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Quiz 4
drug | use/moa/ADEs |
---|---|
Tyrvaya | nasal spray for dry eye |
VABYSMO | monoclonal antibody for AMD |
Bevacizumab (Avastin) | monoclonal antibody for AMD |
Tropicamide (Tropicacyl) | Cycloplegics and Mydriatics Muscarinic antagonists do both, Intraocular examination Intraocular surgery Treatment of anterior uveitis |
Praluent (alirocumab) | lowers LDL choleserol |
Repatha (evolocumab) | PCSK9 inhibitor |
PRADAXA | Xa inhibitor |
Praxbind® (idarucizumab) | PRADAXA reversal agent |
Xeralto | Xa inhibitor |
Andexxa | Xeralto reversal agent |
Angiotensin-Converting EnzymeInhibitors (ACE) | Captopril (Capoten) Uses (oral) Hypertension Heart failure Acute MI– Left ventricular dysfunction– Diabetic and nondiabetic nephropathy– Prevent MI, stroke, death in patients at highrisk for CV events |
ACE Inhibitors ADEs | First-dose hypotension Cough Hyperkalemia Renal failure Fetal injury Angioedema – Safety Alert |
ACE Inhibitors drug inx | Diuretics – may intensify 1st dose hypotension Antihypertensive agents – additive hypotensive effect Drugs that raise potassium levels – may increasehyperkalemia Lithium – can accumulate to toxic levels, monitor levels Nonsteroidal anti-inflam |
Angiotensin II Receptor Blockers | Mechanism of action ARBs block access of angiotensin II Cause dilation of arterioles and veins Prevent angiotensin II from inducing pathologic changes in cardiac structure Reduce excretion of potassium Decrease release of aldosterone Increase |
Angiotensin II Receptor Blockers | Losartan (Cozaar) Therapeutic uses Hypertension Heart failure Diabetic nephropathy Myocardial infarction Stroke prevention Migraines |
Losartan (Cozaar) | ADEs Well tolerated Angioedema Fetal harm Renal failure |
Aldosterone Antagonists | Eplerenone (Inspra) Mechanism of action Selective blockade of aldosterone receptors Therapeutic uses Hypertension Heart failure Pharmacokinetics – 25 & 50-mg tablets Absorption is not affected by food Adverse effects – hyperkalemia |
Aldosterone Antagonists | Spironolactone (Aldactone) Mechanism of action Blocks aldosterone receptors Binds with receptors for other steroid hormones Therapeutic uses Hypertension Heart failure |
Spironolactone (Aldactone) | Adverse Effects Hyperkalemia Gynecomastia Menstrual irregularities Impotence Hirsutism Deepening of the voice |
Calcium Channel Blockers | Prevent calcium ions from entering cells Called calcium antagonists Also called slow calcium blockers Play a critical role with vascular smooth muscle and heart |
Verapamil (Calan, Covera-HS, Isoptin, Verelan) | Hemodynamic effects Vasodilation Reduced arterial pressure Increased coronary perfusion Therapeutic uses Angina pectoris Primary hypertension Cardiac dysrhythmias Migraine |