Cardio Pharm Indications Flashcards
Nifedipine
Anti-HTN. Used in conjunction with beta blocker to prevent reflex tachy. Contraindicated post-MI./CHF.
Amlodipine
Anti-HTN. Used in conjunction with beta blocker to prevent reflex tachy. Contraindicated post-MI./CHF
Diltiazem
Paroxysmal supraventricular dysrhythmias. Not as strong as Verapamil, low side effects. Not effective against HTN.
Verapamil
Paroxysmal supraventricular dysrhythmias, angina (decreases demand for O2 and increases coronary blood flow, HTN (reduces SVR).
Furosemide
Anti-HTN, CHF.
HCTZ (hydrochorthiazide)
First line for uncomplicated Anti-HTN. SEs: sulfa allergy, hypokalemia, insulin resistance, increased TG + LDL.
Losartan
Anti-HTN, can be used to treat aortic dilation.
Enlalapril
Anti-HTN.
Direct Renin Inhibitors
Anti-HTN. Not really used.
Phenoxybenzamine
3rd line Anti-HTN. Also used in treatment of BPH.
Prazosin
3rd line Anti-HTN. Also used in treatment of BPH.
Doxazosin/Terazosin
3rd line Anti-HTN. Also used in treatment of BPH.
Clonidine
Anti-HTN, (Watch out for brady), rebound HTN after discontinuation is a big problem.
Spironolactone
Anti-HTN.
Hydralazine
Used for HTN during preg, pre-ecclampsia, usually in combo w/ beta blockers to prevent reflex SNS. Tox: excessive dilation – flushing, sweating, hypotension, angina, palps, Lupus-like.
Sodium nitroprusside
Drug of choice for HTN emergency! Rapid onset, IV. Use beta blockers before withdrawing infusion.
Nitrates
Anti-HTN. Anti-angina.
Propranolol
Severe HTN
Metoprolol
Severe HTN