View source for CHF medications

{| class="wikitable"
|-
|'''Agent'''
|'''RA'''

|'''RCW'''

|'''SVR'''

|'''BP'''

|'''CO'''

|-
| [[Isordil]] 60
| -
| -
| (-)
| -
| -/+
|-
| [[Hydralazine]] 100
| ~
| ~
| -
| +/-
| ++
|-
| hy (MR/AI)
| -
| --
| ++
| -/+
| +/-
|-
| [[ACEI]]
| -
| -
| -
| +/-
| +
|-
| Minoxidil
| ~
| ~
| --
| +/-
| ++
|}

*[[Carvedilol]]: decreases mortality 67%
*[[Digoxin]]: decrease syx/hospitaliz
*Aldactone in Class IV decrease mortality
*[[Isordil]]: cor. VD; +BP if ischemia
*ISDN/HYDRA. decreased mortality in CHF
*ACEI GREAT mortality benefit

==Target Doses==
*[[Hydralazine]]: 100 TID start 25
*Isordil: 60-80 TID
*[[Captopril]]: 100 TID start 12.5
*[[Lisinopril]]/[[enalapril]]: 10 BID class II/III
**20 BID class IV
*[[Carvedilol]] 25 BID; 50 BID if >80kg
*[[Digoxin]]: varies
*[[Spironolactone]] 25-50 QD
*[[Enalapril]] 1.25mg IV
*[[Nitroglycerin]] (Initial dose 5-10ug/min, increased every 3-5 minute to dose range 10-200ug/min)
*[[Nitroprusside]] (Initial dose 5-10ug/min, increased every 3-5 minute to dose range 5-400ug/min)

^Consider when need afterload reduction

==See Also==
[[Congestive Heart Failure (CHF)]]

[[Category:Cardiology]]
[[Category:Pharmacology]]