|
SPECIFIC
INDICATIONS |
SPECIFIC
CONTRAINDICATIONS |
SIDE
EFFECTS
(ADVERSE&
BENEFICIAL) |
| Alpha-1-blockers |
-
men with
symptomatic prostatism
|
|
-
lower
LDL cholesterol
-
raise
HDL cholesterol
-
improve
insulin sensitivity
-
dizziness,
weakness
-
headache
|
| ACE
inhibitors |
-
chronic
renal failure (diabetic nephropathy)
-
congestive
heart failure
-
diabetes
mellitus
-
LVH
-
post-infarction
|
-
hyperkalemia
or patients with reduced renal function who may develop hyperkalemia
-
pregnancy
|
-
few toxic
side effects other than dry cough
-
glucose
utilization enhanced
-
regress
LVH
|
| Angiotensin
II receptor antagonists |
|
|
|
| Beta-blockers |
-
resting
tachycardia
-
migraine
headaches
-
glaucoma
-
previous
infarction/angina
|
-
asthma
and COPD
-
peripheral
vascular disease
-
Raynaud's
phenomenon
-
depression
-
bradycardia,
heart block
-
hypoglycemia-prone
diabetes
-
must
not discontinue abruptly in patients with heart ischemia
|
-
elevation
of plasma glucose
-
increased
insulin resistance
-
reduced
HDL cholesterol
-
elevated
triglycerides
-
fatigue,
depression
-
decreased
exercise capacity
|
| Calcium
channel blockers |
-
older
or low plasma renin patients (no compliance with dietary sodium restriction)
-
patients
on NSAID's
-
black
patients
-
angina
pectoris
-
supraventricular
tachycardia
|
-
heart
block
-
congestive
heart failure (& systolic dysfunction)
-
short-acting
calcium channel blockers
|
-
dihydropyridines
activate sympathetic nervous system and renin-angiotensin
-
increase
sodium excretion
-
dizziness,
headache, flushing
-
peripheral
edema
-
decreased
cardiac contractility, reduced cardiac conduction, and constipation (verapamil)
|
| Thiazide
diuretics |
-
black
patients
-
edema
-
congestive
heart failure
-
nephrolithiasis
|
-
gout
-
cardiac
arrhythmias
-
diabetics
-
sexual
dysfunction
|
-
hypokalemia
-
hyperuricemia
-
mild cholesterol
elevation
-
mild glucose
elevation
-
hyperinsulinemia
|