RAAS Flashcards
Renin inhibitors
Remikire
aliskiren
All ACEI are carboxyl except
Captopril sulfhydryl
Fosinoprol phosphinate
ACEI mnemonic
Captopril
Which ACEI not prodrug
Capto lisino
Capto bad. Coz
Less potent
Faster onset
Less duration
Less absorption in the presence of food
Enalaprilat
Seperate drug used for hypertensive emergency IV
ACEI use
HTN
CHF reduce both preload n afterload
Evolving MI- all MI patients
Diabeteic nephropathy and non diabtetic and hypertensive
Diabetic reitnipathy
Scleroderma crisis
Adverse effects of ACEI
Cough
Angiodema
Rashes
Dysguesia
Acute renal failure
Hyperkalemia with beta blocker potassium sparing diuretics and NSAIDs
Interactions of ACEI
Synergise with diuretic
Indomethacin attentiate hypotensive action
Indometh and diuretic plus ACEI renal failure
Hyperkal with some drug
Li toxicity
How ACEI is foetopathic
Cause CNS defect in 1st trimester
Renal in 2nd n 3rd
Ok
Captopril test
To test whether hypertension is renovascular or essential. In renovascular there’s increase in PRA when captopril which is more than inc in essential
CHF and MI mei sartan or pril
Pril preferred (ACEI)
Lo sir and anti puri tax
Losartan anti platelet thry TXA2 antagonism
Uricosuric
Ppar tell me sar GST lie?
Telmesartan
PPAR gamma activate —> help in dysglycemia
Dec insulin resistance
Sartan same adverse affect n all as prill except angioedema and cough