Drugs of Cardiovascular system Section no : 3 Supervisor : DR. Mayada Done by: نور احمد صالح اسماء احمد جبير االء خليل اسعد رنا توفيق ريان اسيل هاشم أيوبي 0095008 0094955 0094957 0095973 0091324 ACE-Inhibitors : used in the management of Hypertension and CHF Generic name Trade name Drug Contraindications and Side effects store/Producer Captopril Capoten طنوس/ 1. Hypersensitinity to any of these drugs or to Bristol Myers any component of the formulation. 2. Angioedema related to previous treatment دار الدواء Capocard with an ACE inhibitor. دار الدواء Captopriland Capocardplus 3. Primary hyperaldosteronism. hydrochlorothiazide 4. Pregnancy Enalapril Renitec اداتكو/ MSD B. V Enalapril with hydrochlorothiazide Vasopril Lapril Angiotec Ace-press Angiozide Co-Renitec الرام الشرق االوسط االردنية االردنية السويدية االردنية اداتكو/ Siberian محمد زريقات/ MSD B. V Side effects: Itching Protein in the urine Skin flushing Increased heart rate (tachycardia) Chest pain Heart palpitations Jamieson Fosinopril Imidapril Lisinopril Sinotic Tanatril Lisopril المتحدة الحكمة الحياة Linopril الدولية Angiotensin 2 : used in the management of Hypertension, CHF, selected case of diabetic neuropathy associated with DM type 2 Generic name Trade name Drug Contraindications and Side effects store/Producer Cadesartan 1. Hypersensitivity to any of these druge or any Atacand شاوي ورشيدات/ AstraZeneca Candesartan and hydrochlorothiazide Eprosartan Atacand plus شاوي ورشيدات/ AstraZeneca Blopress16 plus Blo-press 8 plus Teveten العربية العربية خريم/ Solvay pharmaceutical Eprosartan and hydrochlorothiazide Teveten plus Irbesartan Aprovel خريم/ Solvay pharmaceutical االلفة/ Sanofi-Aventis Losartan Valsartan Azarten Arbiten الحياة االردنية السويدية Anti ischematicagents , used in the management of Angina. component of the formulation. 2. Hypersensitivity to all other A-II receptor antagonists. 3. Pregnancy Side effects: unexplained skin rash Itching Difficulty in breathing or swallowing Dizziness, light-headedness. Generic name Trade name Trimetazidine Vastarel Drug store/Producer مستودع االدوية االردني Contraindications and Side effects Side effects: Gastrointestinal disturbances, vomiting, nausea. Anti arrhythmic : used in the management of Tachyarrhythmia and VF Generic name Trade name Lidocaine LidocaineHCl Amiodorone Cordarone Drug store/Producer العربية االلفة/ Sanofi-Aventis Contraindications and Side effects 1. Hypersensitivity to these drugs or any component of the formulation. 2. In sever degree of Heart Block Side effects of amiodarone: Deposits on the cornea of the eyes Sensitizes the skin to sunlight Thyroid disorders, both hypothyroidism (low thyroid) and hyperthyroidism (high thyroid.). liver toxicity Anti hemorrhagic : used in the management of capillary hemorrhage including Hemorrhoids. Generic name Trade name Etamsylate Dicynone Drug store/Producer مستودع االدوية العربي/ Lidocaine Proctolar المركز العربي/ OM pharma Contraindications and Side effects ---------------------------------------------------------------- Arab Center for pharmaceuticals & Chemicals Proctoheal Protoglyvenol دار الدواء النابلسي/ Novartis Consumer health Herbal remedy Neohealar العربية Anti thrombotic and platelet aggregation inhibitor agents : used to prevent thrombotic attacks in susceptible patients including DVT, Pulmonary embolism, Generic name Trade name Drug Contraindications and Side effects store/Producer Tinzaparin شركة العرب للصناعات1. Hypersensitivity any of these agents. Innohep الطبية والغذائية/ 2. History of heparin or dalteparin- induced LEO Phar. thrombocytopenia Products Dalteparin Fragmin prefilled syringe الخوري/ Pharmacia Side effects: Clopidogrel hydrogen sulphate Clovex Plavix االردنية السويدية االلفة/ Sanofi-Aventis Platil Dipyramidole Antiplate Acetylsalisyclic acid Aspirin الدولية الشركة العربية للصناعات الدوائية والزراعية الخوري/ Unusual headaches, dizziness, or weakness, which may be signs of bleeding in the brain Unusual bruising (bruises that develop without known cause or grow in size) Blood in the urine and the stool. Bleeding gums Bleeding from cuts that takes a long time to stop Coughing up blood. Bayer Health care Salisal المتحدة Anti varicose agents : used in the management of Varicose veins and Hematoma Generic name Trade name Drug Contraindications and Side effects store/Producer Heparin Lioton الشرق/ Side effects: A.Menarini International Heparin and allantoin Contractubexgel Heparinoid Lasonil جرش/ Merz pharmaceuticals Mild pain Redness Mild itching of the feet and bluish-colored skin. الخوري/ Bayer Health care Hirudoid الكرمل/ Sankyo-Pharma B-blockers : used in the management of Hypertension , Angina, HF and cardiac arrhythmia Generic name Trade name Drug