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individual drugs

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Question
Answer
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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