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Cardio 1 Drugs 2

GenericBrandIndicationClassMOADoseBlack Box Warning
Amlodipine Norvasc Hypertension Calcium Channel Blocker, Dihydropyridine inhibits L-type Ca2+ channels in vascular smooth muscle (thus leading to vasodilation) and cardiac cells (thus decreased cardiac contractility); but is vascular selective 2.5 - 10 mg PO once daily None
Amlodopine and Benazepril Lotrel Hypertension Calcium Channel Blocker, Dihydropyridine + Angiotensin-Converting Enzyme (ACE) inhibitor inhibit L-type Ca2+ channels in vascular smooth muscle (thus leading to vasodilation) and cardiac cells (thus decreased cardiac contractility); but is vascular selective; also inhibits conversion of angiotensin I to angiotensin II Amlodipine 2.5 - 10 mg/ Benazepril 10 - 40 mg PO once daily Fetal toxicity
Bumetanide Bumex Edema or volume overload Loop diuretic inhibits the Na+K+2Cl- transport protein @ thick ascending loop of Henle, thus inhibiting reabsorption of Na+ and Cl- 0.5 -2 mg PO/IV once daily Fluid/electrolyte loss
Chlorthalidone Hygroton Hypertension Thiazide-related diuretic inhibit Na+Cl- cotransporter @ distal convoluted tubule, this inhibiting Na+ reabsorption and causing increased Na+ and water excretion 12.5 - 25 mg PO once daily None
Diltiazem Cardizem, Cardizem CD, Cardizem LA, Cartia XT Atrial fibrillation Calcium Channel Blocker, Nondihydropyridine Antiarrhythmic Agent, Class IV inhibit L-type Ca2+ channels in vascular smooth muscle (thus leading to vasodilation) and cardiac cells (thus decreased cardiac contractility); but is cardiac selective IR: 120 - 480 mg per day in 3-4 divided doses ER: 120 - 480 mg PO per day in 1-2 divided doses None
Furosemide Lasix Edema or volume overload Loop diuretic inhibits the Na+K+2Cl- transport protein @ thick ascending loop of Henle, thus inhibiting reabsorption of Na+ and H2O, leading to diuresis 20 - 80 mg PO once daily Fluid/electrolyte loss
Hydrochlorothiazide Microzide Hypertension Thiazide diuretic inhibit Na+Cl- cotransporter @ distal convoluted tubule, thus inhibiting Na+ reabsorption and causing increased Na+ and water excretion 12.5 - 25 mg PO once daily None
Isosorbide mononitrate Imdur Angina Vasodilator ultimately leads to an increase in cGMP, with subsequent vascular smooth muscle cell relaxation and vasodilation; preferentially dilates veins, but also dilates arteries and leads to a decrease in myocardial workload IR: 5 - 20 mg PO BID ER: 30 - 120 mg PO once daily None
Lisinopril and Hydrochlorothiazide Zestoretic Hypertension Angiotensin II Receptor Blocker (ARB) + Thiazide diuretic inhibits conversion of angiotensin I to angiotensin II and inhibits Na+Cl- cotransporter @ distal convoluted tubule, this inhibiting Na+ reabsorption and causing increased Na+ and water excretion Lisinopril 10-20 mg/Hydrochlorothiazide 12.5 - 25 mg PO once daily Fetal toxicity
Nifedipine Procardia XL, Nifedical, Adalat XL Hypertension Calcium Channel Blocker, Dihydropyridine inhibits L-type Ca2+ channels in vascular smooth muscle (thus leading to vasodilation) and cardiac cells (thus decreased cardiac contractility); but is vascular selective ER: 30 - 90 mg PO once daily None
Nitroglycerin Nitrostat Angina Vasodilator bioactivated to release NO in vascular smooth muscle cells; leads to increase in cGMP, subsequent vascular smooth muscle cell relaxation and vasodilation; preferentially dilates veins, also dilates arteries, leads to a decrease in myocardial workload SL tab: Dissolve 0.4 mg sublingually at the first sign of chest pain; repeat every 5 minutes up to 3 doses None
Spironolactone Aldactone Heart failure with reduced ejection fraction Potassium Sparing Diuretic, Mineralocorticoid (aldosterone) Receptor Antagonist antagonist of the mineralocorticoid receptor @ the collecting duct, thus increasing Na+, Cl- and water excretion, while conserving K+ and H+ ions 12.5 - 50 mg PO once daily None
Toresemide Demadex Edema or volume overload Loop diuretic inhibits the Na+K+2Cl- transport protein @ thick ascending loop of Henle, thus inhibiting reabsorption of Na+ and H2O, leading to diuresis 5 - 50 mg PO once daily None
Triamterine and Hydrochlorothiazide Dyazide, Maxzide Hypertension Potassium Sparing Diuretic + Thiazide Diuretic Inhibits Na+reabsorption via epithelial Na+ channel @ collecting duct, and inhibits Na+Cl- cotransporter @ distal convoluted tubule, thus inhibiting Na+ reabsorption and causing increased Na+ and water excretion Hydrochlorothiazide 25 - 50 mg/Triamterene 37.5 - 75 mg PO once daily Hyperkalemia
Verapamil Calan SR, Verelan, Verelan PM Atrial fibrillation Calcium Channel Blocker, Nondihydropyridine Antiarrhythmic Agent, Class IV inhibits L-type Ca2+ channels in vascular smooth muscle (thus leading to vasodilation) and cardiac cells (thus decreased cardiac contractility); but is cardiac selective IR: 120 - 480 mg PO per day in 3-4 divided doses ER: 120 - 480 mg PO once daily None
Losartan and Hydrochlorothiazide Hyzaar Hypertension Angiotensin II Receptor Blocker (ARB) + Thiazide diuretic selective antagonist of the angiotensin II type 1 receptor (AT1R) and inhibits Na+Cl- cotransporter @ distal convoluted tubule, thus inhibiting Na+ reabsorption and causing increased Na+ and water excretion Losartan 50-100 mg/Hydrochlorothiazide 12.5 - 25 mg PO once daily Fetal toxicity
Created by: mcasada
 

 



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