Archive

Posts Tagged ‘Cardiac’

Beta Blockers (Systemic)

June 13th, 2009

Beta Blockers are used to treat hypertension, heart failure, and heart rhythm disturbances. Beta blockers have been shown to be effective at reducing the risk of heart attack and reduces the risk of death in patients with heart failure.

Medication Name Generic Available Discount Programs
Acebutolol (Sectral) Yes
Atenolol (Tenormin) Yes Walmart |  Target |  Kroger | KMart
Carvedilol (Coreg) Yes Walmart |  Target |  Kroger
Carvedilol Extended Release  (Coreg CR) No The Carvedilol ER patent expires in 2015
Esmolol  (Brevibloc) Yes
Metoprolol Succinate (Toprol XL) Yes
Metoprolol Tartrate (Lopressor) Yes Walmart |  Target |  Kroger |  KMart
Pindolol (Visken) Yes Walmart |  Target |  Kroger | KMart
Propranolol Extended Release  (InnoPran XL) No The InnoPran Patent expires in 2022
Propranolol (Inderal) Yes Walmart |  Target |  Kroger |  KMart
Sotalol (Betapace) Yes Walmart |  Target |  Kroger
Timolol (Blocadren) Yes


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Calcium Channel Blockers

May 22nd, 2009

Calcium Channel Blockers are used to treat hypertension and heart rhythm disturbances.

Calcium channel blockers inhibit the voltage-gated calcium channels (VGCCs) of cardiac and vascular smooth muscle.  This reduces cardiac contractility and vascular smooth muscle tone.  These two actions result in a decreased blood pressure.

Medication Name Generic Available Discount Programs
Amlodipine  (Norvasc,
Lotrel**, Caduet**)
Yes
Diltiazem (Cardizem,
Tiazac)
Yes Walmart | Target | Kroger | KMart
Isradipine (Dynacirc) Yes
Nicardipine (Cardene) Yes KMart
Nifedipine (Adalat) Yes
Nisoldipine (Sular) Yes
Verapamil (Isoptin,
Tarka*, Covera-HS,
Verelan PM)
Yes Walmart | Target | Kroger | KMart

*Also contains Trandolapril
**Also contains Benazepril
***Also includes Atorvastatin

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ACE-Is (Angiotensin Converting Enzyme Inhibitors)

May 21st, 2009

ACE-Is (Angiotensin Converting Enzyme Inhibitors) are used to treat hypertension and congestive heart failure.  ACE-Is have been shown to reduce the risk of death in patients with CHF.

Medication Name Generic Available Discount Programs
Benazepril (Lotensin,
Lotensin HCT*,
Lotrel****)
Yes Walmart |  Target |  Kroger | KMart
Captopril (Capoten,
Capozide*)
Yes Walmart |  Target |  Kroger | KMart
Enalapril (Vasotec,
Lexxel***)
Yes Walmart | Target | Kroger | KMart
Fosinopril (Monopril) Yes
Lisonopril (Prinivil,
Zesteril, Prinzide*,
Zestoretic*)
Yes Walmart | Target | Kroger | KMart
Moexipril (Univasc) Yes
Perindopril (Aceon) No The Aceon patent expires in 2009
Ramipril (Altace) No The Altace patent expires in 2012
Trandolapril (Mavik,
Tarka**)
Yes
Quinapril (Accupril) Yes

*Also contains hydrochlorothiazide
** Also contains verapamil
*** Also contains felodipine
**** Also contains amlodipine

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2-Azetidinones (Cholesterol absorption inhibitors)

May 14th, 2009

2-Azetidinones (Cholesterol absorption inhibitors) are used to reduce cholesterol levels.  Ezetimibe is the only 2-Azetidinone on the market.

Ezetimibe is a cholesterol lowering medication that acts by decreasing cholesterol absorption in the small intestine. Ezetimibe binds to the Niemann-Pick C1-Like 1 (NPC1L1) protein on intestinal epithelial cells and hepatocytes, preventing the absorption of dietary cholesterol.  This leads to lower serum cholesterol levels.

Because Ezetimibe works in a way very different than statins. Combining ezetimibe and a statin can result in even lower cholesterol levels than each drug could acheive if taken alone.

Medication Name Generic Available Discount Programs
Ezetimibe (Zetia, Vytorin*) No Patent expires in 2014

*Also contains simvastatin

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Antiplatelet Agents

May 13th, 2009

Antiplatelet agents are a class of pharmaceuticals that decreases platelet aggregation and inhibit thrombus (clot) formation.  Antiplatelet agents are used for the primary and secondary prevention of cerebrovascular and cardiovascular disease.

Antiplatelet agents decrease platelet aggregation by different methods -

  • Aspirin inhibits the COX enzymes, causing decreased production of TXA2
  • Dipyridamole (an Aggrenox component) inhibits platelet phosphodiesterase, which increases PGI2 levels.  PGI2 inhibits TXA2.
  • Clopidogrel (Plavix) inhibits the ADP-dependent activation of the glycoprotein IIb/IIIa complex


Medication Name Generic Available Discount Programs
Aspirin Yes OTC
Clopidogrel (Plavix) No Patent Expires in 2009
Dipyridamole (Persantine, Aggrenox*) Yes
Ticlopidine (Ticlid) Yes

*Also contains aspirin

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