Cardiovascular Flashcards
clopidogrel
counseling points
- Avoid NSAIDs unless instructed due to increased bleeding risk
- Seek medical attention for unusual or prolonged bleeding or bruising
- Avoid abrupt discontinuation
clopidogrel
drug class
Antiplatelet
clopidogrel
brand
Plavix
clopidogrel
common strengths
75mg
clopidogrel
common frequency
300mg loading dose,
75mg daily
clopidogrel
indication
To reduce rate of heart attack and stroke
warfarin
drug class
Anticoagulants
warfarin
brand
Coumadin
warfarin
common strengths
1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg,10mg
warfarin
common frequency
daily
warfarin
indication
- To prevent blood clots
- Atrial Fibrillation
warfarin
counseling points
- Avoid NSAIDs unless instructed due to increased bleeding risk
- Seek medical attention for unusual or prolonged bleeding or bruising
- Avoid abrupt discontinuation
- Keep dietary vitamin K (green leafy vegetables) and alcohol consumption consistent
- Many drug interactions; discuss new meds with RPh
- Take missed dose ASAP, but don’t double dose same day
rivaroxaban
drug class
Anticoagulants
rivaroxaban
brand
Xarelto
rivaroxaban
common strengths
2.5mg, 10mg,15mg, 20mg
rivaroxaban
common frequency
daily, BID
rivaroxaban
indication
- To prevent blood clots
- Atrial Fibrillation
rivaroxaban
counseling points
- Seek medical attention for unusual or prolonged bleeding or bruising
- Gastroenteritis
- Vomiting
- Cough (pediatric patients)
spironolactone
drug class
Diuretics
spironolactone
brand
Aldactone
spironolactone
common strengths
25mg, 50mg, 100mg
spironolactone
common frequency
daily, BID
spironolactone
indications
- Heart Failure
- Hypertension
Non-FDA: - Acne
- Hormone Therapy
spironolactone
counseling points
- Gynecomastia
- Increased serum potassium
- Diarrhea
- Irregular menses
furosemide
drug class
Diuretics
furosemide
brand
Lasix
furosemide
common strengths
20mg, 40mg, 80mg
furosemide
common frequency
daily, BID
furosemide
indications
- Edema (swelling)
- Heart Failure
- Hypertension
furosemide
counseling points
- Sun sensitivity
- Decreased electrolytes (Ca++, K++, Mg++)
- Dizziness upon standing
- Avoid taking at bedtime - increases urination
hydrochlorothiazide (HCTZ)
drug class
Diuretics
hydrochlorothiazide (HCTZ)
brand
Microzide
hydrochlorothiazide (HCTZ)
common strengths
12.5mg, 25mg, 50mg
hydrochlorothiazide (HCTZ)
common frequency
daily
hydrochlorothiazide (HCTZ)
indications
- Edema
- Hypertension
hydrochlorothiazide (HCTZ)
counseling points
- Sun sensitivity
- Dizziness upon standing
- Avoid taking at bedtime - increases urination
lisinopril
drug class
Antihypertensives
lisinopril
brand
Zestril,
Prinivil
lisinopril
common strengths
5mg, 10mg, 20mg, 30mg, 40mg
lisinopril
common frequency
daily
lisinopril
indications
- Hypertension
- Heart failure
- Heart attack
- Migraine prevention
lisinopril
counseling points
- Avoid during pregnancy
- Dizziness
- Dry cough
- Headache
- Increases serum potassium
losartan
drug class
Antihypertensives
losartan
brand
Cozaar
losartan
common strengths
25mg, 50mg, 100mg
losartan
common frequency
daily
losartan
indications
- Hypertension
- Heart failure
- Diabetic nephropathy
losartan
counseling points
- Avoid during pregnancy
- Dizziness
- Headache
- Increases serum potassium
amlodipine
drug class
Antihypertensives
amlodipine
brand
Norvasc
amlodipine
common strengths
2.5mg, 5mg, 10mg
amlodipine
common frequency
daily
amlodipine
indications
- Hypertension
- Management of angina (chest pain)
- Raynaud’s Phenomenon
amlodipine
counseling points
- Leg swelling (edema)
- Headache
metoprolol
tartrate
———
metoprolol
succinate
drug class
Antihypertensives
metoprolol
tartrate
———
metoprolol
succinate
brand
Lopressor
(immediate release)
———
Toprol XL
(extended release)
metoprolol
tartrate
———
metoprolol
succinate
common strengths
IR:
25mg, 50mg, 100mg
———
XL:
25mg, 50mg, 100mg, 200mg
metoprolol
tartrate
———
metoprolol
succinate
common frequency
IR: BID
XL: daily
metoprolol
tartrate
———
metoprolol
succinate
indication
- Hypertension
- Post heart attack
- Management of angina (IR only)
- Heart failure (XL only)
metoprolol
tartrate
———
metoprolol
succinate
counseling points
- Dizziness
- Fatigue (goes away within 7 days)
- Take with food - better absorption
- Lowers heart rate
- Do not discontinue medication abruptly – increased cardiovascular risk
Counseling Tip
All diuretics and anti-hypertensive agents can cause hypotension (low blood pressure)