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Cardio 1 Drugs
| Generic | Brand | Indication | Drug Class | Dose | Boxed Warning | MOA |
|---|---|---|---|---|---|---|
| atenolol | Tenormin | Hypertension | Beta-blocker, Beta-1 Selective | 50 - 100 mg PO per day | Cessation of Therapy (abrupt discontinuation can worsen cardiac conditions) | inhibits beta1 adrenoceptors in heart (thus preventing norepinephrine from increasing heart rate and blood pressure) and kidney (thus preventing norepinephrine from increasing renin release) |
| benazepril | Lotensin | Hypertension | Angiotensin-Converting Enzyme (ACE) inhibitor | 10 - 40 mg PO per day | Fetal toxicity | inhibits conversion of angiotensin I to angiotensin II |
| carvedilol | Coreg, Coreg CR | Hypertension, Heart failure with reduced ejection fraction | Beta-blocker with alpha blocking activity | IR: 3.125 - 25 mg PO BID ER: 20 - 80 mg PO once daily | None | inhibits B1 adrenoceptors in heart (preventing norepi from increasing HR and BP) and kidney (preventing norepi from increasing renin release); inhibits B2 adrenoceptors; inhibits a1 adrenoceptors in blood vessels, decreasing peripheral vascular resistance |
| clonidine | Catapres | Hypertension | Alpha 2 agonist | 0.2 - 0.8 mg PO per day Patch: 0.1 - 0.3 mg per 24-hour patch applied once every 7 days | Epidural use | centrally acting alpha 2 adrenergic receptor |
| enalapril | Vasotec | Hypertension | Angiotensin-Converting Enzyme (ACE) inhibitor | 5 - 40 mg PO per day | Fetal toxicity | inhibits conversion of angiotensin I to angiotensin II |
| hydralazine | Apresoline | Hypertension | Vasodilator | 10 - 50 mg PO QID | None | direct acting arteriole vasodilator that relaxes smooth muscle cells in resistance arterioles |
| labetalol | Normodyne, Trandate | Hypertension | Beta-blocker with alpha-blocking activity | PO: 100 - 600 mg PO BID | None | inhibits B1 adrenoceptors in heart (prevent norepi from increasing HR and BP) and kidney (prevent norepi from increasing renin release). inhibits B2 adrenoceptors. Inhibits a1 adrenoceptors in blood vessels, decreasing peripheral vascular resistance |
| lisinopril | Zestril | Hypertension | Angiotensin-Converting Enzyme (ACE) inhibitor | 5 - 40 mg PO once daily | Fetal toxicity | inhibits conversion of angiotensin I to angiotensin II |
| losartan | Cozaar | Hypertension | Angiotensin II Receptor Blocker (ARB) | 25 - 50 mg PO once daily | Fetal toxicity | selective antagonist of the angiotensin II type 1 receptor (AT1R) |
| metoprolol succinate | Toprol-XL | Hypertension, Heart failure with reduced ejection fraction | Beta-blocker, Beta-1 Selective | 12.5 - 200 mg PO once daily | None | inhibits beta1 adrenoceptors in heart (thus preventing norepinephrine from increasing heart rate and blood pressure) and kidney (thus preventing norepinephrine from increasing renin release) |
| metoprolol tartrate | Lopressor | Hypertension | Beta-blocker, Beta-1 Selective | 25 - 200 mg PO BID | None | inhibits beta1 adrenoceptors in heart (thus preventing norepinephrine from increasing heart rate and blood pressure) and kidney (thus preventing norepinephrine from increasing renin release) |
| nebivolol | Bystolic | Hypertension | Beta-blocker, Beta-1 Selective | 5 - 40 mg PO once daily | None | inhibits beta1 adrenoceptors in heart (thus preventing norepinephrine from increasing heart rate and blood pressure) and kidney (thus preventing norepinephrine from increasing renin release) |
| propanolol | Inderal LA, Inderal XL | Hypertension | Beta blocker, non-selective | 80 - 160 mg PO per day in 1-4 divided doses (based on IR or ER formulation) | None | inhibits beta1 adrenoceptors in heart (thus preventing norepinephrine from increasing heart rate and blood pressure) and kidney (thus preventing norepinephrine from increasing renin release); allso inhibits beta 2 adrenoceptors |
| ramipril | Altace | Hypertension | Angiotensin-Converting Enzyme (ACE) inhibitor | 2.5 - 20 mg PO per day in 1-2 divided doses | Fetal toxicity | inhibits conversion of angiotensin I to angiotensin II |
| valsartan | Diovan | Hypertension | Angiotensin II Receptor Blocker (ARB) | 80 - 320 mg PO once daily | Fetal toxicity | selective antagonist of the angiotensin II type 1 receptor (AT1R) |