top drugs

amlodipine

Norvasc

atenolol

Tenormin

diltiazem

Cardizem CD, Cardizem LA, Tiazac

furosemide

Lasix

Hydrochlorothiazide

Microzide, Oretic

Lisinopril

Prinivil, Zestril

metoprolol tartrate

Lopressor

metoprolol succinate

Toprol XL

spirnolactone

Aldactone

valsartan

Diovan

verapamil

Calan

FDA-labeled indication: amlodipine

HYPERTENSION, angina

FDA-labeled indication: atenolol

HYPERTENSION, angina, myocardial infarction

FDA-labeled indication: diltiazem

HYPERTENSION, angina, atrial fibrillation/flutter

FDA-labeled indication: furosemide

HYPERTENSION, edema

FDA-labeled indication: hydrochlorothiazide

HYPERTENSION, edema

FDA-labeled indication: lisinopril

HYPERTENSION, heart failure, acute myocardial infarction

FDA-labeled indication: metoprolol tartrate

HYPERTENSION, angina, acute myocardial infarction

FDA-labeled indication: metoprolol succinate

HYPERTENSION, congestive heart failure, angina

FDA-labeled indication: spironolactone

HYPERTENSION, hyperaldosteronism, heart failure, edema

FDA-labeled indication: valsartan

HYPERTENSION, heart failure, myocardial infarction

FDA-labeled indication: verapamil

HYPERTENSION, atrial fibrillation/flutter, angina, prophylaxis (paroxysmal supraventricular tachycardia)

drug class: amlodipine

ANTIHYPERTENSIVE, antianginal agent, calcium channel blocker, dyhydropyridine

drug class: atenolol

ANTIHEYPERTENSIVE, antianginal, beta-blocker

drug class: diltiazem

ANTIHYPERTENSIVE, antianginal, benzothiazepine, calcium channel blocker, cardiovascular agent

drug class: furosemide

ANTIHYPERTENSIVE, diuretic, loop

Drug class: hydrochlorothiazide

ANTIHYPERSENTIVE, diuretic, thiazide, cardiovascular agent

drug class: lisinopril

ANTIHYPERTENSIVE, ACE inhibitor, cardiovascular agent

drug class: metoprolol tartrate

ANTIHYPERTENSIVE, antianginal, adrenergic blocker, antiarrhythmic, CNS agent, cardiovascular agent, beta-blocker

drug class: metoprolol succinate

ANTIHYPERTENSIVE, adrenergic blocker, antianginal, antiarrhythmic, beta-blocker, cardiovascular agent, CNS agent

drug class: spironolactone

ANTIHYPERTENSIVE, diuretic, aldosterone receptor antagonist

drug class: valsartan

ANTIHYPERTENSIVE, angiotensin II receptor blocker, cardiovascular agent, renal-urologic agent

drug class: verapamil

ANTIHYPERTENSIVE, antianginal, antiarrhythmic agent, calcium channel blocker, nondyhydropyridine, cardiovascular agent, CNS agent, phenylalkylamine

brand name: aspirin

Bayer

brand name: clopidogrel

Plavix

brand name: warfarin

Coumadin, Jantoven

brand name: atorvastatin

Lipitor

brand name: ezetimibe

Zetia

brand name: fenofibrate

Tricor

brand name: omeprazole

Prilosec

brand name: famotidine

Pepcid

brand name: alendronate

Fosamax

brand name: levothyroxine

Synthroid, Levoxyl

FDA-labeled indications: aspirin

acute coronary syndrome, secondary prevention

FDA-labeled indications: clopidogrel

acute coronary syndrome, secondary prevention

FDA-labeled indications: warfarin

atrial fibrillation, pulmonary embolism, deep vein, thromboembolism

FDA-labeled indications: atorvastatin

hypercholesterolemia, familial hypercholesterolemia, primary & secondary prevention of CV events

FDA-labeled indications: ezetimibe

hypercholesterolemia, familial hypercholesterolemia

FDA-labeled indications: fenofibrate

hypertriglyceridemia, hypercholesterolemia

FDA-labeled indications: omeprazole

gastroesophageal reflux disease (GERD), heartburn, peptic ulcer disease, Zollinger-Ellison syndrome

FDA-labeled indications: famotidine

gastroesophageal reflux disease (GERD), heartburn, peptic ulcer disease

FDA-labeled indications: alendronate

treatment and prevention of osteoporosis, Paget's disease

FDA-labeled indications: levothyroxine

hypothyroidism

drug class: aspirin

antiplatelet

drug class: clopidogrel

antiplatelet

drug class: warfarin

anticoagulant, vitamin K antagonist

drug class: atorvastatin

HMG-CoA reductase inhibitor (statin)

drug class: ezetimibe

absorption inhibitor

drug class: fenofibrate

fibric acid

drug class: famotidine

histamine 2 receptor blocker (H2RA)

drug class: omeprazole

proton pump inhibitor (PPI)

drug class: alendronate

bisphosphonate

drug class: levothyroxine

thyroid supplement

which medications are for blood thinning?

