Antihypertensive Drugs: Classification, Mechanism, Uses & Side Effects

📌 Introduction  

Antihypertensive drugs are one of the most important classes in pharmacology used to treat high blood pressure (hypertension). Hypertension is a common condition that can lead to serious complications like heart attack, stroke, and kidney damage if not treated properly.

This topic is highly important for GPAT, DSSSB, and other pharmacy exams, with frequent questions asked every year.

🔍 What is Hypertension?  

Hypertension is a condition where blood pressure is persistently elevated above normal levels. It increases the workload on the heart and blood vessels.

Normal BP: 120/80 mmHg  

Hypertension: ≥140/90 mmHg  

📝 Classification of Antihypertensive Drugs  

Antihypertensives are classified as:

Diuretics  

Examples: Hydrochlorothiazide, Furosemide  

ACE Inhibitors  

Examples: Enalapril, Lisinopril  

Angiotensin Receptor Blockers (ARBs)  

Examples: Losartan  

Beta Blockers  

Examples: Atenolol, Propranolol  

Calcium Channel Blockers (CCBs)  

Examples: Amlodipine, Verapamil  

Vasodilators  

Examples: Hydralazine  

🧬 Mechanism of Action  

Each class lowers BP differently:

• Diuretics → reduce blood volume  

• ACE inhibitors → block angiotensin II formation  

• ARBs → block angiotensin receptors  

• Beta blockers → reduce heart rate and cardiac output  

• CCBs → relax blood vessels  

• Vasodilators → directly dilate vessels  

🩺 Pharmacological Effects  

• Lower blood pressure  

• Reduce cardiac workload  

• Improve blood flow  

• Prevent complications  

💊 Therapeutic Uses  

Antihypertensives are used in:

• Hypertension  

• Heart failure  

• Angina  

• Kidney disease  

🚨 Side Effects  

• Dizziness  

• Hypotension  

• Cough (ACE inhibitors)  

• Bradycardia (beta blockers)  

• Edema (CCBs)  

📑 Important Exam Points  

• ACE inhibitors → cause dry cough  

• ARBs → no cough  

• Beta blockers → reduce heart rate  

• CCBs → cause edema  

🎯 Conclusion  

Antihypertensive drugs are essential for managing high blood pressure and preventing complications. Understanding classification, mechanism, uses, and side effects is important for exams and clinical practice.

👉 Practice MCQs in evening post

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