30 träffar

DrugIndirect thrombin and factor Xa inhibitor via antithrombin
Heparin (unfractionated)

…short notice. The disadvantages are continuous infusion, an unpredictable dose–response relationship due to binding to plasma proteins, and the risk of heparin-induced thrombocytopenia.

DrugACE inhibitor
Enalapril

…Reduces mortality in heart failure with reduced ejection fraction — the effect is dose-dependent, and underdosing is more often than adverse effects the reason for…

DrugDirect factor Xa inhibitor
Apixaban

…inhibitor with fixed dosing and no routine monitoring. Lower risk of intracranial haemorrhage than warfarin — but the short half-life means a missed dose has…

DrugThiazide diuretic
Bendroflumethiazide

…in the distal tubule and is the most commonly used thiazide diuretic for hypertension. The key point is that the dose–response curve for blood…

DrugSynthetic catecholamine, β₁-agonist (inotropy)
Dobutamine

…the problem is the pump and not vascular tone. Strong β₁ effect with marked β₂ effect means that stroke volume increases while systemic vascular resistance…

DrugSelective cholesterol absorption inhibitor
Ezetimibe

…inhibitor Inhibits intestinal cholesterol uptake via NPC1L1 and reduces LDL by an additional 20–25 % on top of a statin, independently of the statin dose…

DrugLow molecular weight heparin
Dalteparin

…heparin, dalteparin is eliminated renally, so at eGFR below 30 ml/min the effect accumulates and the dose must be adjusted or the drug changed.

DrugNature-identical glucocorticoid with mineralocorticoid effect
Hydrocortisone

…duration allows the daily dose to be distributed to mimic the physiological cortisol pattern. Keep the three dose levels distinct: substitution, stress dose, and crisis.

DrugLong-acting dihydropyridine calcium channel blocker
Amlodipine

…Unlike verapamil and diltiazem, amlodipine has no clinically significant negative inotropic effect and can therefore be used in heart failure with reduced ejection fraction when…

DrugRecombinant tissue plasminogen activator (rt-PA)
Alteplase

…mg — and confusing them is the most common serious error. The short half-life means the effect cannot be reversed once the dose is given…

DrugNatural penicillin for parenteral use
Benzylpenicillin

…Time-dependent killing means that the dosing interval matters more than the size of any individual dose — four doses are preferable to two large ones.

DrugSecond-generation H₁-antihistamine
Cetirizine

…entirely free of sedation: a distinct minority of patients become drowsy, and this should be asked about in professional drivers. Renal function governs the dose.

DrugSGLT2 inhibitor
Dapagliflozin

…and DAPA-CKD demonstrated slowed renal function decline and reduced mortality in chronic kidney disease with albuminuria, with or without diabetes. The dose is the…

DrugLong-acting benzodiazepine with active metabolite
Diazepam

…Diazepam Renaudin Long-acting benzodiazepine with active metabolite The benzodiazepine with two faces. As a single dose in seizures it is fast and reliable — high…

DrugSelective serotonin reuptake inhibitor (SSRI)
Escitalopram

…SSRIs and one of the best tolerated for depression and generalised anxiety disorder. What governs dosing is not efficacy but the heart: a dose-dependent…

DrugLoop diuretic
Furosemide

…The dose–response relationship is a threshold curve, not a line: below the threshold nothing happens, and in renal failure the threshold dose must be…

DrugNon-selective COX inhibitor, propionic acid derivative
Ibuprofen

…and the one with the least cardiovascular risk at a low dose. A short half-life of around 2 hours means the effect arrives and…

DrugLong-acting basal insulin
Insulin glargine

…covers the basal insulin requirement between meals and overnight, with a largely flat profile over 24 hours and therefore a lower risk of nocturnal hypoglycaemia…

DrugNMDA-receptor antagonist, dissociative anaesthetic
Ketamine

…never a guarantee. The key practical distinction is between the three dose levels: analgesia, procedural sedation, and induction are different drugs in the same ampoule.

DrugXanthine oxidase inhibitor
Allopurinol

…gout, with the goal of titrating upward until serum urate is stably below 360 μmol/l — not setting a fixed dose and leaving it…

DrugInhaled corticosteroid in fixed combination with long-acting β₂-agonist
Budesonide/formoterol

…maintenance and as reliever therapy. The product can therefore be prescribed in two entirely different ways: as a fixed dose morning and evening with a…

DrugGabapentinoid, ligand to the α2δ subunit of voltage-gated calcium channels
Gabapentin

…with a critical difference in kinetics: absorption occurs via a saturable amino acid transporter in the gut, so bioavailability falls as the dose rises and…

DrugIrreversible COX-1 inhibitor
Acetylsalicylic acid

…for their entire lifespan. This is why a low once-daily dose is sufficient, and why the effect persists for 7–10 days after discontinuation.

DrugHigh-potency glucocorticoid with long duration
Betamethasone

…allows a child with croup or a patient with an allergic reaction to receive a full steroid dose without an injection, and the long biological…

DrugHighly selective β₁-blocker
Bisoprolol

…of the routinely used beta-blockers, with documented mortality benefit in heart failure from CIBIS-II. Bioavailability is close to 90 % and elimination is equally…

DrugAngiotensin II receptor blocker (ARB)
Candesartan

…and the first choice when an ACE inhibitor must be switched due to cough. The target dose in heart failure is 32 mg — four times…

DrugHigh-potency first-generation antipsychotic (butyrophenone)
Haloperidol

…butyrophenone) The most widely used dopamine antagonist in acute agitation and delirium in Swedish emergency departments and wards, with rapid onset and minimal anticholinergic burden…

DrugRapid-acting insulin analogue
Insulin aspart

…and simultaneously the insulin used for intravenous infusion in diabetic ketoacidosis and hyperosmolar hyperglycaemic state. Subcutaneously it has an onset within 10–20 minutes and…

DrugVascular-selective dihydropyridine calcium channel blocker
Felodipine

…and no clinically significant negative inotropy, making it combinable with beta-blockers. The price of pure vasodilatation is dependent oedema, which is dose-related and…

DrugElectrolyte concentrate for potassium replacement
Potassium chloride

…not daily dose, is what determines safety: peripherally 10 mmol per hour, in a central vein up to 20 mmol per hour, and at most…