Drug Classification Indications Contraindications
Hypertension
is indicated for the
treatment of
hypertension. It may be
used alone or in
combination with other
antihypertensive agents.
Coronary Artery
Disease
(CAD)
cardiovascular Chronic Stable Angina
agent; calcium channel
Amlodipine indicated for the
blocker; antihypertensiv
e agent symptomatic treatment sensitivity to amlodipine.
of chronic stable angina.
Vasospastic Angina
(Prinzmeta
l's or
Variant
Angina)
indicated for the
treatment of confirmed
or suspected
vasospastic angina. .
Adverse effects Nursing Responsibilities
 Monitor BP for
therapeutic
effectiveness. BP
reduction is greatest
after peak levels of
- dizziness; amlodipine are
- dizziness or achieved 6–9 h
lightheadedness;
following oral doses.
- drowsiness;
- excessive tiredness;  Monitor for S&S
- fainting; of dose-related
- fainting; peripheral or facial
- flushing (feeling of
Amlodipine is warmth); edema that may not
contraindicated in - headache; be accompanied by
patients with known - more frequent or more weight gain; rarely,
severe chest pain;
- rapid heartbeat; severe edema may
- rapid, pounding, or cause
irregular heartbeat; discontinuation of
- stomach pain;
drug.
- swelling of the hands,
feet, ankles, or lower  Monitor BP with
legs; postural
- upset stomach; changes. Report post
ural hypotension.
Monitor more
frequently when
additional
antihypertensives or
diuretics are added.
 Nursing
Drug Classification Indications Contraindications Adverse effects
Responsibilities
-Take apical pulse and BP
before administering
drug. Report to physician
significant changes in rate,
- cold hands and feet; rhythm, or quality of pulse
- constipation; or variations in BP prior to
- depression;
- difficulty breathing or administration.
swallowing; -Monitor BP, HR, and
congestive heart - dizziness; ECG carefully during IV
failure; - dizziness or
low blood pressure; lightheadedness; administration.
pheochromocytoma; - dry mouth; -Expect maximal effect on
problems with - fainting; BP after 1 wk of therapy.
circulation (such as - fainting;
-Take several BP
autonomic nervous system Raynaud's - gas or bloating;
agent; beta-adrenergic For the treatment of syndrome); - heartburn; readings close to the end
Metropolol antagonist hypertension and asthma, bronchitis, - rapid, pounding, or of a 12 h dosing interval
(sympatholytic);antihypertensiv angina pectoris emphysema; irregular heartbeat;
to evaluate adequacy of
e diabetes; - rash or itching;
depression; - runny nose; dosage for patients with
liver or kidney - shortness of breath; hypertension, particularly
disease; - stomach pain; in patients on twice daily
a thyroid disorder; or - swelling of the hands,
Hypersensitivity.. feet, ankles, or lower doses. Some patients
legs; require doses 3 times a
- tiredness; day.
- unusual weight gain;
-Observe hypertensive
- upset stomach;
- vomiting; patients with CHF closely
- wheezing; for impending heart
failure: Dyspnea on
exertion, orthopnea, night
cough, edema, distended
neck veins.
 Drug Classification Indications Contraindications Adverse effects Nursing Responsibilities

Age-related memory
problems. Citicoline
seems to help memory
loss in people aged 50
to 85 years.
Stroke recovery. Headache
Stroke patients who
take citicoline by Slow or fast heartbeat
mouth within 24 hours
of having the kind of
stroke that is caused Nausea or vomiting
by a clot (ischemic
stroke) are more likely
than other ischemic Low blood pressure
stroke patients to have such as faintness or Somazine must not be
Intraneuronal a complete recovery Parasympathetic dizziness administered along with
Citicoline communication within 3 months. Hypertonia medicaments containing
enhancer
Long-term blood circul meclophenoxate
Diarrhea
ation problems in the
brain (cerebrovascular
diseases). There is Allergic reaction such as
some evidence that
hives, rash, or itching,
citicoline taken by
mouth or given by IV swelling in your face or
or as a shot might hands, mouth or throat,
improve memory and chest tightness or
behavior in patients
with long-term trouble breathing
cerebrovascular
diseases, such as
stroke.