individual drugs
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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clonidine | alpha 2 agonist (CAS; anti-HTN)
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guanabenz | alpha 2 agonist (CAS; anti-HTN)
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guanfacine | alpha 2 agonist (CAS; anti-HTN)
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methyldopa | alpha 2 agonist (CAS; anti-HTN) - prodrug
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reserpine | adrenergic neuron blocking agent (anti-HTN)
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guanethidine | adrenergic neuron blocking agent (anti-HTN)
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guanadrel | adrenergic neuron blocking agent (anti-HTN)
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prazosin | alpha-1 receptor blockers (anti-HTN; angina - mixed venous/arteriolar dilator)
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terazosin | alpha-1 receptor blockers (anti-HTN)
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doxazosin | alpha-1 receptor blockers (anti-HTN)
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phentolamine | non-selective alpha blocker; early agent (anti-HTN)
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atenolol | beta-1 selective blocker, no ISA (anti-HTN; angina)
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betaxolol | beta-1 selective blocker, no ISA (anti-HTN)
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bisoprolol | beta-1 selective blocker, no ISA (anti-HTN); selectivity lost above doses of 20 mg
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metoprolol | beta-1 selective blocker, no ISA (anti-HTN)
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acebutolol | beta-1 selective blocker, ISA+ (anti-HTN)
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carteolol | beta-1 selective blocker, ISA+ (anti-HTN)
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nadolol | non-selective beta blocker (B1/B2), no ISA (anti-HTN), not readily metabolized (once daily dosing), no significant CNS penetration
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propranolol | non-selective beta blocker (B1/B2), no ISA (anti-HTN)
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timolol | non-selective beta blocker (B1/B2), no ISA (anti-HTN), lacks local anesthetic action
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penbutolol | non-selective beta blocker (B1/B2), ISA+ (anti-HTN)
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pindolol | non-selective beta blocker (B1/B2), ISA+, MSA+ (antiarrhythmic effects) (anti-HTN)
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carvedilol | alpha-blocker/beta-blocker, no ISA (anti-HTN; angina); S-isomer = nonselective BB; R-isomer = alpha blockade; may have eNOS effects via B2
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labetalol | non-selective beta blocker (alpha/B1/B2), no ISA (anti-HTN); best BB for pheochromocytoma
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nebivolol | beta-1 blocker, beta-2 agonist (B2 activity stimulates eNOS), (anti-HTN); dual MOA, most selective BB available, once daily dosing
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amlodipine | calcium channel blocker (anti-HTN; approved for angina)
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diltiazem (SR & ER only) | calcium channel blocker (anti-HTN; approved for angina); has significant nonspecific sympathetic antagonism
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felodipine | calcium channel blocker (anti-HTN)
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isradipine | calcium channel blocker (anti-HTN); HTN is only approved use
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nicardipine, nicardipine SR and IV | calcium channel blocker (anti-HTN; approved for angina)
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clevidipine IV | calcium channel blocker (anti-HTN) - hypertensive crisis; only reduces systemic vascular resistance (no effect on preload), onset 2-4 min, offset 5-15 min
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nifedipine ER | calcium channel blocker (anti-HTN; approved for angina); greater selectivity for smooth muscle than cardiac calcium channels (leads to reflex tachycardia)
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nisoldipine | calcium channel blocker (anti-HTN)
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verapamil, SR, ER | calcium channel blocker (anti-HTN; approved for angina); has cardiac depressant effect so less reflex tachycardia
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hyrdalazine | vasodilator, causes synthesis of NO from endogenous sources (anti-HTN; angina - arteriolar dilator)
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nitroprusside | vasodilator, inorganic nitrate, causes direct release of NO --> disintegrates (anti-HTN); sodium nitroprusside for emergency/ST only --> creates cyanide as a by product
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nitroglycerin | vasodilator, organic nitrate, causes direct release of NO but required cysteine (anti-HTN; angina - venous dilator); when you reach headache as side effect that's how you know the dose is working
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minoxidil | vasodilator, potassium channel (K-channel) opener (anti-HTN; angina - arteriolar dilator); differences in acetylation; doses higher than 200 mg associated w/lupus-like syndrome
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diazoxide | vasodilator, potassium channel (K-channel) opener (anti-HTN); parenterally admin for hypertensive emergency --> combine w/BB to prevent reflex tachycardia; mini-bolus
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fenoldopam | vasodilator, DA agonist (D1 selective), (anti-HTN; angina)
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captopril | ACE Inhibitor, first nonpeptide ACEI, bone marrow depression, only one with a sulfhydryl group (anti-HTN)
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enalapril | ACE Inhibitor, prodrug,(anti-HTN)
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lisinopril | ACE Inhibitor, lysine derivative of enalaprilat(anti-HTN)
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benazepril | ACE Inhibitor, prodrug, excreted mainly by kidney,(anti-HTN)
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ramipril | ACE Inhibitor, prodrug, excreted mainly by kidney,(anti-HTN)
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fosinopril | ACE Inhibitor, prodrug, metabolized by liver or kidney --> no dose adjustment in impaired renal function(anti-HTN)
