Hypertension and DM Lab Formulary - MDS Review Flashcards
What are the active ingredients in Hyzaar?
Losartan + HCTZ
What are the active ingredients in Lotrel?
Amlodipine + benazepril
What are the active ingredients in Maxide?
HCTZ + triamterene
What are the active ingredients in Zestoretic?
Lisinopril + HCTZ
What is Norvasc?
Amlodipine
What is Tenormin?
Atenolol
What is Catapres?
Clonidine
What is Vasotec?
Enalapril
What is Microzide?
Hydrochlorothiazide
What is Trandate?
Labetalol
What is Zestril?
Lisinopril
What is Cozaar?
Losartan
What is Toprol XL?
Metoprolol succinate
What is Lopressor?
Metoprolol tartrate
What is Procardia?
Nifedipine
What is Diovan?
Valsartan
How would you dose Norvasc (amlodipine)?
Initial: 2.5 - 5mg PO daily
MAX: 10mg PO daily, titrate weekly or biweekly
What are common side effects of amlodipine?
Peripheral edema, reflex tachycardia, dizziness, HA, flushing, gingival hyperplasia
Monitoring for CCBs?
BP & HR
How would you dose Tenormin (atenolol)?
Initial: 25 mg PO daily
MAX: 100mg PO daily
What are common side effects of atenolol?
CI in asthma/COPD, bradycardia, mask hypoglycemia, fatigue, depression, withdrawal, sedation
Monitoring for beta blockers?
BP & HR
How would you dose Catapres (clonidine)?
Initial: 0.1mg PO BID, also weekly patch
MAX: 2.4 mg PO daily
What are common side effects of clonidine?
Drowsiness, HA, fatigue, dizziness, dry mouth
How would you dose Vasotec (enalapril)?
Initial: 2.5mg PO BID
MAX: 40mg/day
What are common side effects of enalapril?
Cough, hyperkalemia, angioedema, neutropenia, agranulocytosis, proteinuria, loss of taste, hypotension, acute renal failure
Monitoring for ACEIs?
BP, BUN/SCr, serum potassium
How would you dose Microzide (HCTZ)?
Initial: 12.5 to 25mg PO daily
MAX: 50mg PO daily
What are common side effects for HCTZ?
Hypokalemia, hypokalemic metabolic alkalosis, hyperuricemia, hypercalcemia, impaired carb tolerance, HLD, hyponatremia, ED
Monitoring for thiazides?
BP, BUN/SCr, serum electrolytes (K, Mg, Na), uric acid
How would you dose Trandate (labetalol)?
Initial: 100mg PO BID
MAX: 400mg PO BID
What are common side effects for labetalol?
CI in asthma/COPD, bradycardia, mask hypoglycemia, fatigue, depression, withdrawal, sedation
How would you dose Zestril (lisinopril)?
Initial: 10mg PO daily
MAX: 40mg PO daily
What are common side effects for lisinopril?
Cough, hyperkalemia, angioedema, neutropenia, agranulocytosis, proteinuria, loss of taste, hypotension, acute renal failure
How would you dose Cozaar (losartan)?
Initial: 25mg PO daily
MAX: 100mg PO daily in 1-2 doses
What are common side effects for losartan?
Orthostatic hypotension, renal insufficiency, hyperkalemia,
Monitoring for ARBs?
BP, BUN/SCr, serum potassium
How would you dose Toprol XL (metoprolol succinate)?
Initial: 25mg PO daily
MAX: 400mg PO daily
How would you dose Lopressor (metoprolol tartrate)?
Initial: 25mg PO BID
MAX: 200mg PO BID
What are common side effects for metoprolol?
CI in asthma/COPD, bradycardia, mask hypoglycemia, fatigue, depression, withdrawal, sedation
How would you dose Procardia (nifedipine)?
Initial: 30mg PO daily
MAX: 90mg PO daily
What are common side effects for nifedipine?
Peripheral edema, reflex tachycardia, dizziness, HA, flushing, gingival hyperplasia
How would you dose Diovan (valsartan)?
Initial: 80mg PO daily
MAX: 320 mg PO daily
What are common side effects for valsartan?
Orthostatic hypotension, renal insufficiency, hyperkalemia,
What is Aldactone?
Spironolactone
How would you dose Aldactone (spironolactone)?
Initial: 50-100mg PO daily or divided BID
MAX: probably 200-400mg daily
What are common side effects for spironolactone?
Hyperkalemia, gynecomastia, impotence, irregular menses, hypotension, N/V
What is Novolog?
Insulin aspart
What is Levemir?
Insulin detemir
What is Lantus?
Insulin glargine
What is Apidra?
Insulin glulisine – rapid acting like novolog
What is Humalog?
Insulin lispro
What is Humulin N?
Insulin NPH
What is Humulin R?
Insulin regular
What are side effects of all insulin products?
Hypoglycemia, lipoatrophy, hypertrophy, hypersensitivity
What should be monitored for insulin therapy?
SMBG, A1c every 3 months (6 if stable), injection technique
What is combined with meformin in ActosPlus Met?
Pioglitazone
What is combined with meformin in Glucovance?
Glyburide
What is combined with meformin in Invokamet?
Canagliflozin
What is combined with meformin in Janumet?
Sigagliptin
What is combined with meformin in Kombiglyze?
Saxagliptin
What is combined with meformin in Metaglip?
Glipizide
What is combined with meformin in Xigduo XR?
Dapagliflozin