CCD and ACS drug formulary

Question 1

ACEs

Answer 1

-Benazepril (Lotensin) 10-40mg
-Enalapril (Vasotec) 2.5-40mg
-Fosinopril (Monopril) 5-40mg
-Lisinopril (Prinivil, Zestril) 2.5-40mg
-Quinapril (Accupril) 5-20mg BID
-Ramipril (Altace) 2.5-20mg
-Captopril (Capoten) 6.25-50mg TID

-hyperkalemia
-SCr
-cough

Question 2

ARBs

Answer 2

-Candesartan (Atacand) 4-32mg
-Irbestartan (Avapro) 150-300mg
-Losartan (Cozaar) 25-100mg
-Olmesartan (Benicar) 20-40mg
-Telmisartan (Micardis) 20-80mg
-Valsartan (Diovan) 20-160mg BID

-hyperkalemia
-SCr

Question 3

Beta Blockers

Answer 3

-Atenolol (Tenormin) 50-100mg
-Bisoprolol (Monocor, Zebeta) 5-10mg
-Carvedilol (Coreg) 12.5-50mg
-Labetolol (Normodyne, Trandate) 100-200mg BID
-Metoprolol succinate (Toprol XL) 100-400mg
-Metoprolol tartrate (Lopressor) 50-200mg BID
-Nebivolol (Bystolic) 5-40mg
-Propranolol (Inderal) 80-320mg in 1-4 doses

-bradycardia, sinus arrest, AV block
-bronchoconstriction
-mask hypoglycemia
-CI if HR <50

Question 4

DHP CCBs

Answer 4

-Amlodipine (Norvasc) 5-10mg
-Felodipine (Plendil) 5-10mg
-Nifedipine (Procardia) 30-60mg

-hypotension
-flushing
-dizziness
-headache
-peripheral edema
-monitor BP

Question 5

NON-DHP CCBs

Answer 5

-Diltiazem (Cardizem) 180-540mg
-Verapamil (Calan, Isoptin) 240mg

-Verapamil worse than diltiazem for side effects
-bradycardia
-AV block
-CONSTIPATION
-same as CCBs (hypotension, flushing, headache, dizziness)
-monitor BP and HR

Question 6

Statins

Answer 6

-Atorvastatin (Lipitor) 40-80mg
-Lovastatin (Altoprev, Mevacor) 40-80mg
-Pravastatin (Pravachol) 40-80mg
-Rosuvastatin (Crestor) 20-40mg
-Simvastatin (Zocor) 20-40mg

Question 7

Nitrates

Answer 7

-ISDN tabs 8,12,4pm (8,3 for SR) 10mg
-ISMN 20mg 8 and 3
-ISMN SR 30mg qd
-NTG patch on at 7am off at 7pm

-tachycardia
-PDE contraindications
-flushing

Question 8

P2Y12

Answer 8

-Clopidogrel (Plavix) 75mg
-Prasugrel (Effient) 10mg
-Ticagrelor (Brillinta) 90mg BID (bradycardia, heartblock, dyspnea)

-bleeding
-diarrhea
-rash

Question 9

Aspirin

Answer 9

Ecotrin
-81mg
-dose MUST be lower than 100mg with ticagrelor

Question 10

Rivaroxaban

Answer 10

-2.5mg BID + ASA 81mg to decrease MACE

Question 11

Ranolazine

Answer 11

-Ranexa
-500mg BID to 1000mg BID over 1-2 weeks
-drug interactions
-constipation
-nausea
-dizziness
-headache
-increase QT interval

Question 12

Semaglutide

Question 13

Blood thinners

Answer 13

-Enoxaparin
-rivaroxaban?
-fondaparinux
-heparin

Question 14

Bivalirudin

Question 15

Eplerenone

Question 16

Morphine