1. HTN, Angina, Anticoagulant, Antiplatelet, CHF, AFIB, Thyroid, Hormones

Bumetanide

Bumex

(Sulfa Allergy)

• 1mg PO Bumex = 40mg PO Lasix

• 1mg IV Bumex = 20mg IV Lasix

Furosimide

Lasix

Protect IV from light

Metolazone

Zaroxolyn

Can be used in renal failure CrCl <30 good to give!

Spironolactone

Aldactone

S/E: Gynecomastia, Impotence (no erection), renal impairment

Maxzide

Hydrocholorthiazide + Traimterene (Dyazide)

Benazepril

Lotensin

Enalapril

Vasotec

Lisinopril

Zestril ; Prinvil

Lisinopril + HCTZ

Zestoretic

Quinapril

Accupril

Ramipril

Altace

(Only ACEI in CAPSULE)

Labetalol

Normodyne

• Safe in Pregnancy

• Take with food

Nebivolol

Bystolic

• Increase Nitric Oxide = Vasodilation

Atenolol

Tenormin

Carvedilol

Coreg , Coreg CR

• Take with food

Propranolol

Inderal

• Take with Food

Metoprolol Tartrate

Lopressor

• IR, take with Food

Metoprolol Succinate

Toprol XL

• Can be split.

• HF= Start 12.5, increase to target of 200mg/day

Bisoprolol

Zebeta

ZIAC

Bisoprolol + HCTZ

Irbesartan

Avapro

Losartan

Cozaar

Losartan + HCTZ

Hyzaar

Valsartan

Diovan

Valsartan + HCTZ

Diovan HCT

Olmesartan

Benicar

Telmisartan

Micardis

Verapamil

Calan SR, Veralan, Veralan PM

• IV, PO

Diltiazem

Cardizem, Tiazac, Tatiana XT

Amlodipine

Norvasc

Felodipine

Plendil

• ER, do NOT crush or chew

Nifedipine

Procardia, Procardia XL

Clonidine

Catapres, Catapres TTS,

Kapvay (indicated ADHD)

• alpha 2 agonist

• 1 patch = Q7days

Guanfacine

Tenex = HTN

Intuniv = ADHD

• alpha 2 agonist

Hydralazine

Apresoline

• Safe in pregnancy

• Vasodilator

Prazosin

Minipress

• HTN only

• Alpha 1 blocker

Doxazosin

Cardura, Cardura XL

• Alpha 1 blocker

• HTN and BPH

Terazosin

Hytrin (discontinued)

• Alpha 1 blocker

• HTN and BPH

Tamsulosin

Flomax (Sulfa)

• Alpha 1 blocker

• Take 300 in after same meal each day

Silodosin

Rapaflo

• Alpha 1 blocker

• QD with food, can open cap and sprinkle on applesauce

Alfuzosin

Uroxatral

• Alpha 1 blocker

• Take with same meal each day

Dutasteride

Avodart

• 5 alpha reductase inh.

• BPH, alone or with Tamsulosin

Finasteride

Proscar: 5mg BPH

Propecia: 1mg male baldness

• 5 alpha reductase inh.

Lotrel

Amlodipine + Benazepril

Tarka

Verapamil + Trandolapril

Prestalia

Amlodipine + Perindopril

Exforge

Amlodipine + Valsartan

Twynsta

Amlodipine + Telmisartan

Azor

Amlodipine + Olmesartan

Caduet

Amlodipine + Atorvastatin

Consensi

Amlodipine + Celecoxib

Isosorbide Dinitrate

Isordil

• BID Dose: 8am, 1pm

• TID Dose: 8am, 1pm, 6pm

Isosorbide Mononitrate

IR 20mg BID 7 hours apart!!!! (8am , 3PM

Ranolazine

Ranexa

• Chronic stable angina

• C/I Hepatic impairment

Nitroglycerin

Nitrostat, NitroBID

• IV= GLASS!!

Heparin

aPTT:

Normal Dose: LD= 80u/kg ; then 18u/kg/hr

<35 sec: LD 80u/kg —- ↑ 4u/kg/hr

35-45 sec: LD 40u/kg—— ↑ 2u/kg/hr

46-70 sec = at GOAL!

71-90 sec = ↓ 2u/kg/hr

>90 sec = Hold ONE hour, then ↓ 3u/kg/hr

Enoxaparin

Lovenox

Dabigatran

Pradaxa

• Direct thrombin inh. (Factor IIa)

• Antidote: Idarucizumab (Praxbind)

• Keep in original bottle - Open = 4 months

Apixaban

Eliquis

• Dose BID

• Antidote: Andexnet Alfa (Andexxa)

Rivaroxaban

Xarelto

Antidote: Andexanet Alfa (Andexxa)

Warfarin

Coumadin ; Jantoven

Clopidogrel

Plavix

LD: 300mg then 75mg PO QD

Prasugrel

Effient

Ticagrelor

Brilinta

Warning: Aspirin >100mg reduces its effectiveness

Aggrenox

Dipyridamole + Aspirin

• C/I with Salicylate allergy

Amiodarone

Pacerone ; Nexterone

• Anti-arrythmic

• D/I with Warfarin: ↑ INR

• C/I with Sofosbuvir

Dronedarone

Multaq

• Anti-arrythmic

• WITH FOOD

• C/I grapefruit juice

• Watch for Liver failure and HF

Sotalol

Betapace ; Betapace AF

• Anti-arrythmic

Dofetilide

Tikosyn

• Anti-arrythmic

Digoxin

Lanoxin ; Digitek ; Digox

• CHF, AFIB

Atorvastatin

Lipitor

• Max 80mg

Rosuvastatin

Crestor

• Max 40mg, Asian: Max 20mg (start w/ 5mg)

Simvastatin

Zocor

• Max 40mg

Pravastatin

Pravachol

• Max 80mg

• Least Drug interactions

Lovastatin

Mevacor

• IR with evening meal

• Max 80mg

Gemfibrozil

Lopid

• Fibrate

• C/I with Statin = myopathy

Fenofibrate

Tricor, Lipofen, Antara, Lofibra

• Fibrate

Fenofibric Acid

Trilipix ; Fibricor

• Fibrate

Alirocumab

Praluent

• PCSK9 Inh

• SQ Q2weeks ; fridge

Evolocumab

Repatha

• PCSK9 Inh

• SQ 140mg Q2weeks or 420mg monthly

Ezetimibe

Zetia

• 10mg QD

Vytorin

Ezetimibe + Simvastatin

Niacin

Vitamin B3 ; Niacor ; Niaspan

• With food

• ASA 325mg 30 min before to reduce flushing

Omega 3

Lovaza

• increase risk of bleeding with Warfarin

Levothyroxine

Synthroid ; Levoxyl ; Levothyroid

• T4

• EMPTY STOMACH

Liothyronine

Cytomel ; Triostat

• T3

• Rapid absorption and onset

Propylthiouracil

PTU

• 1st trimester of pregnancy!!!!

Methimazole

Tapazole

• 2nd and 3rd trimester of pregnancy!!!!

Testosterone

Androgel ; Androderm

• CIII Med!

Estradiol

Estrace ; Premarin

• Oral tab and vaginal cream

Medroxyprogesterone

Provera ; Depo-Provera

• oral tabs

• Depo= IM/SQ Q3 months

Progesterone

Prometrium

• C/I Peanut Allergy!!

CombiPatch

Estradiol + Norethindrone

• 1 patch weekly - Refrigerated