Med List #9: Cardiovascular Medications Flashcards
Antiplatelet
clopidogrel
Anticoagulants
warfarin, rivaroxaban
Diuretics
furosemide, spironolactone, hydrochlorothiazide
Antihypertensives
lisinopril, losartan, amlodipine, metoprolol tartrate, metoprolol succinate
clopidogrel: Brand Name
Plavix
clopidogrel: Common Strengths
75mg
clopidogrel: Common Frequency
300mg loading dose, 75mg daily
clopidogrel: Indications/Use
To reduce rate of heart attack and stroke
clopidogrel: Counseling Tips and Important Info
- Avoid NSAIDs unless instructed due to increased bleeding risk
- Seek medical attention for unusual or prolonged bleeding or bruising
- Avoid abrupt discontinuation
warfarin: Brand Name
Coumadin
warfarin: Common Strengths
1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg, 10mg
warfarin: Common Frequency
QD
warfarin: Indications/Use
- To prevent blood clots
- Atrial fibrillation
warfarin: Counseling Tips and Important Info
- Avoid NSAIDs unless instructed due to increased bleeding risk
- Seek medical attention for unusual or prolonged bleeding or bruising
- Avoid abrupt discontinuation
- Keep dietary vitamin K (green leafy vegetables) and alcohol consumption consistent
- Many drug interactions; discuss new meds w/ RPh
- Take missed dose ASAP, but don’t double dose same day
rivaroxaban: Brand Name
Xarelto
rivaroxaban: Common Strengths
2.5mg, 10mg, 15mg, 20mg
rivaroxaban: Common Frequency
QD, BID
rivaroxaban: Indications/Use
- To prevent blood clots
- Atrial fibrillation
rivaroxaban: Counseling Tips and Important Info
- Seek medical attention for unusual or prolonged bleeding or bruising
- Gastroenteritis
- Vomiting
- Cough (pediatric patients)
furosemide: Brand Name
Lasix
furosemide: Common Strengths
20mg, 40mg, 80mg
furosemide: Common Frequency
QD, BID
furosemide: Indications/Use
- Edema (swelling)
- Heart failure
- Hypertension
furosemide: Counseling Tips and Important Info
- Sun sensitivity
- Decreased electrolytes (Ca2++, K++, Mg++)
- Dizziness upon standing
- Avoid taking at bedtime - increases urination
spironolactone: Brand Name
Aldactone
spironolactone: Common Strengths
25mg, 50mg, 100mg
spironolactone: Common Frequency
QD, BID
spironolactone: Indications/Use
- Heart failure
- Hypertension
Non-FDA:
- Acne
- Hormone therapy
spironolactone: Counseling Tips and Important Info
- Gynecomastia
- Increased serum potassium
- Diarrhea
- Irregular menses
hydrochlorothiazide: Brand Name
Microzide
hydrochlorothiazide: Common Strengths
12.5mg, 25mg, 50mg
hydrochlorothiazide: Common Frequency
QD
hydrochlorothiazide: Indications/Use
- Edema
- Hypertension
hydrochlorothiazide: Counseling Tips and Important Info
- Sun sensitivity
- Dizziness upon standing
- Avoid taking at bedtime - increases urination
lisinopril: Brand Name
Zestril, Prinivil
lisinopril: Common Strengths
5mg, 10mg, 20mg, 30mg, 40mg
lisinopril: Common Frequency
QD
lisinopril: Indications/Use
- Hypertension
- Heart failure
- Heart attack
- Migraine prevention
lisinopril: Counseling Tips and Important Info
- Avoid during pregnancy
- Dizziness
- Dry cough
- Headache
- Increases serum potassium
losartan: Brand Name
Cozaar
losartan: Common Strengths
25mg, 50mg, 100mg
losartan: Common Frequency
QD
losartan: Indications/Use
- Hypertension
- Heart failure
- Diabetic nephropathy
losartan: Counseling Tips and Important Info
- Avoid during pregnancy
- Dizziness
- Headache
- Increases serum potassium
amlodipine: Brand Name
Norvasc
amlodipine: Common Strengths
2.5mg, 5mg, 10mg
amlodipine: Common Frequency
QD
amlodipine: Indications/Use
- Hypertension
- Management of angina (chest pain)
- Raynaud’s Phenomenon
amlodipine: Counseling Tips and Important Info
- Leg swelling (edema)
- Headache
metoprolol tartrate: Brand Name
Lopressor (immediate release)
metoprolol tartrate: Common Strengths
IR: 25mg, 50mg, 100mg
metoprolol tartrate: Common Frequency
IR: BID
metoprolol tartrate: Indications/Use
- Hypertension
- Post-heart attack
- Management of angina (IR only)
metoprolol tartrate: Counseling Tips and Important Info
- Dizziness
- Fatigue (goes away w/in 7 days)
- Take w/ food - better absorption
- Lowers heart rate
- Do not discontinue medication abruptly - increased cardiovascular risk
metoprolol succinate: Brand Name
Toprol XL (extended-release)
metoprolol succinate: Common Strengths
XL: 25mg, 50mg, 100mg, 200mg
metoprolol succinate: Common Frequency
XL: QD
metoprolol succinate: Indications/Use
- Hypertension
- Post heart attack
- Heart failure (XL only)
metoprolol succinate: Counseling Tips and Important Info
- Dizziness
- Fatigue (goes away w/in 7 days)
- Take w/ food - better absorption
- Lowers heart rate
- Do not discontinue medication abruptly - increased cardiovascular risk