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Exam 6
diuretics, antihypertensives, antianginals, antihyperlipidemics
65
Pharmacology
Graduate
12/04/2014

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Term
acetazolamide (diamox)
Definition
carbonic anhydrase inhibitor--inhibits NaHCO3 reabsorption in proximal tubule (glaucoma, altitude sickness, epilepsy, overdoses, metabolic alkalosis)
Term
mannitol (osmitrol)
Definition
osmotic diuretic in proximal tubule and descending limb (oliguric acute renal failure, glaucoma, overdoses)
Term
furosemide (lasix)
Definition
loop diuretic--inhibits Na-K-2Cl symport in thick ascending limb (CHF, pulmonary edema, hypertension, hypercalcemia, edema of nephrotic syndrome, edema with liver cirrhosis, overdoses, treat hyponatremia when administered with hypertonic saline)
Term
ethacrynic acid (edecrin)
Definition
loop diuretic--inhibits Na-K-2Cl symport in thick ascending limb (CHF, pulmonary edema, hypertension, hypercalcemia, edema of nephrotic syndrome, edema with liver cirrhosis, overdoses, treat hyponatremia when administered with hypertonic saline)
Term
hydrochlorothiazide (microzide)
Definition
thiazide diuretic--inihibits Na-Cl symport in early distal convoluted tubule (edema of heart failure, 1st line for hypertension, prevent Ca nephrolithiasis and osteoporosis, nephrogenic diabetes insipidus, ascites from liver cirrhosis)
Term
chlorothiazide (diuril)
Definition
thiazide diuretic--inihibits Na-Cl symport in early distal convoluted tubule (edema of heart failure, hypertension, prevent Ca nephrolithiasis and osteoporosis, nephrogenic diabetes insipidus, ascites from liver cirrhosis)
Term
chlorthalidone (thalitone)
Definition
thiazide diuretic--inihibits Na-Cl symport in early distal convoluted tubule (edema of heart failure, 1st line for hypertension, prevent Ca nephrolithiasis and osteoporosis, nephrogenic diabetes insipidus, ascites from liver cirrhosis)
Term
indapamide (lozol)
Definition
strongest thiazide diuretic--inihibits Na-Cl symport in early distal convoluted tubule (edema of heart failure, 1st line for hypertension, prevent Ca nephrolithiasis and osteoporosis, nephrogenic diabetes insipidus, ascites from liver cirrhosis) -doesnt increase LDL/cholesterol
Term
triamterene (dyrenium)
Definition
K sparing diuretic--inhibits Na channels in principal cells of collecting duct (combo with other diuretics for edema from CHF, hepatic cirrhosis, hyperaldosteronism, and hypertension; Liddle's syndrome (pseudohyperaldosteronism))
Term
amiloride
Definition
K sparing diuretic--inhibits Na channels in principal cells of collecting duct (combo with other diuretics for edema from CHF, hepatic cirrhosis, hyperaldosteronism, and hypertension; Liddle's syndrome (pseudohyperaldosteronism); cystic fibrosis)
Term
spironolacatone (aldactone)
Definition
K sparing diuretic--nonselective aldosterone receptor blocker (combo with other diuretic for edema of CHF and cirrhosis; hypertension; hyperaldosteronism)
Term
eplerenone (inspra)
Definition
K sparing diuretic--selective aldosterone receptor blocker (combo with other diuretic for edema of CHF and cirrhosis; hypertension; hyperaldosteronism)
Term
drospirenone
Definition
K sparing diuretic--aldosterone receptor blocker (combo with other diuretic for edema of CHF and cirrhosis; hypertension; hyperaldosteronism; in some birth control pills--yasmin)
Term
desmopressin acetate (arginine vasopressin, DDAVP, stimate)
Definition
synthetic ADH (nocturnal enuresis due to central diabetes insipidus)
Term
reserpine
Definition
adrenergic neuron inhibitor--depletes NE in periphery--decreases CO and TPR (hypertension)
Term
methyldopa
Definition
adrenergic neuron inhibitor--central alpha2 agonist--decrease TPR and renin (hypertension during pregnancy)
Term
