Hypertension Flashcards
Name 2 nonselective BB
Propranolol
Carvedilol
Name 3 cardioselective BB
Bisoprolol
Atenolol
Metoprolol
Dosing of atenolol
- Dosage forms available
- Common dose
- Max dose
- Dosage forms available: 50-100
- Common dose: 25-100 OD
- Max dose: 100
Bisoprolol dosing
- Dosage forms available
- Common dose
- Max dose
- Dosage forms available: 2.5, 5
- Common dose: 1.25-10 OD
- Max dose: 20
Carvedilol dosing
- Dosage forms available
- Common dose
- Max dose
- Dosage forms available: 6.25, 25
- Common dose: 3.125 OD -25 BD
- Max dose: 50
Metoprolol dosing
- Dosage forms available
- Common dose
- Max dose
- Dosage forms available: 50,100
- Common dose: 25 OD- 50 TDS
- Max dose: 400
Propranolol dosing
- Dosage forms available
- Common dose
- Max dose
- Dosage forms available: 10,40,80
- Common dose: 10mg BD - 80mg TDS
- Max dose: 320
BB common adr (6)
Postural hypotension Tiredness/fatigue Cold hands and feet Dizziness Bradycardia ED
BB contraindications
Asthma/ bronchospasm Preggo Heart conduction abnormalities Decompressed heart failure Secondary or tertiary heart block Peripheral vascular disease Pulmonary Edema
BB MOA
Slow heart rate by blocking beta receptors in heart
Reduce bp
CCB MOA
Block calcium channels along blood vessels —> relaxation of vascular smooth muscle and vasodilation —> lower BP
Name 2 DHP CCB
Amlodipine
Nifedipine
Name 1 non-DHP CCB
Diltiazem
Amlodipine dosing
- Dosage forms available
- Common dose
- Max dose
- Dosage forms available: 5,10
- Common dose: 2.5-10 OD
- Max dose: 10
Nifedipine dosing
- Dosage forms available
- Common dose
- Max dose
- Dosage forms available: 30-60
- Common dose: 30-90 OD
- Max dose: 120
Common ADR of amlodipine and nifedipine
Headache, flushing
Dizziness
Peripheral edema
Special thing about nifedipine
Ok for preggo
Precaution of amlodipine and nifedipine
Caution in heart failure
Amlodipine is preferred in heart failure
Can yse diltiazem and verapamil with beta blockers?
No
Contraindications of CCB
Heart block
Clinical heart failure