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Classification of Anti-hypertensives

Antihypertensive drugs are classified based on their mechanism of action. Here’s a classification along with structural examples:

1. Diuretics

  • Thiazide Diuretics:
    • Example: Hydrochlorothiazide
    • Structure: Thiazide nucleus with a sulfonamide group.
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  • Loop Diuretics:
    • Example: Furosemide
    • Structure: Contains a sulfonamide group and a carboxyl group at the 4-position.
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  • Potassium-Sparing Diuretics:
    • Example: Spironolactone
    • Structure: Steroidal structure with a lactone ring at the 17th carbon position.
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2. Beta-Adrenergic Blockers (Beta-Blockers)

  • Non-selective Beta-Blockers:
    • Example: Propranolol
    • Structure: Naphthalene group with a secondary amine side chain.
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  • Selective Beta-Blockers:
    • Example: Atenolol
    • Structure: Aryloxypropanolamine structure with a polar substituent at the para position.


3. Calcium Channel Blockers (CCBs)

  • Dihydropyridines:
    • Example: Amlodipine
    • Structure: Dihydropyridine ring system.


  • Non-Dihydropyridines:
    • Example: Verapamil
    • Structure: Phenylalkylamine structure with an amine group attached to a benzene ring.


4. Angiotensin-Converting Enzyme (ACE) Inhibitors

  • Example: Enalapril
  • Structure: Contains a proline ring and an ester group.


5. Angiotensin II Receptor Blockers (ARBs)

  • Example: Losartan
  • Structure: Biphenyl tetrazole structure with an imidazole ring.


6. Alpha-Adrenergic Blockers

  • Example: Prazosin
  • Structure: Quinazoline derivative with a furan ring.


7. Centrally Acting Alpha-2 Agonists

  • Example: Clonidine
  • Structure: Imidazoline ring system with a dichlorobenzene ring.


8. Direct Renin Inhibitors

  • Example: Aliskiren
  • Structure: Contains a non-peptidic structure with a hydroxyl group and a decahydroisoquinoline ring.


9. Vasodilators

  • Example: Hydralazine
  • Structure: Phthalazine derivative.


This classification highlights both the mechanisms and representative structures of each antihypertensive category. 

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