CVS Therapeutics Flashcards
What are two nitrate/nitrite antianginal drugs?
Nitroglycerin, and Amyl nitrate
How do nitrates work as an antianginal?
Metabolized into nitric oxide and increase cGMP to vasodilate
What are three Calcium channel blockers used as antianginal drugs?
Verapamil, Nifedipine, and Diltiazem
What is the mechanism of action of calcium channel blockers?
They block contraction of smooth and cardiac muscle, thereby reducing oxygen demand
What is a side effect of Ca++ channel blockers?
cardiac depression and bradycardia (can cause heart failure)
What are two β-blockers used as antianginal drugs?
Propranolol and Atemolol
What is the mechanism of action of β-blockers?
they reduce cardiac efforts thereby reducing oxygen requirements
What are statins, vibrates, bile acid-binding agents, and intestinal sterol inhibitors used for?
Controlling/managing Lipid and cholesterol levels
Name three statin drugs.
Lovastatin, Atorvastatin, and Simvastatin
How do statin drugs work?
They competitively inhibit HMG-CoA reductase, which synthesizes cholesterol
What are two side effects to be concerned about with statin drugs?
liver damage, and skeletal muscle weakness
What kind of cholesterol lowering drug is Fenobrate?
A fibrate
How do Fibrates work?
they increase lipolysis in the liver and muscles
How does Niacin change lipid/cholesterol levels?
it decreases triglycerides and LDL
What kind of cholesterol/lipid lowering drug is Cholesteramine?
a Bil acid-binding agent
How does Ezetimibe work?
it reduces LDL by inhibiting intestinal sterol absorption
What are 7 mechanisms that can be used to treat/prevent heart failure?
positive ionotropic drugs, β1 agonists, diuretics, ACE inhibitors, vasodilators, β-blockers, or diet
What are Digitalis and Milrinone?
anti-heart failure drugs that increase intracellular Ca++
What kind of heart failure medication is Dobutamine?
β1 agonist used to treat heart failure
What type of heart failure medication is Captopril?
ACE inhibitor - reduces TPR
Hydralazine is what kind of heart failure drug?
vasodilator
What kind of drug is Metoprolol?
β-blocker that reduces HR and blocks sympathetic ANS