nephritis
- hypotension
First line mgngt of HTN
ACEi and ARBs
according to JNC 8
First line in the …
HTN + CKD
HTN + DM
HTN + DM + CKD
Whar are the drugs used in the mngt of uncomplicated HTB
Thiazides
Arb
Acei
CCBs