|
Therapy
|
Explanation
|
Example |
Adverse
Effects
|
|
DIURETICS
|
Increase
production and secretion of urine hence remove Na+ ions leading to lower
pressure on the arteries
|
Cyclothiazide
Bumetanide
|
Fluid
depletion
Electrolytic
imbalance (K+ supplement given to compensate)
|
|
SYMPATHOLYTICS
|
|
|
|
|
Beta
Blockers
|
Slows
heart rate
|
Acebutolol
Metoprolol
Timolol
etc.
|
Bronchoconstriction
in asthmatics
|
|
Alpha
Blockers
|
Inhibit
release of norepinephrine hence decreases heart excitation
|
Doxazosin
Prazosin
|
May
cause hypotension
|
|
Presynaptic
Adrenergic Neurotransmitters Depletors
|
Inhibit
release of norepinephrine hence decreases heart excitation
|
Guanadrel
Reserpine
|
May
cause hypotension
GI
disturbance
|
|
Centrally
Acting Drugs
|
Inhibit
release of sympathetic neurotransmitters
|
Clonidine
Methyldopa
|
Minor:
Dry mouth, dizziness
|
|
Ganglionic
Blockers
|
Block
synaptic transmission at autonomic ganglia.
They are nicotinic cholinergic antagonists
|
Mecamylamine
Trimethaphan
|
Multiple
side effects: GI discomfort, hypotension
|
|
VASODILATORS
|
Dilate
the peripheral vasculature, inhibit smooth muscle contraction
|
Diazoxide
Minoxidil
|
Increased
heart rate, dizziness, hypotension, weakness, headaches,
increases hair growth (Rogaine)
|
|
ANGIOTENSIN
CONVERTING ENZYME INHIBITORS
|
Inhibits
enzyme that coverts Angiotensin to Angiotensin II
|
Benazepril
Captopril
|
Well
tolerated: allergic reaction may occur, GI discomfort
|
|
CALCIUM
CHANNEL BLOCKERS
|
Block
entry of Ca2+ ions into smooth muscles hence inhibits contractile
process
|
Diltiazem
Felodipine
|
May
cause excessive vasodialation, hypotension, dizziness etc.
|