Drug Examples Uses Mechanism Side Effects Ace Inhibitorsramipril, Lisinopril

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DRUG

EXAMPLES
USES
MECHANISM
SIDE EFFECTS
ACE inhibitorsRamipril,
Lisinopril

• Hypertension
• Heart Failure
• Post MI

Block ATIATII by binding to

the site on the enzyme that

normally accommodates the

terminal leucine of ATI.

Inhibits vasoconstriction.
• Hypotension
• Dry cough
(increased
bradykinin)
• Renal failure in pts
with bilateral renal
stenosis
Beta-Blockers
Atenolol,
Propanolol

• Hypertension
• Angina
• Arrhythmias
• Stable heart failure

blockβ -adrenergic receptors inhibiting

the

effects of adrenaline and nonadrenaline.

β 1 (heart) blockage decreases HR


and
contractility,β 2 (bronchial and
vascular
smooth muscle) blockage causes
vasodilation.
• Provocation of
asthma, heart
failure.
• Cold hands
• Bradycardia -
fatigue

Calcium

Channel

Blockers

Dihydropines–
Amlodipine,
Phenyalkylamin
es-
Verapamil,
Benzthiazepine
s -
Diltiazem

• Hypertension
• Angina
• Supraventricular

arrhythmia –

(Phenylalkylamines

only)

Vasodilation

block cellular entry of Ca+ by

preventing opening of

voltage-gated L-type and T-

type calcium channels


• Flushing, headache,
• P.oedema
• Phenyalkylamines –

can worsen heart


failure
• Gynaecomastia
• Impotence
Thiazide
Diuretics

Bendrofluazide,

hydrochlorothiazi

de

• Hypertension
• Combined with loop
for Heart Failure

increase water excretion by

decreasing reabsorption of

Na+ and Cl- in the distal

tubule by binding to the Cl-

site of the electroneutral

Na+/Cl- co-transport system

and inhibiting its action

causing a decrease in blood

volume, venous return and

CO

• Hypokalaemia
• Hyponatraemia
• Hypotension
• Gout
• Type II DM

Loop DiureticsFrusemide,
Bumetanide
• Hypertension (but

less effective than

thiazides – used

when renal

impairment or

resistant to multiple

drug Tx)

• Heart Failure

Block Na+ resorption in

ascending loop of Henle –

diuretic effect.
• Hypokalaemia
• Hyponatraemia
• Hypotension
• Gout

Potassium-

sparing

diuretics

Spironolactone,
Amiloride
• Secondary
Hypertension
• Severe heart Failure

Blocks action of aldosterone in distal convoluted tubule – diuretic effect

• Hypokalaemia
• Hyponatraemia
• Abdominal

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