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losartan | angiotensin II receptor (AT1) blocker, metabolized to active metabolite that is 10-40x more active, 1000x greater affinity for AT1, fairly clean drug,(anti-HTN)
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valsartan | angiotensin II receptor (AT1) blocker, orally effective, 20,000x more selective for AT1, primary metabolite is inactive, (anti-HTN)
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telmisartan | angiotensin II receptor (AT1) blocker, (anti-HTN)
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eprosartan | angiotensin II receptor (AT1) blocker, (anti-HTN)
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candesartan | angiotensin II receptor (AT1) blocker, (anti-HTN)
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olmesartan | angiotensin II receptor (AT1) blocker, (anti-HTN)
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irbesartan | angiotensin II receptor (AT1) blocker, (anti-HTN)
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aliskiren | renin inhibitor (anti-HTN), fits binding pocket for angiotensinogen on renin; reduces plasma renin activity even though plasma renin concentration is increased; especially good when combined with HCT > ramipril > irbesartan
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renalase | endogenous enzyme that metabolizes circulating monoamines (DA, Epi, NE), not inhibited by MAOIs, short-acting experimental injection (anti-HTN)
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chlorothiazide | diuril; thiazide diuretic (HTN, HF, edema, hypercalciuria, NDI)
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hydrochlorothiazide | hydrodiuril; thiazide diuretic (HTN, HF, edema, hypercalciuria, NDI); 10x more potent than chlorothiazide
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chlorothalidone | hygroton; thiazide-like diuretic (HTN, HF, edema, hypercalciuria, NDI)
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indapamide | lozol; thiazide diuretic (HTN, HF, edema, hypercalciuria, NDI)
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metolazone | thiazide-like diuretic (HTN, HF, edema, hypercalciuria, NDI); combine w/loop diuretic to treat severe resistant oedema
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furosemide | lasix; loop diuretic (HTN, hypercalcemia, edema); sulfa cross-rxn
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bumetanide | bumex; loop diuretic (HTN, hypercalcemia, edema); sulfa cross-rxn
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torsemide | demadex; loop diuretic (HTN, hypercalcemia, edema); sulfa cross-rxn
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ethacrynic acid | edecrin; loop diuretic (HTN, hypercalcemia, edema); only one w/o sulfa cross-rxn (phenoxyacetic acid derivative)
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spironolactone | aldactone; potassium-sparring diuretic; steroid-like/aldosterone receptor blocker; (prevent K loss in ptns on loop/thiazide, HF, hyperaldosteronism, refractory edema); combine w/HCTZ = aldactazide
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eplerenone | inspra; potassium-sparring diuretic; steroid-like/aldosterone receptor blocker; (prevent K loss in ptns on loop/thiazide, HF, hyperaldosteronism, refractory edema)
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triamterene | dyrenium; combine w/HCTZ for dyazide/maxide; sodium channel blocker; potassium-sparring diuretic; (prevent K loss in ptns on loop/thiazide, HF, hyperaldosteronism, refractory edema);
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amiloride | midamor, combine w/HCTZ = moduretic; sodium channel blocker; potassium-sparring diuretic; (prevent K loss in ptns on loop/thiazide, HF, hyperaldosteronism, refractory edema)
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mannitol USP | osmitrol; osmotic diuretic (trauma, CV operations, hemolytic rxn, toxic poisoning, acute cerebral edema, ophthalmic surgery)
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urea | ureaphil; osmotic diuretic (trauma, CV operations, hemolytic rxn, toxic poisoning, acute cerebral edema, ophthalmic surgery)
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sucrose | osmotic diuretic (trauma, CV operations, hemolytic rxn, toxic poisoning, acute cerebral edema, ophthalmic surgery)
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glycerol | osmotic diuretic (trauma, CV operations, hemolytic rxn, toxic poisoning, acute cerebral edema, ophthalmic surgery)
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acetazolamide | diamox; carbonic anhydrase inhibitor; (alkalinize urine, glaucoma, epilepsy)
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dichlorophenamide | daranide; carbonic anhydrase inhibitor; (alkalinize urine, glaucoma, epilepsy)
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digoxin | cardiac glycoside (angina), high Vd (less bound to plasma proteins), serum conc 0.5 - 2.0ng/ml; half-life is 36 hours; elimination is renal
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digitoxin | cardiac glycoside (angina), highly protein bound, serum conc 10 - 35 ng/ml, half-life = 7 days; elimination = hepatic
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isosorbide dinitrate | venous dilator (angina); reduces preload
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amrinone | inodilator (angina); positive inotrope plus vasodilator
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milrinone | inodilator (angina); positive inotrope plus vasodilator
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natrecor | inotropic (angina); recombinant human b-type naturetic peptide
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bidil | isosorbide dinitrate and hydralazine; inotropic (angina)
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pimobendan | calcium-sensitizer and PDE3 inhibitor (angina)
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levosimendan | calcium-sensitizer and ATP-dependent K channels (angina)
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mibefradil | calcium-channel blocker (angina); removed from market due to prolonged QT intervals and arrhythmias (inhibits CYP3A and 2D6)
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bepridil | calcium-channel blocker for angina; similar to diltizem but contraindicated in patients with cardiac arrhythmias (blocks Na/K channels, proarrhythmic)
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ranolazine | angina; MOA unclear; inhibits CYP3A and 2D6; can prolong QT interval, lots of interactions
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