Izard Drugs for DVT & PE Flashcards

1
Q

What are the prostanoids used for Pulmonary Htn?

A
  • Epoprostenol
  • Treprostinin
  • Iloprost
  • Selexipag
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2
Q

What are the Endothlein antagonists used for puplmonary htn?

A
  • Bosentan
  • Ambrisentan
  • Macicentan
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3
Q

What are the PDE 5 inhibitors used for pulmonary htn?

A
  • Sildenafil
  • Tadalafil
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4
Q

What are the guanylate cyclase sensitizers used for pulmonary htn?

A

riociguat

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5
Q

What do you use if you have a positive vasopressor test in a patient with PAH?

A

CCB

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6
Q

What treatments are routinely sued with little impact on PAH progression?

A
  • Anticoagulants
  • Diuretics
  • Oxygen therapy
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7
Q

Epoprostenol effects and MOA?

A
  • Mimics prostacyclin compound
  • lowers pulmonary arterial resistance and decreases pulmonary artery pressure
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8
Q

Epoprostenol toxicities?

A
  • Sepsis due to chronic catheter
  • Life threat if pump lines clogged
  • N/V
  • HA
  • Jaw pain
  • Flushing
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9
Q

Treprostinil MOA and effects?

A
  • Mimics prostacyclin
  • Lowers pulm art pressure & resistance
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10
Q

Pharmacokinetcs of treprostinil?

A
  • SubQ infusion
  • longer half life doesn’t require refrigeration
  • qid inhalation is available
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11
Q

AE of Treprostinil?

A
  • Sepsis due to chronic catheter
  • site pain
  • jaw pain
  • diarrhea
  • edema
  • nausea
  • If inhaled:
    • Cough
    • HA
    • Throat irritation
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12
Q

Iloprost pharmacokinetics?

A

Inhale 6-9x daily

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13
Q

Iloprost AE?

A
  • fainting due to hypotension
  • cough
  • HA
  • flushing
  • jaw pain
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14
Q

Selexipag pharmacokinetics and AE?

A
  • BID po, Expensive
  • HA
  • Flushing
  • Diarrhea N/V
  • Jaw limb and muscle pain
  • skin rash
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15
Q

Bosentan MOA and effects?

A
  • Nonspecifically blocks ETa and ETB endothelin receptors
  • improves exercise tolerance and slows progression
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16
Q

Bosetan toxicities?

A
  • Serious:
    • hepatotoxicity
    • teratogen
  • Flushing
  • Headache
  • Peripheral edema
  • Nasal congestion
  • reduced sperm
17
Q

Bosetan drug interactions?

A
  • accelerates metabolism of
  • warfarin
  • Oral contraceptives
    • need 2 forms
  • increases cyclosporine or glyburide
18
Q

Ambrisentan MOA?

A
  • Selectively blocks endothelin receptors that cause vasoconstriction and promote cell proliferation
19
Q

Ambrisentan AE and drug interactions?

A
  • Teratogen
  • does not damage liver like Bosetan
  • peripheral edema, nasal congestion, anemia, reduced sperm
  • doesn’t accelerate warfarin like Bosetan or OC’s but still need two forms
    *
20
Q

Sildenafil MOA and AE? (viagra for ED, Revatio for PAH)

A
  • Selectively blocks PDE5
  • well tolerated flushing and dyspepsia most common AE
21
Q

Riociguat MOA & AE?

A
  • Guanyl cyclase stimulator
  • Hypotensioin
  • HA
  • Dizziness
  • dyspepsia
  • Fetal harm
  • Not given with NO or type 5 PDEI
22
Q

Common PAH drug combinations?

A

Tadalafil + Ambrisentan