21 träffar

DrugLong-acting dihydropyridine calcium channel blocker
Amlodipine

…Long-acting dihydropyridine calcium channel blocker A cornerstone drug for hypertension and stable angina, and the easiest calcium channel blocker to use: once-daily dosing…

DrugNon-selective COX inhibitor, propionic acid derivative
Ibuprofen

…an advantage: the drug suits as-needed use and can be discontinued with rapid recovery of renal function and platelet function. The short duration is…

DrugSGLT2 inhibitor
Empagliflozin

…20 in EMPA-KIDNEY. The glucose-lowering effect diminishes as eGFR falls, but the cardiorenal effect persists — which is the entire point of the drug.

Drugα- and β-agonist
Adrenaline

…α- and β-agonist The only drug that reverses all components of anaphylaxis, and the cornerstone of cardiac arrest treatment. The most clinically dangerous property…

DrugSelective If-channel inhibitor in the sinus node
Ivabradine

…channel inhibitor in the sinus node The only drug that reduces heart rate without affecting contractility, blood pressure, or conduction — it inhibits the funny current…

DrugNon-selective α-adrenergic blocker
Phentolamine

…selective alpha-blocker with onset within minutes and duration under half an hour. A niche drug: catecholamine-induced hypertensive crisis — phaeochromocytoma, cocaine and amphetamine intoxication…

DrugXanthine oxidase inhibitor
Allopurinol

…and the first months require flare prophylaxis because falling urate levels themselves trigger attacks. Two features make this drug dangerous: the hypersensitivity syndrome and the…

DrugMuscarinic receptor antagonist (vagolytic)
Atropine

…which is the entire explanation for why the drug is ineffective in infranodal block. The effect comes within one minute and fades over an hour…

DrugDirect thrombin inhibitor (factor IIa)
Dabigatran

…80 % of absorbed drug is eliminated renally, so renal function governs treatment entirely. Dyspepsia affects one in ten patients and is the most common reason…

DrugClass IC antiarrhythmic
Flecainide

…in structurally normal hearts. The CAST trial showed increased mortality after myocardial infarction — that boundary remains the most important fact in the drug's history.

DrugHigh-potency first-generation antipsychotic (butyrophenone)
Haloperidol

…and minimal anticholinergic burden. The drug has two entirely different dosing worlds: a few milligrams in acute psychotic agitation in younger patients, and tenths of…

DrugDirect-acting arteriolar vasodilator
Hydralazine

…arteriolar vasodilator with no effect on the venous circulation. The rapid afterload reduction triggers reflex sympathetic activation, making the drug unsuitable as first-line treatment…

DrugNon-selective β₁- and β₂-agonist without alpha effect
Isoprenaline

…blood pressure fall, so the drug raises rate but not pressure. Used where rate itself is the problem: bradycardia while awaiting pacing, bradycardia-dependent torsades…

DrugTricyclic antidepressant
Amitriptyline

…sodium-channel-mediated modulation, not on antidepressant action. What limits treatment is anticholinergic side effects, and what makes the drug dangerous is cardiotoxicity in overdose.

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

…maintenance-and-reliever therapy in the same inhaler. The two regimens must never be confused — this is the most common prescribing error with this drug.

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.

DrugSGLT2 inhibitor
Dapagliflozin

…with albuminuria, with or without diabetes. The dose is the same — 10 mg once daily — for all indications, making this drug unusually straightforward to manage.

DrugSynthetic vasopressin analogue (V2 agonist)
Desmopressin

…Selectivity for the V2 receptor means it lacks the vasoconstrictive effect of vasopressin. The danger is not the drug itself but the fluid the patient…

DrugSelective cholesterol absorption inhibitor
Ezetimibe

…placebo. IMPROVE-IT showed that the additional LDL lowering also translates into fewer cardiovascular events, making ezetimibe the first non-statin drug with outcome data.

DrugPancreatic hormone, glycogenolytic agent and inotrope
Glucagon

…entirely different drugs in the same ampoule. In severe hypoglycaemia, 1 mg intramuscularly is the treatment that a family member can give when the patient…

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.