Antianginal Drugs - Classification and Mechanism

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Antianginal Drugs

Classification & Mechanism of Action


Based on KD Tripathi

Angina is a chest pain or we can say that it is a signal informing us that there is lack of oxygen supply to myocardium. This is generally occurring
at the left side of the chest. It has 02 main types- (1) Classical Angina (Common form) - Those type of angina which may arise due to over work
like- exercise, emotion etc. (2) Variant or prinzmetal’s Angina (uncommon form) - Attack occurs at rest or during sleep and doesn’t disappear
after rest.

Nitrates Beta Blocker Ca+ Channel K+ Channel Opener Others


Propranolol, Metoprolol, Blocker Nicorandil Dipyridamole, Trimetazidine,
Atenolol, and others Phenyl alkylamine- Ranolazine, Oxyphedrine
Verapamil,
Short Acting Benzothiazepine-
Glyceryl Trinitrate Diltiazem,
(GTN, Nitro Glycerin) Dihydropyridines-
Nifedipin, Felodipine,
Amlodipine, Nitrendipine,
Nimodipine, Lacidipine,
Long Acting Lercanidipine, Benidipine
Isosorbide dinitrate, Isosorbide
mononitrate, Erythrityl tetranitrate
Pentaerythritol tetranitrate

Other Clinical
Application of K+ Channel Opener
1. Angina Pectoris
2. Hypertension
3. Congestive heart failure
4. Myocardial salvage in MI
5. Alopecia
6. Bronchial asthma
7. Urinary urge incontinence
8. Premature labour (Ref- KD Tripathi)

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