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CV 1-2
BDK
| Pharmacologic Category | Generic Name | Brand Name | Common Indications | Essential Knowledge |
|---|---|---|---|---|
| Alpha1 agoits (predominantly), beta 1, beta2 agonist | norepinephrine (OV) | Levophed | Shock | Key Side Effects: tachyarrhythmias, peripheral ischemia US Boxed Warning: extravasation (central line administration preferred) |
| Beta1, beta 2 and alpha 1 agonist | epinephrine (IV, IM, SQ) | Adrenalin, epipen | advanced cardiac life support, shock, anaphylaxis, bradycardia | Key Side Effects: tachyarrhythmias, peripheral ischemia, hyperglycemia |
| Direct arterial vasodilator | hydralazine (PO, IV) | - | HTN | Key Side Effects: hypotension, drug-induced lupus-like syndrome Other Notes: CI in CAD |
| Alpha2 agonist | clonidine (PO, transdermal) | PO: Catapres, Transdermal: Catapres-TTS | HTN, ADHD | Key Side Effects: xerostomia, drowsiness, contact dermatitis (transdermal), hypotension US Boxed Warnings: avoid epidural use Other Notes: do not discontinue abruptly; taper to reduce rebound HTN |
| Non-selective beta- blocker | propranolol (PO) | Inderal LA, Inderal XL | HTN, CAD, migraine prophylaxis | Key Side Effects: bradycardia, hypotension Other Notes: masks symptoms of hypoglycemia |
| Non-selective beta- blocker and alpha1 blocker | labetalol (PO, IV) | Trandate | PO: HTN, IV: hypertensive crisis | Key Side Effects: bradycardia, hypotension Other Notes: masks symptoms of hypoglycemia |
| Non-selective beta- blocker and alpha1 blocker | carvedilol (PO) | Coreg, Coreg CR | HF, AF (rate control), CAD, HTN | Key Side Effects: bradycardia, hypotension Other Notes: masks symptoms of hypoglycemia |
| Beta1-selective beta- blocker | esmolol (IV) | Brevibloc | HTN, AF (rate control), hypertensive emergency | Key Side Effects: bradycardia, hypotension Other Notes: masks symptoms of hypoglycemia; CI with pulmonary hypertension |
| Beta1-selective beta- blocker | nebivolol (PO) | Bystolic | HTN | Key Side Effects: bradycardia, hypotension Other Notes: masks symptoms of hypoglycemia |
| Beta1-selective beta- blocker | metoprolol succinate (PO) | Toprol-XL | HF, AF (rate control), CAD, HTN | Key Side Effects: bradycardia, hypotension Other Notes: masks symptoms of hypoglycemia |
| Beta1-selective beta- blocker | metoprolol tartrate (PO, IV) | Lopressor | AF (rate control), CAD, HTN | Key Side Effects: bradycardia, hypotension US Boxed Warnings: avoid abrupt discontinuation Other Notes: masks symptoms of hypoglycemia |
| Beta1-selective beta- blocker | atenolol (PO) | Tenormin | AF (rate control), CAD, HTN | Key Side Effects: bradycardia, hypotension US Boxed Warnings: avoid abrupt discontinuation Other Notes: masks symptoms of hypoglycemia |
| Loop diuretic | torsemide (PO) | Soaanz | Volume overload | Key Side Effects: hypokalemia, hypomagnesemia, hyponatremia, hypotension |
| Loop diuretic | furosemide (PO, IV) | Lasix | Volume overload | Key Side Effects: hypokalemia, hypomagnesemia, hyponatremia, hypotension US Boxed Warnings: fluid and electrolyte loss |
| Mineralocorticoid receptor antagonist (MRA) | spironolactone (PO) | Aldactone | HTN, HF, ascites | Key Side Effects: gynecomastia, hyperkalemia, hypotension |
| Thiazide-related diuretic | chlorthalidone (PO) | Thalitone | HTN | Key Side Effects: hypokalemia, hyponatremia, photosensitivity, hypotension |
| Thiazide diuretic | hydrochlorothiazide (PO) | - | HTN | Key Side Effects: hypokalemia, hyponatremia, photosensitivity, hypotension |
| Non-dihydropyridine CCB | verapamil (PO) | Calan SR, Verelan | AF (rate control), HTN, CAD | Key Side Effects: bradycardia, constipation, peripheral edema, hypotension |
| Non-dihydropyridine CCB | diltiazem (PO, IV) | Cartia XT, Cardizem CD, Cardizem LA, Cardizem, Tiazac | AF (rate control), HTN, CAD | Key Side Effects: bradycardia, constipation, peripheral edema, hypotension |
| Dihydropyridine calcium channel blocker (CCB) | nicardipine (PO, IV) | Cardene | Hypertensive crisis | Key Side Effects: flushing, headache, peripheral edema, hypotension |
| Dihydropyridine calcium channel blocker (CCB) | nifedipine ER (PO) | Procardia XL, Adalat CC | HTN, CAD | Key Side Effects: peripheral edema, hypotension |
| Dihydropyridine calcium channel blocker (CCB) | amlodipine (PO) | Norvasc | HTN, CAD | Key Side Effects: peripheral edema, hypotension |
| ARB and neprilysin inhibitor (ARNI) | valsartan and sacubitril (PO) | Entresto | HF | Key Side Effects: hyperkalemia, angioedema, hypotension US Boxed Warnings: fetal toxicity (CI in pregnancy) Other Notes: Do not use within 36 hours of an ACE inhibitor |
| Angiotensin II receptor blocker (ARB | irbesartan (PO) losartan (PO) olmesartan (PO) valsartan (PO) | Avapro Cozaar Benicar Diovan | HTN, HF, CAD | Key Side Effects: hyperkalemia, angioedema, hypotension US Boxed Warnings: fetal toxicity (CI in pregnancy) |
| Angiotensin-converting enzyme (ACE) inhibitor | benazepril (PO) enalapril (PO) lisinopril (PO) ramipril (PO) | Lotensin Vasotec Prinivil, Zestril Altace | HTN, HF, CAD | Key Side Effects: cough, hyperkalemia, angioedema, hypotension US Boxed Warnings: fetal toxicity (CI in pregnancy) |