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U25-Circulatory Sys
Pharm for Med Assist- Meds for Circulatory System Disorders
| Medication ~ Generic Name | Brand Name | Classification | Dosage | Adverse Reactions | Uses | Cautions |
|---|---|---|---|---|---|---|
| digitoxin | CrystodiginDigitaline | digitalis or cardiac glycoside | Initial: (oral) 0.6mg then 0.2mg 2x/day for 4 days; Maint: (oral) 0.05-0.3/day | toxic overdose effects: nausea, vomiting, headache, excessive slowing of pulse, arrythmias | Various heart failures | patients with renal disease, severe respiratory disease, acute myocardial infarction, AV block, hypothyroid, geriatrics, pregnant/lactating |
| digoxin | Lanoxin | digitalis or cardiac glycoside | Initial: 0.5-0.75mg then 0.25-0.5mg every 6-8 hrs; Maint: 0.125-0.5mg/day | toxic overdose effects: nausea, vomiting, headache, excessive slowing of pulse, arrythmias | Various heart failures | patients with renal disease, severe respiratory disease, acute myocardial infarction, AV block, hypothyroid, geriatrics, pregnant/lactating |
| disopyromide | NorpaceNorpace CR | antiarrhythmic | (oral) 100-150mg every 6 hrs | hypotension, nausea, congestive heart failure, urinary retention, headache | control cardiac arrythmias | |
| disopyromide | Norpace CR | antiarrhythmic | (oral) 200-300mg every 12hrs | dry mouth, constipation,blurred vision, dry nose/eyes/throat | control cardiac arrythmias | |
| flecainide acetate | Tambocor | antiarrhythmic | (oral) 100mg every 12hrs with 50mg increases every 4 days until efficacy achieved | chest discomfort & tinnitus, leg cramps, ataxia, nausea, nasal congestion | control cardiac arrythmias | |
| lidocaine HCl | Xylocaine HCl | antiarrhythmic | (IM) 2mg/lb of 10% solution as needed | lightheadedness, muscle twitches, visual disturbances, tinnitus | control cardiac arrythmias | |
| propranolol HCl | Inderal | antiarrhythmic | (oral) 10-30mg 3-4x/day before meals & @ bedtime | mental depression, insomnia, vomiting, most are mild and transient | control cardiac arrythmias | |
| procainamide HCl | Pronestyl | antiarrhythmic | (oral) 50mg/kg/day in divided doses every 5hrs;(IM) 0.5-1g every 4-8hrs | anorexia, nausea, vomiting, bitter taste. lupus erythematosus-like syndrome has been reported after prolonged oral use. | control cardiac arrythmias | |
| procainamide HCl | Procan SR | antiarrhythmic | Maint: (oral) 50mg/kg/day in divided doses every 6hrs | anorexia, nausea, vomiting, bitter taste. lupus erythematosus-like syndrome has been reported after prolonged oral use. | control cardiac arrythmias | |
| quinidine sulfate | Quinidex;Extentabs | antiarrhythmic | (oral) 200-300 mg 3-4x/day | tinnitus, visual disturbances, nausea, vomiting, headache, vertigo. Hypersensitivity to the drug may cause angioedema, acute asthmatic episode, vascular collapse | control cardiac arrythmias | |
| metaraminol bitartrate | Aramine | vasopressor | (IM, SC) 2-10mg | sinus/ventricular tachycardia, other arrhythmias | elevate blood pressure | patients with myocardial infarction have an increased risk of side effects |
| phenylephrine HCl | NeoSynephrine 1% injection | vasopressor | (IM, SC) 2-5mg | headache, reflex bradycardia, excitability, restlessness | elevate blood pressure | |
| amyl nitrate | coronary vasodilators | 0.18-0.3ml by inhalation | cutaneous vasodilation, headache, nausea, marked lowering of systemic pressure | treats angina pectoris | ||
| isosorbide dinitrate | Isordil;Sorbitrate | coronary vasodilators | (sublingual) 2.5-5mg every 3hrs; (chewable) 5mg every 2-3hrs; (oral)5-20mg 4x/day or 40mg of sustained-release every 6-12hrs | headache, hypotension, dizziness, cutaneous vasodilation with flushing | treats angina pectoris | |
| nitroglycerin | (Nitro) | coronary vasodilators | topical; sublingual; oral (sustained release); transdermal, lingual aerosol; transmucosal | headache, hypotension, cutaneous vasodilation with flushing, drug rash, exfoliative dermatitis | treats angina pectoris | |
| pentaerythritol tetranitrate | Peritrate | coronary vasodilators | (oral) 10-40mg sustained-release 4x/day | rash, headache, mild gastrointestinal distress, dizziness, cutaneous vasodilation with flushing | treats angina pectoris | |
| cyclandelate | Cyclospasmol | peripheral vasodilators | gastrointestinal distress, mildflush, headache, feeling of weakness, trachycardia | peripheral vascular disease | ||
| peripheral vasodilators | peripheral vascular disease | |||||
| peripheral vasodilators | peripheral vascular disease | |||||
| peripheral vasodilators | peripheral vascular disease | |||||
| peripheral vasodilators | peripheral vascular disease | |||||
| deslanoside | Cedilanid-D | digitalis or cardiac glycoside | Initial: (IM/IV) 1.6mg | toxic overdose effects: nausea, vomiting, headache, excessive slowing of pulse, arrythmias | Various heart failures | patients with renal disease, severe respiratory disease, acute myocardial infarction, AV block, hypothyroid, geriatrics, pregnant/lactating |