Micardis

Telmisartan

ARB

 blocks angiotensin II receptor = vasodilation and decrease in decreased aldosterone

ACE AND ARB may cause neonatal death, C in 1st tri and D in 2nd and 3rd,  rhabdo is rare

Micardis HCT

Telmisartan w/ HCTZ

ARB w/ diuretic

HCTZ may inc lithium levels and is K wasting, HCTZ should not be used in pts allergic to sulfas/gout/impared renal function or hepatic/corticosteroids or ACTH

don't use ARB's ACE w/ prego

Hytrin

Terazosin Hydrochloride

used for BPH, HTN

alpha 1 blocker = dilation of arteries and veins, and relaxes sm in bladder neck and prostate = inc ease of peeing

start w/ 1mg tab at bedtime to dec fainting risk

prego cat C

Diovan

Valsartan

ARB for HTN & HF

NSAIDS may dec effects and inc risk of renal funtion deterioration

contra in prego, be careful w/ hepatic or renal dysfunct

Diovan-HCT

Valsartan w/ HCTZ

HCTZ don't use w/ sulfa allergy, may inc lithium levels, NSAIDS dec effect and inc risk to kidney & liver

ARB don't use w/ prego or nursing

Isoptin, calan, verelen

Verapamil HCL

nondihydroperidine CCB, most selective for Heart muscle, decreases O2 demand in heart,

contra in pts w/ severe LVHF

Catapres, catapres TTS

Clonidine

tabs/patch

stimulates central alpha rec. = reduced sympathetic outflow from CNS & dec bp, hr, w/ renal flow not affected

do not stop catapress or beta blockers suddenly = inc bp

Altace

Ramipril

ACEI = dec dec angio II, dec aldosterone, dec peripheral resistance, dec bp, tends to inc K,

use cautiously w/ K sparing diuretics, may cause lithium toxicity, ANGIOEDEMA, neutropenia, cough

Accupril

Quinapril

ACEI - indomethacin w/ ACEI may dec effects, inc lithium/digoxin toxicity, ACEI gives inc in K

use caution w K sparing diuretic, ANGIOEDEMA, neutropenia

Inderal LA, Innopran XL

Propranolol

nonselective beta blocker = dec HR & cardiac output, dec bp, inhibits isoproteronol tachycardia, dec orthostatic tachycardia,

crosses BBB = used for migraines  

toxic effects increased by verapamil, epinephrine + bb = severe HTN,

dont use in pts w/ asthma, sinus brady cardia, greater than 1st degree heart block, CHF (congestive HF)

Benicar-HCT

Olmesartan Medoxomil w/ HCTZ

ARB + HCTZ

Benicar

Olmesartan Medoxomil

ARB

Procardia, Mefedical XL, Adalet CC

Nifedipine

for angina, HTN

dihydroperidine CCB = dilation of coronary arteries, coronary spasm inhibition, dilation of peripheral artery's,

Lopressor

Metoprolol Tartrate

beta 1 selective BB = dec HR, and cardiac output, dec bp, inhibits isoproterenol tachycardia, dec orthostatic tachycardia,   used for MI, HTN

dont use w CHF, heart block >1st degree, cardiac failure, hr <45bpm bp, or  systolic bp <100

Toprol XL

metoprolol succinate

BB non selective, lower peaks, and longer time to peak with less peak to trough variation than tartrate

Hyzaar

Losartan Potassium w/ HCTZ

ARB & HCTZ

Cozaar

Losartan

ARB

Zestoretic, Prinzide

Lisinopril W HCTZ

ACE-I

Prinivil, Zestril

Lisinopril

ACE-I

 inc lithium levels, angioedema, increases K, inc risk of hyperkalemia w k sparing meds, dec renal function, DM, may cause liver dx

Normodyne, Trandate

Labetalol Hydrochloride

for HTN

non selective BB, with alpha blocker = dilation of arteries and veins, dec cardiac output, no reflex tachycardia!  or dec HR!

50% protein bound

alpha 1-vsm constriction, B1-heart, B2-vessels dilation (B2 blockade gives very small vasoconstriction and problem for asthmatics)

Avalide

Irbesartan w/ HCTZ

ARB + HCTZ

Avapro

Irbesartan

ARB

Vasotec

Enalapril Maleate

ACE-I

for HTN, CHF, left vent dysfunction (asymptomatic)

dec ang II = dec aldosterone = dec Na h20 retention,  and angiotensin II is potent vasoconstrictor, give inc in K

angioedema, cough, orthostatic HYPOTN

Cardura, and Cardura XL

doxazosin Mesylate

for HTN & BPH

alpha blocker, relaxes sm at bladder neck and prostate,

XL has osmotic push in the pill

take 1st dose @ bedtime to avoid fainting, aviod cough and cold meds

Cardizem, Cartia, Tiazac

Diltiazem Hydrochloride

for HTN & angina, & afib

nondihydroperidein CCB, slows SA and AV node conduction, inhibits coronary spasm, lowers bp,

Coreg, Coreg CR

Carvedilol

for HTN, HF, LVdysfunction

nonselective BB w/ alpha blocker activity

dont use w/ diltiazem or verapamil = conduction probs

Atacand

Candesartan Cilexetil

ARB-I

Ziac

Bisoprolol fumarate w/ HCTZ

beta 1 selective BB w/ HCTZ

Atenolol w/ chlorthatlidone

beta 1 selective blocker w/ newer thiazide

dec hr, dec bp, dec in reflex orthostatic tachycardia, diuretic

Tenormin

Atenolol

B1 selective bb

dec hr, and cardiac output, dec bp, dec orthostatic tachy, dont use in pts w/ >1st degree heart block, sinus bradycardia, cardiac failure

Norvasc

Amlodipine Besylate

better than nifedipine because once daily dosing

CCB dihydropiridine

Mavik

Trandolapril

ACE-I,

for HTN,

ANGIOEDEMA, cough, dizzy,

apresoline

Hydralazine

for HTN

effects Ca movement w/in cells = vsm relaxation

Monopril

Fosinopril Sodium

for HTN, ACE-I,

Plendil

Felodipine

HTN, CCB dihydropiridine,

Lotensin HCT

Benazepril w/ hydrochlorothiazide

ACE-I w/ HCTZ

Lotensin

Benazepril

ACE-I

Lotrel

Amlodipine Besylate w/ Benazepril

CCB w/ ACE-I