Meds and classes Flashcards
*Quinidine (Quinora)
*Class IA sodium channel blocker
Cardiac arrhythmia
Procainamide (Pronestyl)
Class IA sodium channel blocker
Cardiac arrhythmia
*Lidocaine (xylocaine)
*Class IB sodium channel blocker
cardiac arrhythmia
*Flecainide (Tambocor)
*Class IC sodium channel blocker
cardiac arrhythmia
*Propanolol (Inderal)
*Class II Beta blocker (nonspecific)
(-) inotropic agent
(cardiac arrhythmia)
Acebutolol (Sectral)
Class II beta blocker (B with ISA)
(-) inotropic agent
(cardiac arrhythmia)
Esmolol (Brevibloc)
Class II Beta blocker
(-) inotropic agent
(cardiac arrhythmia)
Metroprolol (Lopressor)
Class II Beta Blocker (B1 specific)
(-) inotropic agent
Cardiac arrhythmia
also used in CHF
Nadolol (Corgard)
Class II Beta blocker (nonspecific)
(-) inotropic agent
Cardiac arrhythmia
Timolol (Blocadren)
Class II Beta Blocker (nonspecific)
(-) inotropic agent
Cardiac Arrhythmia
Atenolol (Tenormin)
Class II Beta Blocker (B1 specific)
(-) inotropic agent
Cardiac Arrhythmia
Amiodarone (Cordarone)
Class III K+ channel blocker (prolong repolarization)
Cardiac Arrhythmia
Sotalol (Betapace)
Class III K+ channel blocker (prolong repolarization)
Cardiac Arrhythmia
*Verapamil (Calan, Isoptin)
*Class IV CCB
Cardiac arrhythmia
Diltiazem (Cardizem)
Class IV CCB
Cardiac arrhythmia
Adenosine (adenocard)
Misc: natural nucleoside that enhances K+ conductance and inhibits Ca influx
Cardiac Arrhythmia
Digoxin (lanoxin)
Misc
Cardiac Arrhythmia
Magnesium
Misc. Mechanism unknown
DOC for Torasde de pointes and Digitalis induced arrhythmia
Potassium
Misc. Increases serum K+, depolarization
Cardiac Arrhythmia
*Acetazolamide (Diamox)
*Carbonic Anhydrase Inhibitor
Diuretic
Brinzolamide (Azopt) topical
Carbonic Anhydrase inhibitor
Diuretic
Dorzolamide (Trusopt) topical
Carbonic Anhydrase Inhibitor
Diuretic
*Furosemide (Lasix)
*Loop Diuretic
used in CHF, HTN
Bumetanide (Bumex)
Loop Diuretic
Torsemide (Demadex)
Loop Diuretic
Ethacrynic Acid (Edecrin)
Loop Diuretic
used in CHF
*Hydrochlorothiazide (Esidrix)
*Thiazide Diuretic
used in CHF, HTN (DOC)
Chlorothiazide (Diuril)
Thiazide Diuretic
Chlorthalidone (Hygroton)
Thiazide Diuretic
- cmpd related to thiazides
Metolazone (Mykrox)
Thiazide Diuretic
- compound related to thiazides
Used in CHF, HTN
Quinethazone (Hydromox)
Thiazide Diuretic
- compound related to thiazides
Indapamide (Lozol)
Thiazide Diuretic
-compound related to thiazides
*direct vasodilator, hepatic metabolism
Used in CHF, HTN
*Amiloride (Midamor)
*K+ sparing Diuretic (Direct inhibitor of Na flux)
Used in CHF, HTN
Triamterene (Dyrenium)
K+ sparing Diuretic (direct inhibitor of Na flux)
Used in CHF
Spironolactone (Aldactone)
K+ sparing diuretic (Aldosterone antagonist)
Used in CHF
Eplerenone (Inspra)
K+ sparing diuretic (Aldosterone Antagonist)
Used in CHF, HTN
*Mannitol (Osmitrol)
*Osmotic Diuretics
Isosorbide (Ismotic)
Osmotic Diuretic
Glycerin (Osmoglyn)
Osmotic Diuretic
Urea (Ureaphil)
Osmotic Diuretics
Desmopressin
ADH agonist, synthetic ADH
Conivaptan (Vaprisol)
ADH antagonist; non peptide V1 and V2 receptor antagonist
Tolvaptan (Samsca)
ADH antagonist
non peptide V2 vasopressin receptor antagonist
Demeclocycline (Declomycin)
ADH antagonist
blocks V2 receptor 2nd messenger system
(use dc bc of vaptans)
Lithium
ADH antagonist
competes for Na excretion in renal tubules
