Medication Sheet Flashcards
Chlorthalidone Drug Category
Thiazide diuretic
Chlorthalidone Trade Name
Thalidone
Chlorthalidone Use
HTN, HF
Chlorthalidone Dosage
12.5-25 mg qday
Chlorthalidone Contraindications
- anuria
- hypersensitivity to chlorthalidone
Chlorthalidone Adverse Effects
- hypokalemia, hypomagnesia
- hyperuricemia, hyperglycemia
- may cause mild cholesterol or TG increase
Furosemide Drug Category
Loop diuretic
Furosemide Trade Name
Lasix
Furosemide Use
HTN, HF
Furosemide Contraindications
- hypersensitivity to Furosemide
- anuria
Furosemide Adverse Effects
- hypokalemia, hypomagnesia
- overdiuresis
- metabolic alkalosis
Atenolol Drug Category
Beta blocker (cardio-selective, beta 1 only)
Atenolol Trade Name
Tenormin
Atenolol Use
HTN, angina, ACS, arrhythmias
Atenolol Dosage
25-100 mg qday
Atenolol CIs
- pts with bradycardia, heart block, sinus node dz
- caution in pts w/ uncontrolled heart failure
Atenolol Adverse Effects
- fatigue, insomnia, depression, nightmares
- bradycardia
- ED
- decreased HDL, increased TG
- masks hypoglycemia
- may aggravate asthma
Lisinopril Drug Category
ACE inhibitor
Lisinopril Trade Name
Prinivil, Zestril
Lisinopril Use
HTN, HF
Lisinopril Dosage
5-40 mg qday
Lisinopril CIs
- CI in 2nd and 3rd tri of pregnancy
- hypersensitivity to lisinopril
- angioedema
Lisinopril Adverse Effects
- hyperkalemia
- cough, hypotension, rash, angioedema
- acute renal failure in pts w/ bilateral renal artery stenosis or dehydration
Amlodipine Drug Category
calcium channel blocker, dihyropyridine class
Amlodipine Trade Name
Norvasc
Amlodipine Use
HTN, angina
Amlodipine Dosage
2.5-10 mg qday
Amlodipine CIs
hypersensitivity to Amlodipine
Amlodipine Adverse Effects
- tachycardia
- HA, dizziness, peripheral edema
- eczema in elderly
Atorvastatin Drug Category
statin
Atorvastatin Trade Name
Lipitor
Atorvastatin Use
dyslipidemia
Atorvastatin Dosage
10 mg qday
Atorvastatin CIs
- preg category X and lactation
- active or chronic liver dz
- concomitant use of CSA, gemfibrozil, niacin
Atorvastatin Adverse Effects
- hepatic toxicity
- myopathy
- neuropathy
- HA
- small increased risk DM
- reversible cognitive effects
Fenofibrate Drug Category
fibric acid
Fenofibrate Trade Name
Tricor
Fenofibrate Use
dyslipidemia
Fenofibrate CIs
- hepatic or severe renal dysfunction
- pre-existing gallbladder dz
Fenofibrate Adverse Effects
- GI complaints most common (nausea, diarrhea)
- can increase bile lithogenicity
- fatigue, HA, rash
Spironolactone Drug Category
K+ sparing diuretic (aldosterone antagonist)
Spironolactone Trade Name
Aldactone
Spironolactone Use
HTN, HF
Spironolactone CIs
- anuria
- acute renal insufficiency
- Addison’s dz
- concomitant use of eplerenone
Spironolactone Adverse Effects
- hyperkalemia when given with K+ supplement or ACE inhibitors
- gynecomastia
Digoxin Drug Category
anti-arrhythmic, HF
Digoxin Trade Name
Digox, Lanoxin
Digoxin Use
- a fib
- heart failure
Digoxin CIs
- hypersensitivity to digoxin or digitalis
- v fib
Digoxin Adverse Effects
- hypokalemia, hypomagnesemia
- new arrhythmias
Nitroglycerin SL Drug Category
vasodilator
Nitroglycerin SL Trade Name
Nitrolingual
Nitroglycerin SL Use
angina, ACS
Nitroglycerin SL Dosage
0.4 mg up to 3x
Nitroglycerin SL CIs
- hypotension
- R side heart failure
- phosphodiesterase drugs
- erectile dysfunction drugs
Nitroglycerin SL Adverse Effects
- HA
- flushing
- hypotension
- syncope
Warfarin Drug Category
anticoagulant
Warfarin Trade Name
Coumadin
Warfarin Use
- venous thromboembolism
- A fib
- stroke/TIA
- acute MI
- hypercoagulable state
Warfarin CIs
- preg cat X
- pts at increased risk of hemorrhage
- alcoholism
- surgery, dental work
- spinal anesthesia/injections
- noncompliance w/ drug therapy
- LOTS of drug interactions
Warfarin Adverse Effects
- hemorrhage
- skin necrosis (rare)
- purple toe syndrome
- LOTS of drug interactions
