Hypertension Formulary Drug Class + Side Effects

Question 1

Atenolol (Tenormin)
Metoprolol succinate (Toprol XL)
Metoprolol tartrate (Lopressor)

Answer 1

Beta Blockers -cardioselective

Question 2

Carvedilol (Coreg)
Labetalol (Trandate)

Answer 2

Beta Blockers- mixed alpha/beta

Question 3

Adverse Effects for all beta blockers:

Atenolol
Metoprolol
Carvedilol
Labetalol

Answer 3

-Bronchospasms
-Bradycardia
-Fatigue
-Exercise intolerance
-Depression
-Mask signs of hypoglycemia

Question 4

Amlodipine (Norvasc)
Nifedipine (Procardia)

Answer 4

Dihydropyridine CCB

Adverse Effects:
-Reflex tachycardia
-Flushing
-Dizziness
-Headache
-Peripheral edema (dose related)
-Gingival hyperplasia

Question 5

Benazepril (Lotensin)
Enalapril (Vasotec)
Lisinopril (Zestril)

Answer 5

Angiotensin Converting Enzyme Inhibitors (ACEi)

Adverse Effects:
-Angioedema
-Cough (20%)
-Hyperkalemia
-Acute renal failure with bilateral renal artery stenosis

Question 6

Losartan (Cozaar)
Valsartan (Diovan)

Answer 6

Angiotensin II Receptor Blockers (ARBs)

Adverse Effects:
-Angioedema
-Hyperkalemia
-Acute renal failure with bilateral renal artery stenosis

Question 7

Clonidine (Catapres)

Answer 7

Central Alpha-2 Agonist

Adverse Effects:
-CNS Depression
-Dizziness
-Fatigue
-Anticholinergic effects
-Bradycardia
-Reflex tachycardia
-Fluid retention

(many side effects)

Question 8

Hydrochlorothiazide (Microzide)

Answer 8

Thiazide Diuretic

Adverse Effects:
-Diuresis*
-Hypokalemia
-Hypomagnesemia
-Hypercalcemia
-Hyperuricemia
-Hyperglycemia
-Hyperlipidemia
-Sexual dysfunction
-Increase in triglycerides/cholesterol

Question 9

Spironolactone (Aldactone)

Answer 9

Aldosterone Antagonist

Adverse Effects:
-Gynecomastia*
-Hyperkalemia
-Hyponatremia
-Diuresis