Drugs for Blood Pressure Flashcards

1
Q

What are some examples of ACE inhibitors?

A

Captopril, Ramipril, Lisinopril

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2
Q

What are some side effects of ACE inhibitors?

A
  • Dry cough due to the inhibition of bradykinin breakdown

- Sudden fall of blood pressure with the first dose

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3
Q

What are the affects of ACE inhibitors?

A
  • decreased peripheral vascular resistance
  • decrease aldosterone causing decrease water and sodium retention
  • decrease vasoconstriction
  • decease in sympathetic response
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4
Q

What are some examples of Angiotensin receptor blockers?

A

Losartan, Candesartan

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5
Q

What are some of the side effects of Angiotensin receptor blockers?

A
  • headache
  • dizziness
  • diarrhoea
  • back pain
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6
Q

What receptor do Angiotensin receptor blockers block?

A

AT1: responsible for the vasoconstriction and aldosterone release

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7
Q

What are some examples of Alpha-One receptor blockers?

A

Prazosin, Terozin, Doxazosin, Phentolomine (alpha one and two)

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8
Q

What are some side effects of Alpha-one receptor blockers?

A
  • dizziness
  • postural hypotension
  • reflex tachycardia
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9
Q

What are some side effects of beta-blockers?

A
  • vivid dream
  • intolerance to exercise
  • bronchonstriction
  • hypotension
  • hypoglycaemia
  • bradycardia
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10
Q

What are some examples of selective beta-blockers?

A

Atenolol

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11
Q

What are some examples of non-selective beta-blockers?

A

Propanolol

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12
Q

What channels do calcium-channels blockers block?

A

L-type

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13
Q

What is the mechanism of action of open-channel calcium blockers and what are some examples?

A

The drugs binds to the receptor and blocks the entry. Verapamil, Diltiazem.

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14
Q

What is the mechanism of action of allosteric modulation and what are some examples?

A

These bind to the allosteric site and cause a shape change and limit opening. Examples include Nifedipine and amlodipine.

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15
Q

What are some side effects of Calcium-channels blockers?

A
  • headache
  • constipation
  • palpations
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16
Q

What are some examples of diuretics?

A

Indapamide, Bendroflumethaizide

17
Q

What is the mechanism of action of loop diuretics?

A

These inhibit the reabsorption go sodium, calcium and water in the Loop of Henle

18
Q

What is the mechanism of action of thiazide diuretics?

A

These inhibit the reabsorption of sodium in the DCT

19
Q

What is the mechanism of action of potassium sparing diuretics?

A

These inhibit the transporter in the collecting duct responsible for secreting potassium and absorbing sodium

20
Q

What are some side effects of diuretics?

A

Hypokalaemia

Hypotension

21
Q

What is the first medication given to under 55s?

A

ACE inhibitor (consider angiotensin inhibitor)

22
Q

What is the first medication given to over 55s or black patients of any age?

A

Diuretic or Calcium channel blocker