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CHF

Drugs for Congestive Heart Failure

Brand GenericDosingcomments
Cetapril alacepril 5-10mg qd n/a
Lotensin benazepril 5-40mg qd n/a
Capoten captopril 12.5mg to 100mg in 3 divided doses should take with food
Vasotec Enalapril 2-20mg qd IV - q6h
Monopril Fosinopril 10-20mg qd excretion via 50% kidney 50% liver
Prinivil/ Zestril lisinopril 5-80mg qd
Accupril quinapril 5-40mg qd
Altace ramipril 1.25-10mg qd
Mavik trandolapril 1-4mg qd adjust dose for renal failure, diuretics, and blacks
Aceon Perindopril 2-4mg qd
Cozaar losartan 50mg qd max 100mg qd
Diovan valsartan 80mg qd max 320mg qd no added benefits when added to ACEi. Reduced mortality/morbidity post-MI with LV systolic dysfunction
Avapro Irbesartan 150mg qd max 300mg qd approved for HTN
Atacand candesartan 16mg qd max 32mg qd reduces CV death & hospitalization from HF and EF<40%. Has added effect when combined with ACEi.
Micardis telmisartan 40mg qd max 80g qd No HF dose.
Teveten eprosartan 400mg qd max 800mg qd No HF dose.
Benicar olmesartan 20mg qd max 40mg qd No HF dose.
Zebeta bisoprolol 1.25-10mg/day
Coreg carvedilol 3.125-25mg BID
Toprol XL metoprolol succinate 12.5-200mg/ day
Inocor inamrinone (amrinone) bolus 0.75mg/kg over 2-3min. NTE TDD 10mg/kg NYHA III IV. Thrombocytopenia
Dobutrex dobutamine 2-20mcg/kg/min short term use: 72hrs
Inotropic dopamine 5-10mcg/kg/min Max: 50mcg/kg/min
Primacor milrinone LD: 50mcg/min IV over 10min. MD: 0.5-1mcg/kg/min titrate to effect systolic HF NYHA III IV. Reduce dose in RF
BiDil hydralazine 20mg/ isosorbide dinitrate 37.5mg severe HF, AA
Lanoxin digoxin LD: 0.01-0.02mg/kg MD: 0.125-0.25mg CPss: 0.8-2.3 ng/mL 1.2-2.6 mmol/L
Created by: Tdo0003
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