Hypertension Drugs Flashcards
MoA of ACE-I?
Inhibit ACE (Ang I -> Ang II):
Vasodilates arterioles and veins
Decreases aldosterone
Increases bradykinin
ADRs of ACE-I?
Dry cough
Angiotensin-oedema
Renal failure
Hyperkalaemia
Examples of ACE-I?
Lisinopril
Ramipril
MoA of angiotensin receptor blockers?
Bind to angiotensin AT1 receptor and inhibit vasoconstriction and aldosterone stimulation
ADRs of androgen receptor blockers?
Renal failure
Hyperkalaemia
MoA of calcium channel blockers?
Bind to alpha subunit of L-type Ca2+ channel to decrease Ca2+ entry
Vasodilates arteries
What are the 3 groups of calcium channel blockers with examples?
Dihydropyridines - amlodipine
Phenylalkylamines - verapamil
Benzothiazepines - diltiazem
ADRs of dihydropyridines (CCB)?
Tachycardia and palpitations (sympathetic activation) Flushing, sweating Headache Oedema Gingival hyperplasia
ADRs of phenylalkylamines?
Constipation
Bradycardia
Decreased myocardial contractility
ADRs of benzothiazepines (CCB)?
Bradycardia
Decrease myocardial contractility
MoA of alpha-blockers?
Antagonise contractile effects of noradrenaline on vascular smooth muscle -> decrease peripheral resistance
ADRs of alpha blockers?
Postural hypotension, dizziness
Headache
Fatigue
Oedema
Example of an alpha blocker?
Doxazosin
MoA of beta-blockers?
Decrease HR and CO by inhibiting renin release
ADRs of beta-blockers?
Lethargy, impaired concentration Decreased exercise tolerance Bradycardia Raynaud’s Decreased glucose tolerance Contraindicated in asthma