Clinical Uses Flashcards
Complicated pyelonephritis
penicillins ceftriaxone aminoglycosides
fluoroquinolones
Primarily to treat severe or intractable hypertension
Minoxidil; Pinacidil
Pulmonary and peripheral edema Edema associated with hypoalbuminemia (caused by liver disease or nephrotic proteinuria) Hypercalcemia (caused by malignancy or hyperparathyroidism) Hyperkalemia (caused by potassium-retaining drugs or renal insufficiency) Hyponatremia
Ethacrynic acid
Preferred in hypertensive diabetic patients (delay the onset/progression of diabetic renal damage)
Captopril, Lisinopril, Enalapril, Ramipril
i. Acute mountain sickness ii. Restore acid-base balance in heart failure patients with metabolic alkalosis caused by loop diuretics
Acetazolamide
Candidiasis pyelonephritis
Azoles (fluconazole)
Reduces formation of aqueous humor and thus lowers intraocular pressure in treating open angle glaucoma
Dorzolamide
First line for ED
Sildenafil, tadalafil, vardenafil
Used mainly in men with hypertension plus BPH
Prazosin; Doxazosin
Pulmonary and peripheral edema Edema associated with hypoalbuminemia (caused by liver disease or nephrotic proteinuria) Hypercalcemia (caused by malignancy or hyperparathyroidism) Hyperkalemia (caused by potassium-retaining drugs or renal insufficiency) Hyponatremia HTN
Furosemide
used in treating lithium-induced nephrogenic diabetes insipidus a. Potentiate the action of more proximally acting diuretics b. Counteract the potassium wasting of thiazide and loop diuretics
Amiloride
a. Potentiate the action of more proximally acting diuretics b. Counteract the potassium wasting of thiazide and loop diuretics
Triamterene
good first choice agent in patients with a significantly enlarged prostate (> 40 g), who cannot tolerate the cardiovascular adverse effects of α1-adrenergic receptor antagonists
Finasteride; Dutasteride
BPH
Saw palmetto
Prostatitis
fluoroquinolones TMP SMX
β2 Agonist activity > β2 Antagonist activity, thus beneficial in treatment of Peripheral Vascular Disease
Pindolol
hypertension in pregnancy, & hypertension due to phaechromocytoma
Labetolol
Uncomplicated pyelonephritis
fluoroquinolones TMP SMX
Uncomplicated cystitis
Nitrofurantoin Fosfomycin TMP-SMX
Anemia of chronic kidney disease
Erythropoietic growth factors (epoetin alfa) Ferrous sulfate and ferric gluconate
Hypertension (only clinical indication)
Losartan, Candesartan, Valsartan, Eprosartan (AT-1 receptor antagonists)
Aliskiren (renin inhibitor)
Reduce intracranial pressure in neurological conditions
Mannitol
intracavernosal - second line for ED combination therapy - third line for ED
Alprostadil
Monotherapy can be used as initial therapy with similar response rates to orchiectomy
Leuprolide; Goserelin