Medication list #9 (Cardiovascular) Flashcards
clopidogrel
Brand: Plavix
warfarin
Brand: Coumadin
rivaroxaban
Brand: Xarelto
furosemide
Brand: Lasix
spironolactone
Brand: Aldactone
hydrochlorothiazide (HCTZ)
Brand: Microzide
lisinopril
Brand: Zestril, Prinivil
losartan
Brand: Cozaar
amlodipine
Brand: Norvasc
metoprolol tartrate / metoprolol succinate
Brand: Lopressor (immediate release) / Toprol XL (extended release)
clopidogrel dosing and frequency
75 mg,
300 mg loading dose, 75 mg daily
warfarin dosing and frequency
1, 2, 2.5, 3, 4, 5, 6, 7.5, 10mg
-daily
rivaroxaban dosing and frequency
2.5, 10, 15, 20 mg
-daily, BID
furosemide dosing and frequency
20, 40, 80 mg
-daily, BID
spironolactone dosing and frequency
25, 50, 100 mg
-daily, BID
hydrochlorothiazide dosing and frequency
12.5, 25, 50 mg
-daily
lisinopril dosing and frequency
5, 10, 20, 30, 40 mg
-daily
losartan dosing and frequency
25, 50, 100 mg
-daily
amlodipine dosing and frequency
2.5, 5, 10 mg
-daily
metoprolol tartrate / metoprolol succinate dosing and frequency
IR: 25, 50, 100 mg
XL: 25, 50, 100, 200 mg
IR: BID
XL: daily
clopidogrel side effects and indications
Indication: reduce rate of heart attack and stroke
SE: avoid NSAIDs unless instructed due to increased bleeding risk; seek medical attention for unusual or prolonged bleeding or bruising; avoid abrupt discontinuation
warfarin side effects and indication
Indication: to prevent blood clots; atrial fibrillation
SE: 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 side effects and indication
Indication: to prevent blood clots, atrial fibrillation
SE: seek medical attention for unusual bleeding or prolonged bleeding or bruising
-gastroenteritis
-vomiting
-cough (pediatric patients)
furosemide side effects and indication
Indication: edema (swelling), heart failure, hypertension
SE: sun sensitivity, decreased electrolytes, dizziness upon standing, avoid taking at bedtime-increases urination
spironolactone indications and side effects
Indication: heart failure, hypertension Non-FDA: acne, hormonal failure
SE: Gynecomastia, increased serum potassium, Diarrhea, Irregular menses
hydrochlorothiazide indications and side effects
Indication: edema, hypertension
SE: sun sensitivity, dizziness upon standing, avoid taking at bedtime-increases urination
lisinopril indication and side effects
Indication: Hypertension, heart failure, heart attack, migraine prevention
SE: avoid during pregnancy, dizziness, dry cough, headache, increases serum potassium
losartan indication and side effects
Indication: hypertension, heart failure, diabetic nephropathy
SE: avoid during pregnancy, dizziness, headache, increases serum potassium
amlodipine indication and side effects
Indication: hypertension, management of angina (chest pain), Raynaud’s Phenomenon
SE: Leg swelling (edema), Headache
metoprolol tartrate/metoprolol succinate indication and side effects
Indication: Hypertension, Post heart attack, management of angina (IR only), Heart failure (XL only)
SE: Dizziness, Fatigue (goes away within 7 days), Take with food-better absorption, lowers heart rate, do not discontinue medication abruptly–increased cardiovascular risk