Calcium Channel blockers Flashcards
What are the two categories of calcium channel blockers?
Dihydropyridines and nondihydropyridines
What are the short acting Dihydropyridine CCBs?
Nifedipine, clevidipine, and nimodipine
What are the intermediate acting dihydropyridine CCBs?
Nitrendipine, nicardipine, and lercanidipine
What dihydropyridine CCBs long acting are there?
Amlodipine and felodipine
What are the effects of dihydropyridines?
-any myocardial depressant activity?
Potent vasodilator
-minimal
Any side effects of dihydropyridines?
Headache, peripheral edema, flushing, reflex tachycardia, gingival hyperplasia
What’re the general indications of dihydropyridine CCBs?
Arterial HTN, angina pectoris, Raynaud phenomenon
Nicardipine and clevidipine are specific to what condition? (Pathology)
Hypertensive emergency
Nimodipine is specific to what condition? (Pathology)
Subarachnoid hemorrhage
What nondihydropyridine CCB’s are benzothiazepines?
Diltiazem
What’re the effects if diltiazem?
-Any myocardial depressant activity?
Moderate vasodilator
-Moderate activity
What nondihydropyridine are phenylalkylamines?
Verapamil and gallopamil
What’re the effects of verapamil and gallopamil?
-Any myocardial depressant activity?
Moderate vasodilator
-Potent myocardial depressant
What’re the side effects of nondihydropyridine?
Reduced contractility, bradycardia, AV block, gingival hyperplasia
What side effects are specific to verapamil?
Constipation and hyperprolactinemia