Antihypertensive Medications and Side Effects

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25 Questions

What is a potential severe side effect of reserpine that led to its decline in use as an antihypertensive?

Severe depression that may lead to suicide

What is a contraindication associated with the use of reserpine?

Not specified

What is a common side effect of reserpine that can also be a symptom of depression?

Fatigue

Why is reserpine no longer commonly used as an antihypertensive?

Due to its severe depressive effects

What are two common side effects of reserpine?

Fatigue and insomnia

What is the primary indication of the medication?

Treatment of myasthenia gravis

What is the advantage of the oral formulation of the medication?

It has a longer duration of action with fewer side effects

What is the recommended oral dosing frequency of the medication?

60 mg four times daily

What is an alternative formulation of the medication?

Sustained release tablet

What is the daily oral dose of the medication?

240 mg or 60 mg four times daily

What is the primary concern when dealing with multiple constituents in a pharmaceutical preparation?

Ensuring the preparation's stability and potency

What can occur between constituents in a pharmaceutical preparation that may affect its quality?

Incompatibility

Why is it essential to consider the potential interactions between constituents in a pharmaceutical preparation?

To ensure the preparation's efficacy

What is the primary consequence of incompatibility between constituents in a pharmaceutical preparation?

Loss of stability and potency

What must be taken into account when combining multiple constituents in a pharmaceutical preparation?

The potential incompatibility between constituents

Which of the following is a characteristic of compounds transported through this mechanism?

It is selective

What is the direction of the concentration gradient in this mechanism?

Against the concentration gradient

Which of the following is required for this mechanism to occur?

Both a carrier and energy

What does Figure 3:6 signify?

Conc time profile of different routes of the same drug and dose

What is the process described in point 4?

Rate of elimination of the drug

What is the primary function of the carrier protein in this mechanism?

To bind and transport the compound

What is the characteristic that distinguishes this mechanism from other transport mechanisms?

It is a selective process

What is the process of getting the drug into the bloodstream called?

Absorption of the drug

What is the term for the movement of the drug from the bloodstream to the site of action?

Distribution of the drug

What is the term for the process by which the drug is broken down?

Metabolism of the drug

Study Notes

Reserpine

  • May cause severe depression that can lead to suicide, which is why it's no longer commonly used as an antihypertensive.
  • Side effects include orthostatic hypotension, weakness, fatigue, and insomnia.

Contraindications

  • No specific contraindications mentioned, but its use is limited due to its side effects.

Uses of Reserpine

  • Mainly used to treat myasthenia gravis.
  • Administered orally in a dose of 60mg, 4 times a day, or in a sustained-release tablet format, which has a longer duration and fewer side effects.

Drug Incompatibility

  • Pharmaceutical preparations may involve incompatibility between constituents, affecting the preparation's stability and potency.
  • Important to consider these interactions when preparing medications.

Characteristics of a Mechanism

  • Requires a carrier.
  • Requires energy.
  • Works against concentration gradient.
  • Is selective.
  • Transports compounds with high molecular weight.

Pharmacokinetics

  • Figure 3:6 shows a concentration-time profile of different routes of administration of the same drug and dose.
  • Important factors to consider in pharmacokinetics include:
    • Distribution of the drug in the body.
    • Rate of elimination of the drug.

This quiz covers the side effects and contraindications of antihypertensive medications, including reserpine.

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