Digoxin (Lanoxin)
Digitalis
+Inotropic/contractile agent for CHF
inhibits Na/KATPase pump
Inamrinone (Inocor, Amrinone)
PDE inhibitor (bipyridines)
+Inotropic/contractile agent for CHF
inhibit cAMP PDE, increase Ca influx, vasodilation
Milrinone (primacor)
PDE inhibitor (bipyridines)
+Inotropic/contractile agent for CHF
inhibit cAMP PDE, increase Ca influx, vasodilation
*Dobutamine (Dobutrex)
*Sympathomimetics
+inotropic/contractile agent for CHF
selective B1 agonist (less tachycardia)
Dopamine (Intropin)
Sympathomimetics
+ionotropic/contractile agent for CHF
acts on D1 (renal vasodilation), B1 (+inotropic) and alph (vasoconstriction)
What four drugs reduce CHF mortality
1) Aldosterone antagonists (Spironolactone, Eplerenone)
2) Beta blockers (olol)
3) ARBs (artan)
4) ACE inhibitors (pril)
*Captopril (Capoten)
~all “pril”
*ACE inhibitors
Diminish cardiac workload in CHF pt (backbone tx)
block angiotensin I to II conversion
*Losartan (Cozaar)
~all “artan”
*ARB
diminish cardiac workload in CHF pts
block ang II from bindign to ATI receptor
- Carvedilol (Coreg)
* Metroprolol (Lopressor)
*B Blocker
(-) inotropic/contractile agent, decreases cardiac workload (HR, remodeling) in early stage CHF
*Sodium Nitroprusside (Nitropress)
Vasodilator
~reduce preload and/or afterload and reduce remodeling of heart for CHF pt
~also used in acute angina
*Hydralazine (Apresoline)
Vasodilator
~Reduce preload and/or afterload and reduce remodeling of heart for CHF pt
*Isosorbide dinitrate (Isordil)
Vasodilator
~Reduce preload and/or afterload and reduce remodeling of heart for CHF pt
What general types of meds treat HTN
*note: combos from different groups increase efficacy and may decrease toxicity
Diuretics,
Sympathoplegic agents (a2 agonists, a1 blockers, B blockers (all forms)) –> decrese SNS tone
Vasodilators (NO, CCB, K channel openers, D1 receptor stimulant)
ACE inhibitors
ARBS
What general types of meds treat Cardiac Arrhythmias
Class I Na channel blockers Class II B blockers Class II K channel blockers (prolong repolarization) Class IV CCB others (Mg, K, Digoxin, Adenosine)
What general types of Diuretics are there
CA inhibitors Loop Diuretics Thiazide Diuretics K+ sparing diuretics (aldo antagonists and direct inhibitors of Na flux) Osmotic Diuretics ADH agonists and antagonists
*Clonidine (Catapres)
alpha 2 agonist
*Centrally acting Sympatholytic for HTN pt
decrease peripheral SNS activity on heart and BV = vasodilation
*Methyldopa (Aldomet)
alpha 2 agonist
Centrally acting sympatholytic for HTN pt
Decreases peripheral SNS activity on heart and BV = vasodilation
*Prazosin (minipress)
alpha 1 blocker
vasodilation –> decrease BP
for HTN
Doxazosin (Cardura)
alpha 1 blocker
Vasodilation –> decrease BP
for HTN
ACE suffix
Pril
B blocker suffix
olol
a1 blocker suffix
zosin
ARB suffix
artan
CCB suffix (generally)
dipine
*but have verapamil and diltiazem
Non selective B blockers
*Propranolol (Inderal)
Nadolol (Corgard)
Timolol (Blocadren)
*NAh TIM’s a non selective PRO
Selective B1 blockers
*Metroprolol (Lopressor)
Atenolol (Tenormin)
Nebivolol (Bystolic)
Acebutolol (Sectral)
~for HTN
*beta 1 met athena’s new ace”
B blockers with ISA
*Acebutolol (Sectral)
Pindolol (Visken)
~for HTN
*Pin Isa {an} ace!
Combined Alpha and B blockers
Carvedilol (Coreg)
Labetalol (Normodyne)
~for HTN
*combine lab carvings