Hypertension Formulary Flashcards
(70 cards)
1
Q
Brand Name: Amlodipine
A
Norvasc
2
Q
Dosage: Amlodipine
A
Starting: 2.5 mg
Max Daily Dose: 10 mg
3
Q
Adverse Effects: CCBs
A
- reflex tachycardia
- flushing
- dizziness
- headache
- peripheral edema (dose-related)
- gingival hyperplasia
4
Q
Warnings: CCBs
A
increased risk of angina/MI in patients with obstructive coronary disease due to reflex tachycardia
5
Q
Drug Class: Amlodipine
A
CCBs
6
Q
Brand Name: Atenolol
A
Tenormin
7
Q
Dosage: Atenolol
A
Starting: 25 mg
Max Daily: 100 mg
8
Q
Adverse Effects: Beta Blockers
A
- bronchospasm
- bradycardia
- fatigue
- exercise intolerance
- depression
- can mask signs/symptoms of hypoglycemia
9
Q
Caution: Beta Blockers
A
- patients with PAD (carvedilol preferred)
- patients with reactive airway disease (use selective)
10
Q
Contraindications: Beta Blockers
A
- second or third degree heart block
- decompensated heart failure
- post MI (ISA BBs only)
- severe bradycardia
- sick sinus syndrome
11
Q
Drug Class: Atenolol
A
Cardioselective Beta Blocker
12
Q
Brand Name: Benzapril
A
Lotensin
13
Q
Dosage: Benzapril
A
Starting: 10 mg
Max Daily Dose: 40 mg
Frequency: 1 or 2
14
Q
Adverse Effects: ACEi
A
- angioedema
- cough
- hyperkalemia
- acute renal failure w/ severe bilateral stenosis
15
Q
Contraindications: ACEi
A
- history of angioedema on ACEi
- concomitant use of aliskiren in patients w/ DM
- pregnancy/breastfeeding
16
Q
Drug Class: Benzapril
A
ACEi
17
Q
Brand Name: Clonidine
A
Catapres
18
Q
Dosage: Clonidine
A
PO: 0.1-0.2 mg BID/TID (max of 2.4 mg/day)
Patch: 0.1-0.3 mg/24 hours
19
Q
Adverse Effects: Clonidine
A
- CNS depression
- dizziness
- fatigue
- anticholinergic effects
- bradycardia
- reflex tachycardia
- fluid retention
20
Q
Drug Class: Clonidine
A
Central Alpha-2 Agnoist
21
Q
Brand Name: Carvedilol
A
Coreg
22
Q
Dosage: Carvedilol
A
Starting: 6.25 mg/dose
Max Daily Dose: 50 mg
Frequency: 2
23
Q
Drug Class: Carvedilol
A
Mixed Alpha/Beta Blocker
24
Q
Brand Name: Enalapril
A
Vasotec
25
Dosage: Enalapril
Starting: 5 mg
Max Daily Dose: 40 mg
Frequency: 1 or 2
26
Drug Class: Enalapril
ACEi
27
Brand Name: Hydrochlorothiazide
Microzide
28
Dosage: HCTZ
Starting: 12.5 mg
Max Daily Dose: 50 mg
29
Adverse Effects: HCTZ
- hypokalemia
- hypomagnesemia
- hypercalcemia
- hyperuricemia
- hyperglycemia
- hyperlipidemia
- sexual dysfunction
- increase in triglycerides/cholesterol
30
Drug Interactions: Thiazide Diuretics
lithium toxicity with concurrent use
31
Contraindications: Thiazide Diuretics
- sulfa allergy
- anuria
32
Drug Class: HCTZ
Thiazide Diuretics
33
Diuretic Monitoring
Electrolytes and Renal Function:
- baseline
- 1-2 weeks after initiation (elderly or CKD)
- 3-4 weeks after initiation (loop/aldosterone)
- every 6 months
34
Brand Name: Labetolol
Trandate
35
Dosage: Labetolol
Starting: 100 mg/dose
Max Daily Dose: 800 mg
Frequency: 2
36
Drug Class: Labetolol
Mixed Alpha/Beta BBs
37
Brand Name: Lisinopril
Zestril
38
Dosage: Lisinopril
Starting: 10 mg
Max Daily Dose: 40 mg
39
Monitoring: ACEi and ARB
Potassium and Renal Function:
- Baseline
- every 6-12 months
- 1-2 weeks only for elderly (low risk or K+<4.5 mEq/L can wait 3-4 weeks)
- 3-4 weeks only if elevated SCr or K+ at 1-2 weeks
40
Drug Class: Lisinopril
ACEi
41
Brand Name: Losartan
Cozaar
42
Dosage: Losartan
Starting: 50 mg
Max Daily Dose: 100 mg
Frequency: 1-2
43
Adverse Effects: ARBs
- angioedema
- hyperkalemia
- acute renal failure w/severe renal artery stenosis
44
Contraindications: ARBs
- history of angioedema on an ARB
- concomitant use of aliskiren in patients w/DM
- Pregnancy/breastfeeding
45
Drug Class: Losartan
ARB
46
Brand Name: Metoprolol Succinate
Toprol XL
47
Dosage: Metoprolol Succinate
Starting: 25 mg
Max Daily Dose: 400 mg
48
Brand Name: Metoprolol Tartrate
Lopressor
49
Dosage: Metoprolol Tartrate
Starting: 50 mg/dose
Max Daily Dose: 450 mg
Frequency: 2
50
Drug Class: Metoprolol
Cardioselective BB
51
Brand Name: Nifedipine
Procardia
52
Dosage: Nifedipine
Starting: 30 mg
Max Daily Dose: 120 mg
53
Drug Class: Nifedipine
DHP CCBs
54
Brand Name: Spironolactone
Aldactone
55
Dosage: Spironolactone
Starting: 12.5 mg
Max Daily Dose: 100 mg
Frequency: 1 or 2
56
Adverse Effects: Aldosterone Antagonists
- hyperkalemia
- hyponatremia
- gynecomastia (aldosterone)
57
Drug Interactions: Aldosterone
ACEi/ARB/Renin Inhibitor/NSAID
58
Contraindication: Spironolactone
concomitant use of potassium sparing diuretics
59
Drug Class: Spironolactone
Aldosterone Antagonist
60
Brand Name: Valsartan
Diovan
61
Dosage: Valsartan
Starting: 80 mg
Max Daily Dose: 320 mg
62
Drug Class: Valsartan
ARB
63
Brand Name: Losartan + HCTZ
Hyzaar
64
Dosage: Hyzaar
Losartan 50 mg/HCTZ 12.5 mg
Max: 100/25 mg
65
Brand Name: Amlodipine + Benzapril
Lotrel
66
Dosage: Lotrel
Amlodpine 2.5 mg/Benzapril 10 mg
Max: 10/40 mg
67
Brand Name: HCTZ + Triamterine
Maxzide
68
Dosage: Maxzide
HCTZ 25 mg/Triamterene 37.5 mg: 1/2 capsules/tablets daily
HCTZ 25 mg/Triamterene 50 mg: 1-2 capsules daily
HCTZ 50 mg/Triamterene 75 mg: 1 Tablet daily
69
Brand Name: Lisinopril + HCTZ
Zestoretic
70
Dosage: Zestoretic
Starting: Lisinopril 10 or 20 mg/HCTZ 12.5 mg
Max: 80/50 mg per day
