Antihypertensives Flashcards
This drug acts on the vasomotor center
METHYLDOPA
and Clonidine
Sympathoplegics (Centrally-Acting)
Acts on the vascular smooth muscle
Hydralazine
vasodilator
AliskeREN
Direcet RENin Inhibitor
Captopril
ACE Inhibitor
Losartan
ARB
Hydrochlorothiazide
Diuretics. Thiazide.
Direct Renin Inhibitor
Aliskeren
Benzothiazepine calcium channel blocker
diltiazem
NOT a vasodilator
a. hydralazine
b. minoxidil
c. diazoxide
d. methyldopa
methydopa
All BUT one is not a parenteral vasodilator agents
a. amlodipine
b. Na nitroprusside
c. fenoldepam
d. labetalol
a. amlodipine
selective beta blocker that stimulates the
RELEASE OF NO CAUSING VASODILATION
Nevibolol
NON SELECTIVE beta blocker
Propranolol
DOC for
uncontrolled hypertension and recurrent bipedal edema and orthopnea
hydrochlorothiazide
DOC for
hypertension and DIABETES
valsartan
DOC for
hypertension and ANGINA
nevibolol
DOC for
hypertension, atrial fibrillation (S/Sx ng thyrotoxicosis)
and THYROTOXICOSIS
Propranolol
DOC for
buntis with hypertensive
Methyldopa
and Clonidine
blocks Na/Cl transporter in the
DISTAL convoluted tubule
thiazide
blocks Na/Cl transporter in the
COLLECTING tubule
Spirinolactone
blocks Na/Cl transporter in the
PROXIMAL convoluted tubule
Acetazolamide
blocks Na/Cl transporter in the
renal LOOP OF HENLE
Furosemide
blocks vesicular amine transporter in noradrenergic nerves and depletes transmitter stores
reserpine
and guanethidine
Selectively blocks apha-1 adrenoceptors
Prazosin,
saka Terazosin, Doxazosin
most common side effect of ACE inhibitors
cough
teratogenicity is NOT a side effect of
Clonidine
…saka methyldopa
Angioedema is NOT seen as a side effect of
Thiazide
Angioedema is seen as a side effect of
Amlodipine
Lisinopril
Nifedipine
Side effect: Hypertrichosis
Minoxidil
Side effect: Hemolytic anemia
Methyldopa
Severe neutropenia or proteinuria if given in high doses in patients with renal insufficiency
Captopril
should not be combined with ARBs
Lisinopril (ACE inhibitors)
should not be given to patient with hypertension having bronchial asthma
Propanolol (kasi non-selective, need ng asthmatic ng B2 agonist)
Contraindication: heart block
Metoprolol
Contraindication: Glaucoma
Fenoldepam (increases intraocular pressure)
Diuretics
Thiazides: Hydrochlorothiazide, Chlorthalidone
Loop diuretics: Furosemide
Spironolactone, Eplerenone
Potassium-sparing diuretics:
Diuretic with increased Na and decresed K excretion
Spirinolactone
saka Amiloride
also, Epleneron and Triamterene
Potassium-sparing diuretics contraindicated in patients with:
renal insufficiency
Only THIAZIDE available for PARENTERAL administration
Chlorothiazide
Diuretic. side effectL Ototoxicity
Loop diuretic (Furosemide)
competitive inhibitor of RENin
aliskiREN
Clonidine side effect:
sedation
activate alpha-2 adrenoceptors
Clonidine,
methyldopa
vasodilators
hydralazine, minoxidil diazoxide (parenteral agent) verapamil diltiazem mifedipine amlodipine fenoldopam (parenteral agent) nitroprusside (parenteral agent) labetalol (parenteral agent)
parenteral vasodilator agents
diazoxide (parenteral agent)
fenoldopam (parenteral agent)
nitroprusside (parenteral agent)
labetalol (parenteral agent)
very widely used Beta-1 selective blockers
Metoprolol
Atenolol
Also treats hair loss
Minoxidil
Hydralazine side effect:
Lupus-like syndrome, angina, tachydardia