Contraindications and Side effects store/Producer Nebivolol HCL Nebilet الشرق/ 1. Hypersensitivity to any of these drugs A.Menarini 2. Undercompensated heart failure International 3. Pregnancy and lactation. Atenolol الحكمة Hypoten 4. Non-selective blocker( Propranolol) is not الرام Loten used with asthmatic patients or in case of Tenormin الشاوي ورشيدات/ COPD. AstraZeneca Atelol Bisoprolol Cardiosafe B-cor Bisoprol Con-Cor العربية االردنية االردنية السويدية المتحدة النابلسي/ Merck Carvidilol Cardilol Dilatrend الحكمة شاوي ورشيدات/ Roche Metoprolol Betalock شاوي ورشيدات/ Propranolol Inderal شاوي ورشيدات/ AstraZeneca Side effects: Dizziness, lightheadedness, or fainting spells Cold, tingling, or numbness in the hands or feet Worsening of asthma Worsening of heart failure Confusion An irregular heartbeat (arrhythmia) AstraZeneca Indicardin Atensin العربية الهالل/ Medochemie CCB : used in the management of hypertension and Angina ( reversible vasospasm ) Generic name Trade name Drug Contraindications and Side effects store/Producer Amlodipine الحكمة Vascor Amlodar Hypodipine Norvasc دار الدواء الشرق االوسط الصباغ/ Hypersensitivity to any of these agents. Pfizer Lowvasc Diltiazem Bi-tildiem المتطورة االلفة/ Sanofi-Aventis Monotildiem االلفة/ Sanofi-Aventis Dilzem الدوجاني/ Pfizer Felodipine Corzem Plendil Nefidipine Adalat المتحدة شاوي ورشيدات/ AstraZeneca الخوري/ Bayer Health care Verapamil Isoptin السختيان/ Abbott Diuretics : relive Edema and used in combination with other drugs in the management of Hypertension. Generic name Trade name Drug Contraindications and Side effects store/Producer Furosemide Lasix االلفة/ 1. Hypersensitivity to any of these agents. Sanofi-Aventis 2. In sever electrolyte depletion until the case العربية Diusemide is corrected. دار الدواء Amiloride and Amuretic hydrochlorothiazide Uniretic المتحدة Side effects: Spironolactone Aldactone الصباغ/ Headache and dizziness Pfizer Spironolactone and hydrochlorothizide Hydrochlorothiazide Chlortadilone and atenolol Norcatone Aldactide االردنية الصباغ/ Pharmacia Monozide Modrex Hyporetic Tenoretic االردنية المتحدة الحكمة شاوي ورشيدات/ AstraZeneca Increased blood sugar (hyperglycemia). Low blood pressure Some agents results in sensitization of skin. Vaso-protective and capillary stabilizing agent : used in the management of hemorrhoids. Generic name Trade name Drug Contraindications and Side effects store/Producer Diosmin and Diovenor الجودة/ flavonoid expressed Innotech ---------------------------------------------------------------in hesperidin مستودع االدوية Daflon االردني/ Les Laboratories Servier Rutoside Venoruton النابلسي/ Novartis Consumer Health Vasodilators : used in the management of Angina and vascular occlusive disorders. Generic name Trade name Drug Contraindications and Side effects store/Producer Naftidrofuryl Praxilene النابلسي/ 1. Hypersensitivity to any of these agents. Merck 2. Avoid the concurrent use of Pentoxifyllin الدولية Pentyllin isosorbidedinitrate with sildenafil. طنوس/ Isosorbidedinitrate Isoket Schwarz Side effects of isosorbidedinitrate: Dizziness Flushing of the face and neck Headache Nausea and vomiting. severe allergic reactions Lipid modifying agents : used in the management of Dyslipidemia Generic name Trade name Drug Contraindications and Side effects store/Producer Fibrates 1. Hypersensitivity to any of these agents. 2. Breast feeding and pregnancy. Gemfibrozil Lopid الدوجاني/ Pfizer Low lip HMG-CoA inhibitors Atorvastatin Zocor المتحدة اداتكو/ MSD B. V Atorvast Vastor Lipodar Lipitor االردنية السويدية الحكمة دار الدواء الدوجاني/ Caduet الصباغ/ Aditor Tulip المتطورةللصناعةالدوائية النابلسي/ Pfizer Pfizer Sandoz GmbH Rosuvastatin Crestor Simvastatin Simvatin Lipomid Sivacor Simver الشاوي ورشيدات/ AstraZeneca Anti hypertensive agents Generic name Trade name Methyldopa Moxonidine Dopanore Physioten الدولية الشرق االوسط المتطورة نهر االردن Drug store/Producer االردنية خريم/ Solvay pharmaceutical. Alpha-blocker Doxazosin Alpha press الشرق االوسط Contraindications and Side effects Hypersensitivity to any of these agents. Side effects of Methyl dopa: Dizziness Drowsiness Dry mouth Headache Severe allergic reactions Weight gain Yellowing of the skin or eyes Cardiac stimulants and cardiac glycosides : used in the management of CHF Generic name Trade name Drug Contraindications and Side effects store/Producer Digoxin Lanoxin سليمان طنوس/ 1. Hypersensitivity to any of these agents. GlaxoSmithKline 2. Avoid using digoxin in case of history of Cardiac stimulants toxicity. Dopamine Dopamine HCl المنى – الهالل/ DEMO S.A Milrinone Primalon الحكمة Side effects of Digoxin: Elevations of Digoxin levels can also be associated with visual hallucinations, blurred vision, and nausea.