Please enable JavaScript.
Coggle requires JavaScript to display documents.
DRUGS USED IN IHD - Coggle Diagram
DRUGS USED IN IHD
ANTI ANGINAL DRUGS
ORGANIC NITRATES
DRUGS
NITROGLYCERIN
ISOSORBIDE DINITRATE
AMYL NITRATE
ISOSORBINE MONONITRATE
MOA
RELEASE NITRATE ION
NO
HYDROPHOBIC GAS
HAS SHORT 1/2 LIFE
FR BLOOD --> NEIGHBOURING SMC
INSIDE SMC : ....
NO ACTIVATES GUANYL CYCLAS
converts GTP --> cGMP
1 more item...
ADVERSE EFFECTS
REFLEX TACHYCARDIA
RAPID TOLERANCE W/ CHRONIC USE
SYNCOPE
WITHDRAWAL ANGINA IF STOP TAKING
DIZZINESS
METHEMOGLOBINEMIA
POSTURAL HYPOTENSION
FLUSHING
CONTRAINDICATIONS
in RV infarction
In vol depletion // severe stenosis
In hypertonic obstructive cardiomyopathy
Cant w/ SILDENAFIL
PRECAUTIONS
PLACE IN TIGHT CONTAINER
LIE DOWN IF SYNCOPE
SIT WHILE TAKING DRUG
REMOVE TABLET ONCE RELIEF
NITRATE FREE PERIOD 8H/DAY
DONT STOP SUDDENLY
PREPARATIONS
NG & ID
1ST pass effect
TRANSDERMAL PATCH
CHF
LONG TERM PROPHYLAXIS
IV INFUSION
AHF
UNSTABLE ANGINA
SUBLINGUAL TABLET / SPRAY
ACUTE ATTACK
IMMEDIATE PROPHYLAXIS
IM
No 1ST pass effect
has higher bioavailability
CALCIUM CHANNEL BLOCKERS
MOA
DRUGS ENTER BLOODSTREAM
BIND TO SPECIFIC SITES ON A-1 SUBUNIT OF Ca CHANNEL
BLOCK VOLTAGE SENSITIVE L-TYPE CHANNEL
CAUSE :-
PREVENT Ca2+ FR ENTER SMC
NO EXCITATION COUPLING RX
3 more items...
CONTAINDICATIONS
BRADYCARDIA
ATRIOVENTRICULAR BLOCK
HEART FAILURE
INDICATIONS
ANGINA PECTORIS
SUPRAVENTRICULAR ARRYTHMIAS
DECREASE BP
MIGRAINE
DIHYDROPHYRIDINES
DRUGS
NIFEDIPINE
FELODIPINE
NICARDIPINE
AMLODIPINE
ADVERSE EFFECTS
FLUSHING
ANKLE EDEMA
HEADACHE
DIZZINESS
TINNITUS
HYPOTENSION
REFLEX TACHYCARDIA --> WORSEN ANGINA
NON-DIHYDROPHYRIDINES
DRUGS
DILTIAZEM
VERAPAMIL
ADVERSE EFFECTS
BRADYCARDIA
HEART FAILURE
HYPOTENSION
CONSTIPATION -- Verapamil
HEART BLOCK
PK & PD OF DRUGS
RAPID ONSET OF ACTION
WELL ABSORBED VIA GIT
EXCRETED RENALLY
METABOLISED BY LIVER
HIGHLY BOUND TO PLASMA PROTEIN
BETA BLOCKERS
DRUGS
METOPROLOL
PROPRANOLOL
TIMOLOL
ATENOLOL
OTHERS
DRUGS
IVABRIDINE
TRIMETAZIDINE
MECHANISM
DECREASE O2 DEMAND
DECREASE HR & CONTRACTILITY
LOW BP
INHIBIT LIPOLYSIS
DECREASE FA UTILIZATION
INCREASE O2 SUPPLY
INCREASE CORONARY FILLING IN DIASTOLE
REDISTRIBUTION OF CORONARY FLOW
MANAGEMENT OF IHD
DRUGS DECREASING ATHEROSCLEROSIS
ANTI-ANGINAL DRUGS
REVASCULARIZATION & ANGIOPLASTY
CHANGE LIFESETYLE
MANAGEMENT OF ACS
DRUGS DECREASING RISK OF ISCHAEMIC ATTACKS
ANTIPLATELETS
ASPIRIN
CLOPIDOGREL
HYPOLIPIDEMIC AGENTS
STATINS
ATHEROSCLEROSIS
BLOCK LUMEN OF CORONARY ARTERY
LESS O2 DELIVER TO MYOCYTES
ANGINA PECTORIS
NEED MEDICATION [ANTI-ANGINAL DRUGS]
TO :-
DECREASE WORKLOAD OF HEART
INCREASE O2 SUPPLY