Common Cardiovascular Drugs Flashcards
Anti-cholesterol Drugs?
Statins
Fibrates
PCSK 9 Inhibitors
Examples of statins?
Simvastatin
Atorvastatin
Examples of PCSK 9 inhibitors?
Ecolocumab,
Alirocumab
What does PCSK stand for?
Proprotein convertase subtilisin/kexin type 9
Anti-hypertensive drugs?
Thiazide diueretics
Beta blockers
Vasodilators
Examples of vasodilators?
Calcium antagonists
Alpha blockers
ACE inhibitors
Angiotensin Receptor blockers
When are patients given fibrates fro high cholesterol?
When they can’t tolerate statins
What do statins do?
Blocks HMG Co-A reductase
What is HMG Co-A Reductase?
rate-controlling enzyme of the mevalonate pathway, the metabolic pathway that produces cholesterol and other isoprenoids.
What are statins used in?
Hypercholesterolaemia Diabetes Angina/MI Stroke/Mini stroke (CVA/TIA) High risk of- MI/CVA
Side effects of statins?
Myopathy
Rhabdomyolysis - renal failure
Myopthay
Disease where muscle fibers do not function properly- cause muscle spasms and muscular weakness
Rhabdomyolysis
Rhabdomyolysis is the breakdown of damaged skeletal muscle. Muscle breakdown causes the release of myoglobin into the bloodstream. … If you have too much myoglobin in your blood, it can cause kidney damage.
Example of a fibrate?
Bezafibrate
What are fibrates used in?
Hypertriglyceridaemia
Low HDL cholesterol
Symptoms of hypercholesterolemia?
Xanthomas- fatty deposits around tendons
Cholesterol deposits around eyes
What is used to treat familial hypercholesteroleamia?
PCSK 9 Inhibitors- alirocumba, evolocumab
How does PCSK- 9 inhibitor work?
By inhibiting the binding of PCSK 9 to LDLR, it increases the number of LDLRs available to clear LDL, thereby lowering LDL-C levels.
LDLR= low density lipoprotein receptors
What can high BP cause if not treated?
Stroke, aterioschlerosis, kidney failure, heart attack/heart failure, blindness
What do Diuretics do?
Block Na+ reabsorption in kidneys
What are thiazide diuretics sued for?
Mild hypertension eg bendrofluazide
Which is stronger loop diuretics or thiazide?
Loop
What are loop diuretics used for?
Heart failure
example of one-Furosemide
Side effects of diuretics?
Hypokalaemia (tired) Arrhythmias Hyperglycaemia (diabetes) Increased uric acid= gout Impotence
What do beta blockers do?
Block B1 &B2 adrenoceptors
What do cardioselective beta blockers do?
Only block Beta 1 receptors
What are cardioselective beta blockers used in?
Angina Acute coronary syndrome Myocardial infarction Hypertension Heart failure
What do non-selective B blockers do?
Block B1 and B2 receptors
Examples of non selective beta blockers
Propranolol
carvedilol (alpha and beta blocker)
Examples of cardioselective B blockers?
Atenolol
Bisoprolol
What are non-selective Beta blockers used for?
Thryotoxicosis- XS of thyroid hormone in body
Migraine
Beta blocker side effects?
Asthma- contraindicated for brittle/severe asthma
Tired
Heart Failure- can worsen heart failure in short term
Cold peripheries
How many types of calcium antagonists?
2
The types of calcium antagonist?
Dihydropyridines
Rate limiting calcium antagonists
Example of dihydropyridines?
Amlodipine
What are dihydropyridines used for?
Hypertension and angina
Side affects of dihydropyridines? common question
Ankle oedma
Examples of rate limiting calcium antagonists?
Verapamil
Diltiazem
What are rate limiting calcium antagonist used in?
Hypertension
Angina
Supraventricular Arrhythmias (AF, SVT)- atrial fibrilation,
Supraventricular tachycardia
What are calcium antagonists used to treat?
Hypertension and angina
What can’t you use rate limiting calcium antagonists with?
Beta blockers
What do angiotensin converting enzyme inhibitors do?
Block angiotensin 1 from becoming angiotensin 2
Example of an angiotensin converting enzyme inhibitor?
Lisinopril
What are angiotensin converting enzyme inhibitors used for?
Hypertension
Heart Failure