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Cardiovascular drugs
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First line
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ACEIS
- Block angiotensin II
- 2M reduced, mortality and morbidity
- Renal faillure's progression retarded
- BP maybe decreased by NSAIDs
- Example: Benazepril, Captopril and Enalapril
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Side effects
- Skin rash
- Persistent cough
- Hyperkalemia
- Angioedema possibly
- Neotropenia
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ARBs
- Does not have cough and angioedema
- Role in heart failure patients
- Recommending for patients unable to tolerate ACEI
- Example: Candersartan, eprosartan and Irbesartan
- Cautious for renal insufficiency patients
- Side effects: Hyeperkalemia, myalgia, dizziness and insomia
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CCBs
- Cardiac contratility decreased
- Dihydropyridine CCB
- Hydropyridine
- Long acting calcium antagonists are preferred
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Recommended for elderly patients with systolic hypertension
- Subtopic 1
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Side effects:
- Tachycardia, Bradycardia, flushing, Ankle ordema and Constipation
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MOA
- Less Ca2+ into smooth muscles->vasodiation in coronary and peripheral->Lower BP
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Thiazide diuretics
- Especially effective in lowering BP in elderly
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Second line agents
- Beta-adenoceptor blockers
- Potassium-sparing diuretics
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Newer agents
- Direct renin inhibitor
- Subtopic 4