Antihypertensive Therapy Flashcards
Most common drug class that can lead to secondary hypertension.
NSAIDs.
Therapeutic Goal for blood pressure in patients with diabetes or renal failure.
BP<130/80
Therapeutic Goal for blood pressure in normal patients.
BP <140/90
First line treatment for patients with hypertension and no other co-morbidities.
Thiazide Diuretics
1st line treatment for patients with hypertension and previous MI. (3 classes).
- Beta-blockers
- ACE-Is
- ARBs
1st line treatment for patients with hypertension and exertional angina.
- Beta-blockers
2. Calcium Channel Blockers
1st line treatment hypertension with Prinzmetal Variant Angina.
Calcium Channel Blockers
Treatment for hypertension with heart failure. (5 classes)
- ACE-I
- ARBs
- Diuretics
- Aldosterone antagonists
- Beta-Blockers
Treatment for hypertension with dyslipidemia (5 classes)
- Alpha-blockers
- ACE-inhibitors
- Angiotensin receptor blockers (ARBs)
- Calcium channel blockers
- Indapamide
Treatment for hypertension with diabetes (5 classes).
- ACE-inhibitors
- Angiotensin receptor blockers (ARBs)
- Non-dihydropyridine calcium channel blockers
- Thiazide diuretics
- Beta-blockers
Treatment for hypertension with chronic kidney disease (2).
- ACE-inhibitors
- Angiotensin receptor blockers (ARBs)
(Containdicated in bilateral renal artery stenosis and Caution in hyperkalemia)
Treatment for hypertension with osteoporosis.
Thiazide Diuretics
Treatment for hypertension and BPH.
Alpha-blockers
Treatment for hypertension and migraine cephalgia.
- Beta-blockers (non-cardioselective)
2. Non-dihydropyridine calcium channel blockers
Class to avoid in hypertension with gout.
Thiazide Diuretics
Class to avoid in hypertension with COPD or asthma.
Non-selective beta blockers.
in severe COPD or asthma even cardioselective beta blockers are risky
3 classes to avoid in hypertensive patients with depression.
- Central acting alpha agonists
- Reserpine
- Beta blockers
2 desirable drugs in hypertension with pregnancy and two classes to avoid.
Use: methyldopa and hydralazine
Avoid: ACE-Is and ARBs
2 classes to avoid in athletes with hypertension.
Large dose diuretics
Beta Blockers
2 classes to avoid in sexually active men with hypertension.
- Thiazide diuretics
2. beta blockers
2 classes to avoid in truck drivers with hypertension.
Diuretics
central acting alpha agonists
Best 2 classes to use for hypertension in the African American population.
- Thiazide Diuretics
2. Calcium channel blockers
Best 2 classes to use in elderly patients with isolated systolic hypertension (non-compliant vessels).
Diuretics
Dihydropyridine calcium channel blockers
Class to avoid in elderly patients with orthostatic hypotension.
Alpha Blockers
