Medication List 9: Cardiovascular Flashcards
clopidogrel: brands
Plavix
clopidogrel: common strengths
75mg
clopidogrel: common frequency
300mg loading dose, 75mg QD
clopidogrel: indications/use
to reduce rate of heart attack and stroke
clopidogrel: counseling tips/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: brands
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/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 with RPh
- Take missed dose ASAP, but don’t double dose same day
rivaroxaban: brands
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/important info
*Seek medical attention for unusual or prolonged bleeding or bruising
*Gastroenteritis
*Vomiting
*Cough (pediatric patients)
furosemide: brands
Lasix
furosemide: common strengths
20mg, 40mg, 80mg
furosemide: common frequency
QD, BID
furosemide: indications/use
-edema (swelling)
-heart failure
-hypertension
furosemide: counseling tips/important info
*Sun sensitivity
*Decreased electrolytes (Ca++, K++, Mg++)
*Dizziness upon standing
*Avoid taking at bedtime - increases urination
spironolactone: brands
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/important info
*Gynecomastia
*Increased serum potassium
*Diarrhea
*Irregular menses
hydrochlorothiazide (HCTZ): brands
Microzide
hydrochlorothiazide (HCTZ): common strengths
12.5mg, 25mg, 50mg
hydrochlorothiazide (HCTZ): common frequency
QD
hydrochlorothiazide (HCTZ): indications/use
-edema
-hypertension
hydrochlorothiazide (HCTZ): counseling tips/important info
*Sun sensitivity
*Dizziness upon standing
*Avoid taking at bedtime - increases urination
lisinopril: brands
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/important info
*Avoid during pregnancy
*Dizziness
*Dry cough
*Headache
*Increases serum potassium
losartan: brands
Cozaar
losartan: common strengths
25mg, 50mg, 100mg
losartan: common frequency
QD
losartan: indications/use
*Hypertension
*Heart failure
*Diabetic nephropathy
losartan: counseling tips/important info
*Avoid during pregnancy
*Dizziness
*Headache
*Increases serum potassium
amlodipine: brands
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/important info
-leg swelling (edema)
-headache
metoprolol tartrate: brands
Lopressor (IMMEDIATE release)
metoprolol tartrate: common strengths
IR: 25mg, 50mg, 100mg
metoprolol tartrate: common frequency
BID
metoprolol tartrate: indications/use
*Hypertension
*Post heart attack
*Management of angina (IR only)
metoprolol tartrate: counseling tips/important info
- Dizziness
- Fatigue (goes away within 7 days)
- Take with food - better absorption
- Lowers heart rate
- Do not discontinue medication abruptly – increased cardiovascular risk
metoprolol succinate: brands
Toprol XL (EXTENDED release)
metoprolol succinate: common strengths
25mg, 50mg, 100mg, 200mg
metoprolol succinate: common frequency
QD
metoprolol succinate: indications/use
*Hypertension
*Post heart attack
*Heart failure (XL only)
metoprolol succinate: counseling tips/important info
- Dizziness
- Fatigue (goes away within 7 days)
- Take with food - better absorption
- Lowers heart rate
- Do not discontinue medication abruptly – increased cardiovascular risk
all diuretics and anti-hypertensive agents: counseling tip
can cause hypotension (low blood pressure)
Antiplatelets
clopidogrel
Anticoagulants
warfarin, rivaroxaban
Diuretics
furosemide, spironolactone, hydrochlorothiazide
Antihypertensives
lisinopril, losartan, amlodipine, metoprolol tartrate (IR), metoprolol succinate (XL)