Calcium Channel blockers Flashcards

1
Q

What are the two categories of calcium channel blockers?

A

Dihydropyridines and nondihydropyridines

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2
Q

What are the short acting Dihydropyridine CCBs?

A

Nifedipine, clevidipine, and nimodipine

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3
Q

What are the intermediate acting dihydropyridine CCBs?

A

Nitrendipine, nicardipine, and lercanidipine

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4
Q

What dihydropyridine CCBs long acting are there?

A

Amlodipine and felodipine

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5
Q

What are the effects of dihydropyridines?
-any myocardial depressant activity?

A

Potent vasodilator
-minimal

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6
Q

Any side effects of dihydropyridines?

A

Headache, peripheral edema, flushing, reflex tachycardia, gingival hyperplasia

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7
Q

What’re the general indications of dihydropyridine CCBs?

A

Arterial HTN, angina pectoris, Raynaud phenomenon

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8
Q

Nicardipine and clevidipine are specific to what condition? (Pathology)

A

Hypertensive emergency

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9
Q

Nimodipine is specific to what condition? (Pathology)

A

Subarachnoid hemorrhage

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10
Q

What nondihydropyridine CCB’s are benzothiazepines?

A

Diltiazem

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11
Q

What’re the effects if diltiazem?
-Any myocardial depressant activity?

A

Moderate vasodilator
-Moderate activity

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12
Q

What nondihydropyridine are phenylalkylamines?

A

Verapamil and gallopamil

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13
Q

What’re the effects of verapamil and gallopamil?
-Any myocardial depressant activity?

A

Moderate vasodilator
-Potent myocardial depressant

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14
Q

What’re the side effects of nondihydropyridine?

A

Reduced contractility, bradycardia, AV block, gingival hyperplasia

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15
Q

What side effects are specific to verapamil?

A

Constipation and hyperprolactinemia

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16
Q

What’re the indications to prescribe nondihydropyridine CCBs?

A

Arterial HTN, Supraventricular tachyarrhythmias, angina, hypertrophic obstructive cardiomyopathy

17
Q

What’s verapamils other specific indication for prescription besides the main indications of nondihydropyridines?

A

Migraines

18
Q

CCBs bind to and block ____ type calcium channel blockers resulting in _____ frequency of calcium channel opening

A

L type
Decreased

19
Q

What’re the indications for ALL CCB’s

A

Arterial HTN, stable angina, vasospastic angina, and achalasia

20
Q

Why aren’t short acting CCBs not indicated for monotherapy of angina?

A

Because they cause hypotension and secondary reflex tachycardia

21
Q

nondihydropyridine CCBs should not be combined with beta blockers because why?

A

They can enhance the negative inotropic (force of contraction) , chronotropic (heart rate), and dromotropic (conduction) effects of beta blockers

22
Q

Phenylalkylamines are contraindicated in cases of ____________ because of their negative effects on myocardial contractility

A

Heart failure