aspirin, clopidogrel, warfarin

which medications are for cholesterol?

atorvastatin, ezetimibe, fenofibrate

which medications are for the stomach?

famotidine, omeprazole

which medications are for osteoporosis?

alendronate

which medications are for the thyroid?

levothyroxine

monitoring parameters for lisinopril

BP, kidney function, serum potassium levels, patient adherence

monitoring parameters for valsartan

BP, kidney function, serum potassium, patient adherence

adverse effects for lisinopril

common: hypotension, hyperkalemia, increased serum creatine

rare: dry cough, angioedema (severe)

adverse effects for valsartan

common: hypotension, hyperkalemia, increased serum creatine

rare: angioedema (severe)

monitoring parameters for hydrochlorothiazide

BP, electrolytes, patient adherence

monitoring parameters for furosemide

BP, electrolytes, patient adherence

monitoring parameters for spironolactone

BP, electrolytes, patient adherence

adverse effects for hydrochlorothiazide

common: electrolyte imbalances, hypotension, phototoxicity, vertigo

rare: gout, acute angle-closure glaucoma, carcinomas

adverse effects of furosemide

common: photosensitivity, hypomagnesemia, tinnitus (constant ringing sound in ear)

rare: acute injury of kidney, electrolyte loss, hearing loss/ototoxicity

adverse effects of spironolactone

common: gynecomastia

rare: hyperkalemia, acute injury of kidney, breast cancer

monitoring parameters for amlodipine

BP, heart rate, patient adherence

monitoring parameters for verapamil

BP, heart rate, patient adherence

monitoring parameters for diltiazem

BP, heart rate, patient adherence

adverse effects of amlodipine

common: peripheral edema

rare: palpitations

adverse effects of verapamil

common: peripheral edema, palpitations, constipation

rare: pulmonary edema, atrioventricular (AV) block, MI

adverse effects of diltiazem

common: peripheral edema, palpitations, constipation

rare: congestive heart failure, AV block, MI

monitoring parameters for atenolol

BP, heart rate, patient adherence

monitoring parameters for metoprolol tartrate

BP, heart rate, patient adherence

monitoring parameters for metoprolol succinate

BP, heart rate, patient adherence

adverse effects of atenolol

fatigue, bradycardia, blunted exercise response, sexual dysfunction

adverse effects of metoprolol succinate

fatigue, bradycardia, blunted exercise response, sexual dysfunction

adverse effects of metoprolol tartrate

fatigue, bradycardia, blunted exercise response, sexual dysfunction

monitoring parameters for warfarin

INR (international normalized ratio; INR should be 2-3)

patient couseling for warfarin

pt should be aware of signs/symptoms of a bleed/thromboembolic event, drug-drug or drug-food interactions (keep vitamin K intake consistent since inconsistency can lower efficacy), importance of regular monitoring

adverse effects of warfarin

rare: atheroemboli, calciphylaxis, decreased bone mineral density (BMD), major hemmorage, gangrene

monitoring parameters for aspirin

monitor signs of a drug reaction with eosinophilla and systemic symptoms (fever, rash, swelling of lymph nodes)

adverse effects of aspirin

GI ulceration/ bleeding, bleeding, hypersensitivity reactions (angioedema, urticaria, anaphylaxis), hemorrhage, tinnitus, bronchospasm

patient counseling for aspirin

pt aware of signs/symptoms of bleeding, caution when using other drugs that may increase bleeding, pt should pay attention to any large /unexplained bruising and blood in urine/stool, pt may be asked to stop taking certain meds in preparation for a procedure

monitoring parameters for clopidogrel

monitor signs of bleeding, check hemoglobin and hematocrit periodically

adverse effects of clopidogrel

common: bleeding, minor hemorrhage

rare: major hemorrhage, hypersensitivity reactions (angioedema, urticaria), thrombotic thrombocytopenic purpura

patient counseling for clopidogrel

pt should pay attention to large/unexplained bruising and to blood in urine/stool, report symptoms of TTP, advise against sudden discontinuation of medication, avoid omeprazole/esomeprazole

monitoring parameters for atorvastatin

routine lipid panels (LDL, HDL, triglycerides, & total cholesterol), liver function tests (LFTs), patient adherence