CARDIOMYOPATHY DRUGS

DrugMechanism & site of action
AllopurinolDecreases uric acid production by inhibition of xanthine oxidase
AmiloridePotassium sparing diuretic. Decreases sodium permeability of distal luminal membrane and inhibits sodium / potassium exchange.
AmphotericinAntifungal
BumetanideLoop diuretic (as frusemide)
CaptoprilACE inhibitor. Blocks the formation of angiotensin II which is a powerful vasoconstrictor, so causing arteriolar vasodilation and reducing the peripheral vascular resistance. Lowers blood pressure and reduces the cardiac workload.
CefuroximeBroad spectrum cephalosporin antibiotic
DiamorphineUsed as an analgesic/sedative/cough suppressant
DiazepamTranquiliser
DigoxinInhibits the Na/K ATPase and raises the cardiac intracellular sodium concentration. This interferes with calcium export, increases the cardiac calcium content, and ultimately produces more forceful contractions.
DopamineAct on receptors in heart muscle to increase contractility.
FluconazoleAnti-fungal
FrumilA mixture of frusimide and amiloride designed for out-patient use which achieves better control over potassium excretion.
FrusemideDiuretic, acting on the loop of Henle. Reduces hypertonicity of medulla by inhibiting chloride transport. Promotes potassium losses.
HeparinAnticoagulant which operates by enhancing the action of antithrombin III, which is a natural inhibitor of the clotting process.
ImipenemBroad spectrum antibiotic, effective against both aerobic and anaerobic bacteria
Isosorbide mononitrateOrganic nitrate that is metabolised to nitric oxide. Causes peripheral vasodilation and decreases the workload of heart.
MetoxaloneDiuretic. Acts on distal tubule by inhibiting active transport of Na+
NystatinAntifungal
SpironolactoneInhibits action of aldosterone, casing diuresis by same mechanism as amiloride.
StemetilAntiemetic & tranquiliser
TemazepamTranquiliser
VentolinBronchodilator
Vitamin KCofactor for the hepatic carboxylase enzyme that introduces gamma carboxyglutamate residues and is needed to produce the active clotting factors: prothrombin and factors VII, IX & X. Terminates the action of warfarin and improves blood clotting.
WarfarinSlow acting anticoagulant that can be taken orally. Interferes with the reduction of Vitamin K to its active form, so preventing clotting factor production and inhibiting coagulation.


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