Term | Definition |
Enalapril | Vasotec
Ace Inhibitor |
Enalapril Indications | HTN
HF |
Enalapril Interactions | Other HTN meds = additive
Thiazide = increase K loss
Increase lithium toxicity
NSAIDs= decrease effects = Increase BP |
Enalapril CI | Hypersensitivity
Pregnancy/Lactation
BBW= Fetal injury/death |
Enalapril SE | OTH
1st dose syncope
HA/Dizziness
LIFETHREATENING: angioedema, neutropenia, agranulocytosis |
Nifedipine | Procardia
CCB |
Nifedipine Indications | HTN
Angina |
Nifedipine Interactions | Other HTN meds= additive
BB= increase risk of HF
Increase Dig toxocity
Alcohol=syncope
Grapefruit juice=enhance absorption= additive
Melatonin=counter effects = increase BP/HR |
Nifedipine CI | Hypersensitivity |
Nifedipine SE | HA
Dizziness
Peripheral Edema
Flushing
*Immediate action forms= reflex tachycardia
DC gradually=rebound hypotension |
Doxazosin | Cardura
A Blocker |
Doxazosin Indications | Urinary Retention--> BPH & HTN |
Doxazosin Interactions | Other HTN meds= additive
Climetidine=increase half life
Viagra (phosphodiesterase inhib) = additive |
Doxazosin CI | Hypersensitivity
Hypotensive |
Doxazosin SE | Dizziness
Dyspnea
Athenia
HA
Hypotension
Somnolence
OTH
1st does phenomenon |
Metoprolol | Lopressor
BB |
Metoprolol Indications | HTN
HF |
Metoprolol Interactions | Diuretics + antiHTN= mask hypoglycemia
NSAID=decrease effect
Digoxin= increase risk of bradycardia
Oral contraceptives = increase effects |
Metoprolol CI | Hypersensitivity
MI= serious sinus bradycardia HR <45/ SBP <100
Mod-Severe HF
Asthma
Cardiogenic shock |
Metoprolol SE | Diminished sexual function
Insomnia
Unusual weakness/fatigue |
Losartan | Cozaar
ARB |
Losartan Indication | HTN |
Losartan Interactions | NSAIDs= decrease
K diuretics = increase K
Diuretics/ antiHTN= additive
Herbal: ephedra, licorice, ginseng= additive |
Losartan CI | Hypersensitivity
Renal/Hepatic impairment
K supplements- hyperkalemia
Hx of angioedema |
Losartan SE | HA
Dizziness
OTH
Rash
Diarrhea
AE= angioedema, acute renal failure, 1st dose phenomenon, fetal toxicity, neonatal mortality |
Hydralazine | Apresoline
Vasodilator |
Hydralazine Indication | HTN
HF |
Hydralazine Interactions | Other HTN meds= additive
NSAID= decrease
False coombs test
Hawthorn= decrease |
Hydralazine CI | Angina
Rheumatic Heart Dz
MI
Tachycardia
Lupus= worsens
Abrupt wd= rebound HTN |
Hydralazine SE | HA
Tachycardia
Palpitations
Flushing
Nausea
Diarrhea
BB=counteract reflex tachycardia
*Na/fluid retenion= serious AE |
Furosemide | Lasix
Loop diuretic |
Furosemide Indications | HTN
HF (if fluid retention present) |
Furosemide Interactions | Cardiac glycosides (dig)= hypokalemia
Corticosteroids, amp B, K depleting drugs = hypokalemia |
Furosemide CI | Hypersensitivty
Anuria
Hepatic Coma
Severe fluid/electrolyte depletion |
Furosemide SE | Hypokalemia
Dehydration
Hypotension
OTH
*Ototoxicity |
Spironolactone | Aldactone
K sparing diuretic, Aldosterone antagonist |
Spironolactone Indications | HTN
Edema- HF |
Spironolactone Interactions | Ammonium chloride= acidosis
ASA, NSAIDs= decrease
Digoxin= decrease effects of dig
K supplements, ACE inhibitors, ARBS= hyperkalemia |
Spironolactone CI | Anuria
Renal impairment
Hyperkalemia
Pregnancy/Lactation |
Spironolactone SE | Hyperkalemia
Women: menstrual irregularities, hirsutism, breast tenderness |
Hydrochlorothiazide | Microzide
Thiazide diuretic |
Hydrochlorothiazide Indication | HTN
Edema-HF |
Hydrochlorothiazide Interactions | Other HTN med= additive
Decrease effectivess of anticoag, sulfonylureas, antidiabetic drugs
Cholestryamine and Colestipol= decrease absorption
NSAIDS= renal toxicity
Corticosteroids, amp B = increase K loss= hypokalemia |
Hydrochlorothiazide CI | Anuria
Hypersensitivity
Pre-eclampsia
Eclampsia
Pregnancy induced HTN |
Hydrochlorothiazide SE | Na/K imbalances
Teach increase K in diet
Gout attacks= due to hyperuricemia |
Digoxin | Lanoxin
Cardiac Glycoside |
Digoxin Indication | HF |
Digoxin Interactions | Diuretics=hypokalemia= dysrhythmias
Ace inhib, spironolactone, ARB= hyperkalemia
Positive inotropic drug= additive
BB= additive bradycardia
Antacids, cholesterol lowering drugs= decrease absorption
Ginseng= increase risk of dig tox
Ma huang, ephedra |
Lisinopril | Prinivil
Ace Inhib |
Lisinopril Indications | HTN
HF |
Lisinopril Interactions | NSAIDS= decrease
Diuretic= additive
K diuretic= hyperkalemia
Increase lithium levels= toxicity |
Lisinopril CI | Hyperkalemia
Angioedema
Pregnancy |
Lisinopril SE | Cough
HA
Dizziness
OTH
Rash
Hyperkalemia
Taste disturbances
Chest pain
N/V/D
Angioedema= SERIOUS |