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HTN/Repro Pharm

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What are the side effects of ACE inhibitors and Angiotensin Receptor Blockers?
Cough, angioedema, rash, hyperkalemia, CONTRAIND IN PREGNANCY
What are the side effects of the beta blockers?
bronchoconstriction (in asthmatics), sedation, hypoglycemia (diabetes)
Which is the beta blocker with a niche in CHF because of its alpha 1 blocker (vasoldilator) activity?
carvedilol
Which antihypertensives can be used in Raynaud's syndrome and occasionally migraine?
calcium channel blockers
What are the side effects of calcium channel blockers?
edema, headache, dizziness
Which drug is a calcium channel blocker approved for the IV treatment of hypertension?
nicardopine
Which calcium blockers are more selective for vascular tissue?
the dihydropyridines: amlodipine, nifedipine (short acting), felodipine
What are some common calcium channel blockers that are not dihydorpyridines and their niches?
diltiazem-depress AV conduction (mostly cardiac
verapamil-cardiac, also vasodil
Acts of the ENaC channel as a diuretic
What is Triamterene
Acts as an aldosterone antagonist and is rapidly gaining accceptance in the treatment of heart failure
What is Eplerenone
A CNS-acting antihypertensive that decreases sympathetic tone by stimulation of alpha 2 adrenergic receptors in CNS vasomotor areas. Causes vasodilation. (Side effs: dry mounth, sedation)
What is clonidine
Which drug has is a central acting potential NE antagonist with a niche in pregnancy-related eclampsia hypertensive emergencies?
what is methyldopa
What drug is an alpha 1 adrenerrgic antaganist that interrupts sympathetic vascular tone at the a1 receptor level in arterioles and veins?
what is doxazosin
What are the side effects of the alpha 1 adrenergic antagonists?
edema, dizziness, headache and postural hypotension
What are the adrenergic neuronal blockers that work by interfering with NE storage vesicles, causing depletion of NE? Side effs?
Guanethidine, Reserpine.
diarrhea and parkinsonian effects, sedation. Contraind in depression.

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