clonidine (catapres)
Definition
adernergic neuron inhibitor--central alpha2 agonist--decrease TPR and renin (patch for primary hypertension)
Term
prazosin (minipress)
Definition
alpha1 receptor blocker--decrease TPR (short acting for hypertension)
Term
doxazosin (cardura)
Definition
alpha1 receptor blocker--decrease TPR (long acting for hypertension)
Term
terazosin (hytrin)
Definition
alpha1 receptor blocker--decrease TPR (long acting for hypertension)
Term
propranolol (inderal-LA)
Definition
non-selective beta blocker--decrease contractility and renin--high lipid solubility (hypertension, prevention of angina)
Term
nadolol (corgard)
Definition
non-selective beta blocker--decrease contractility and renin (hypertension, prevention of angina)
Term
timolol
Definition
non-selective beta blocker--decrease contractility and renin (hypertension, prevention of angina)
Term
pindolol
Definition
non-selective beta blocker w/ ISA--decrease contractility, renin, and TPR (hypertension)
Term
atenolol (tenormin)
Definition
B1 blocker--decrease contractility and renin (hypertension, prevention of angina)
Term
metoprolol (toprol-XL)
Definition
B1 blocker--decrease contractility and renin (hypertension, prevention of angina)
Term
acebutolol (sectral)
Definition
B1 blocker w/ ISA--decrease contractility, renin, and TPR (hypertension)
Term
labetalol (trandate)
Definition
alpha1 and non-selective beta blocker w/ ISA--mainly decrease in TPR (severe primary hypertension and hypertensive emergencies)
Term
nebivolol (bystolic)
Definition
NO releasing beta1 blocker--decrease TPR and CO (hypertension)
Term
hydralazine
Definition
dilates arterioles (hypertension)
Term
minoxidil
Definition
dilates arterioles--opens ATP-sensitive K channels (severe hypertension in renal patients)
Term
verapamil (calan)
Definition
calcium channel blocker--decrease contractility (hypertension, especially for elderly and AA's, and high Na intake, prevention of all forms of angina)
Term
diltiazem (cardizem)
Definition
calcium channel blocker--decrease contractility (hypertension, especially for elderly and AA's, and high Na intake, prevention of all forms of angina)
Term
nifedipine (procardia-XL)
Definition
calcium channel blocker--decrease TPR (hypertension, especially for elderly and AA's, and high Na intake, pulmonary hypertension, prevention and acute treatment of angina)
Term
felodipine
Definition
calcium channel blocker--decrease TPR (hypertension, especially for elderly and AA's, and high Na intake)
Term
amlodipine (norvasc)
Definition
calcium channel blocker--decrease TPR (hypertension, especially for elderly and AA's, and high Na intake, prevention and acute treatment of angina)
Term
captopril (capoten)
Definition
ACE inhibitor--decrease TPR, aldosterone, increase bradykinin (hypertension, especially those w/ diabetic nephropathy)
Term
enalapril (vasotec)
Definition
ACE inhibitor--decrease TPR, aldosterone, increase bradykinin (hypertension, especially those w/ diabetic nephropathy)
Term
lisinopril (prinivil, zestril)
Definition
ACE inhibitor--decrease TPR, aldosterone, increase bradykinin (hypertension, especially those w/ diabetic nephropathy)
Term
fosinopril (monopril)
Definition
ACE inhibitor--decrease TPR, aldosterone, increase bradykinin (hypertension, especially those w/ diabetic nephropathy or renal insufficiency)
Term
quinapril (accupril)
Definition
ACE inhibitor--decrease TPR, aldosterone, increase bradykinin (hypertension, especially those w/ diabetic nephropathy)
Term
ramipril (altace)
Definition
ACE inhibitor--decrease TPR, aldosterone, increase bradykinin (hypertension, especially those w/ diabetic nephropathy)
Term
losartan (cozaar)
Definition
Angiotensin receptor blocker--decrease TPR and aldosterone (hypertension, especially those w/ diabetic nephropathy)
Term
