HTN Drugs - Specific Indications and Contraindications

preferred treatments for acute pulmonary edema

clevidipine, nitrogycerin, nitroprusside (loop diuretic too)

contraindicated treatment for acute pulmonary edema

beta blockers

preferred treatments for acute coronary syndrome

esmolol and nitroglycerin (preferred), labetolol, nicardipine

preferred treatments for perioperative HTN

clevidipine, esmolol, nicardipine, nitroglycerin

preferred treatments for acute aortic dissection

esmolol or labetalol

preferred treatments for eclampsia/preeclampsia

1. labetalol, hydralazine

2. nicardipine, nifedipine

contraindications for eclampsia/preeclampsia

nitroprusside, ACE Inhibitors

preferred treatments for acute kidney injury

clevidipine, fenoldopam, nicardipine

preferred treatment for acute sympathetic discharge or catecholamine excess state

phentolamine

if needed: nicardipine, clevidipine

when to avoid clevidipine

allergy to egg or soy, defective lipid metabolism, aortic stenosis

what is esmolol metabolized by

RBC

when to avoid esmolol and labetalol

asthma, bradycardia, CHF

when to avoid hydralazine

aortic dissection (drug increases intracranial pressure and dP/dT (pressure wave))

when to avoid nitrogycerin

hypertensive encephalopathy (drug increases intracranial pressure)

what medications may have favorable effects on angina

calcium channel blockers (NonDHP - some amlodipine too), beta blockers

what medications may have favorable effects on tachycardia and fibrillation

beta blockers, NonDHP calcium channel blockers, ACEI and ARBs

what medications may have favorable effects on dyslipidemia

alpha - blockers

what medications may have favorable effects on prostatism (BPH)

a - blockers

what medications may have favorable effects on essential tremors

noncardio selective beta blockers

what medications may have favorable effects on hyperthyroidism

beta blockers

what medications may have favorable effects on migraines

noncardio selective beta blockers, NonDHP calcium channel blockers

what medications may have favorable effects on osteoporosis

thiazides

what medications may have favorable effects on perioperative hypertension

beta blockers

what medications may have unfavorable effects on bronchospastic disease

beta blockers

what medications may have unfavorable effects on depression

beta blockers

what medications may have unfavorable effects on dyslipidemia

beta blockers, diuretics

what medications may have unfavorable effects on diabetes (I & II)

beta blockers, high dose diuretics

what medications may have unfavorable effects on gout

diuretics

what medications may have unfavorable effects on heart failure

beta blockers (except metoprolol succinate, bisoprolol, carvedilol), CCBs (except amlodipine, felodipine)