PainExam Blog

A Place for Board Certified and Board Eligible Pain Management Anesthesiologists to share concerns and important topics relevant to the Practice of Pain.

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Antidepressants

AntidepressantsClassification1. Reversible inhibitors of MAO-A (RIMAs) Moclobemide, clorgyline 2. Tricyclic antidepressants (TCAs) NA + 5-HT reuptake inhibitors: Imipramine, Amitriptylline, Trimipramine, Doxepin, Dothiepin, ClomipraminePredominantly NA reuptake inhibitors: Desipramine, Nortriptylline, Amoxapine, Reboxetine 3. Selective serotonin reuptake inhibitors (SSRIs) Fluoxetine, fluvoxamine, Paroxetine, Sertraline,...
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Antihypertensives

Antihypertensives Anti hypertensive drugs Most cases of hypertension are idiopathic, also called “primary’’ or “essential” hypertension. The strategies for treating it are based on the determinants of arterial pressure. These include reductions of blood volume, sympathetic effects, vascular smooth muscle tension...
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Calcium channel blockers

Calcium channel blockers Classification Verapamil – a phenyl alkylamine, hydrophilic papaverine derivativeNifedipine – a dihydropyridine (lipophillic)Diltiazem -  hydrophilic benzothiazepine  The dihydropyridines (DHPs) are the most potent Ca2+ channel blockers. Voltage sensitive calcium channels    L type (long lasting current) T type...
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Anti-anginal drugs

Antianginal drugs Classification  1.       Nitrates a.       Short acting : Glyceryl trinitrate (GTN, Nitroglycerine) b.      Long acting: Isosorbide dintrate (short acting by sublingual nitrate), Isosorbide mononitrate, Erythrityl tetranitrate, Pentaerythritol tetranitrate 2.       β blockers: Propanolol, Metoprolol, Atenolol and others 3.       calcium channel...
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