valsartan (diovan)
Definition
Angiotensin receptor blocker--decrease TPR and aldosterone (hypertension, especially those w/ diabetic nephropathy)
Term
candesartan (atacand)
Definition
Angiotensin receptor blocker--decrease TPR and aldosterone (hypertension, especially those w/ diabetic nephropathy)
Term
aliskiren (tekturna)
Definition
renin inhibitor--decrease TPR and aldosterone (hypertension, especially those w/ diabetic nephropathy)
Term
esmolol
Definition
B1 blocker (hypertensive emergency)
Term
nitroglycerin (minitran, nitrostat)
Definition
activate guanylyl cyclase--increase cGMP--smooth muscle relaxation and decreased preload (prevention and acute treatment of all types of angina)
Term
isosorbide dinitrate (isordil)
Definition
activate guanylyl cyclase--increase cGMP--smooth muscle relaxation and decreased preload (prevention and acute treatment of all types of angina)
Term
ranolazine (ranexa)
Definition
fatty acid oxidation inhibitor--inhibits late inward sodium current? (chronic stable angina)
Term
ezetimibe (zetia)
Definition
cholesterol absorption inhibitor--inhibits specific protein-mediated transport--decreases LDL (high LDL type hyperlipoproteinemias)
Term
cholestyramine (questran)
Definition
bile acid binding resins--exchange chloride for bile acids--decrease LDL (high LDL type hyperlipoproteinemias)
Term
colestipol (colestid)
Definition
bile acid binding resins--exchange chloride for bile acids--decrease LDL (high LDL type hyperlipoproteinemias)
Term
colesevelam (WelChol)
Definition
bile acid binding resins--exchange chloride for bile acids--decrease LDL (high LDL type hyperlipoproteinemias)
Term
lovastatin (mevacor)
Definition
HMG-CoA reductase inhibitor--most effective at lowering LDL, also decreases VLDL and IDL (elevated LDL cholesterol, antiinflammatory)
Term
pravastatin (pravachol)
Definition
HMG-CoA reductase inhibitor--most effective at lowering LDL, also decreases VLDL and IDL (elevated LDL cholesterol, antiinflammatory)
Term
simvastatin (zocor)
Definition
HMG-CoA reductase inhibitor--most effective at lowering LDL, also decreases VLDL and IDL (elevated LDL cholesterol, antiinflammatory)
Term
atorvastatin (lipitor)
Definition
HMG-CoA reductase inhibitor--most effective at lowering LDL, also decreases VLDL and IDL (elevated LDL cholesterol, antiinflammatory)
Term
rosuvastatin (crestor)
Definition
HMG-CoA reductase inhibitor--most effective at lowering LDL, also decreases VLDL and IDL (elevated LDL cholesterol, antiinflammatory)
Term
gemfibrozil (lopid)
Definition
fibrate--increased lipoprotein lipase via increased PPAR alpha--decrease VLDL and triglycerides (primary hyperlipidemias w/ high VLDL, hypertriglyceridemia secondary to apolipoprotein E defect)
Term
fenofibrate (tricor, triglide)
Definition
fibrate--increased lipoprotein lipase via increased PPAR alpha--decrease VLDL and triglycerides (primary hyperlipidemias w/ high VLDL, hypertriglyceridemia secondary to apolipoprotein E defect)
Term
niacin (niacor, niaspan)
Definition
inhibits intracellular lipolysis in fat cells (hormone sensitive lipase)--decreases VLDL and lipoprotein, increases HDL (primary type hyperlipidemias and patients w/ HDL deficiency)
Term
omega-3-acid ethyl esters (lovaza)
Definition
inhibit hepatic synthesis of triglycerides (adjunct to diet in patients w/ high plasma triglycerides, decreases VLDL, antiinflammatory)
Term
mipomersen (kynamro)
Definition
oligonucleotide type inhibitor--inhibits apolipoprotein B formation--decreases VLDL and LDL (homozygous familial hypercholesterolemia)
Term
lomitapide (juxtapid)
Definition
microsomal triglyceride transfer protein type inhibitor--inhibits apolipoprotein B formation--decreases VLDL and LDL (homozygous familial hypercholesterolemia)
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