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TDM Drug Dose Tables

The doses candidates tell us they cram every morning — organized by clinical area, taken from named Canadian sources, printable, and one click away from becoming spaced-repetition flashcards in your free account.

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DrugIndicationDosePreg.Lact.Notes & cautions
Ramipril
1st line
HypertensionInitial 2.5 mg/day PO; usual 10 mg/day; max 20 mg/day (once daily or divided BID) Avoid
Avoid: Avoid in bilateral renal artery stenosis, or unilateral stenosis with a solitary kidneyinstead: In pregnancy the chapter's first-line agents are labetalol or nifedipine XL
ACEi — first-line in single-pill combo with a thiazide
Perindopril
1st line
HypertensionInitial 4 mg/day PO; max 8 mg/day Avoid
Avoid: Avoid in bilateral renal artery stenosis, or unilateral stenosis with a solitary kidneyinstead: In pregnancy the chapter's first-line agents are labetalol or nifedipine XL
ACEi
Candesartan
1st line
HypertensionInitial 8 mg/day PO; usual 8–16 mg/day, once daily Avoid
Avoid: Avoid in bilateral renal artery stenosis, or unilateral stenosis with a solitary kidneyinstead: In pregnancy the chapter's first-line agents are labetalol or nifedipine XL
ARB — first-line in single-pill combo with a thiazide
Losartan
1st line
HypertensionInitial 50 mg/day PO; usual 25–100 mg/day; max 100 mg/day Avoid
Avoid: Avoid in bilateral renal artery stenosis, or unilateral stenosis with a solitary kidneyinstead: In pregnancy the chapter's first-line agents are labetalol or nifedipine XL
ARB
Amlodipine
2nd line
HypertensionInitial 2.5 mg/day PO; max 10 mg/day, once daily
Avoid: CYP3A4 substrate — azole antifungals, protease inhibitors, macrolides, quinidine and grapefruit juice raise levels
Long-acting DHP CCB — added as a third step after ARB + diuretic
Hydrochlorothiazide
1st line
HypertensionInitial 12.5 mg/day PO; usual 25 mg/day, once daily Caution
Avoid: Hypokalemia risk; choose another first-line agent if serious arrhythmia or prolonged QTinstead: Consider a loop diuretic in renal impairment
Reserve >25 mg/day for resistant hypertension
Chlorthalidone
1st line
HypertensionInitial 12.5 mg/day PO; usual 12.5–25 mg/day, once daily Caution
Avoid: Hypokalemia risk; choose another first-line agent if serious arrhythmia or prolonged QTinstead: Consider a loop diuretic in renal impairment
Thiazide-like diuretic
Indapamide
1st line
HypertensionInitial 1.25 mg/day PO; usual 2.5 mg/day, once daily Caution
Avoid: Hypokalemia risk; choose another first-line agent if serious arrhythmia or prolonged QTinstead: Consider a loop diuretic in renal impairment
Thiazide-like diuretic
Irbesartan/HCTZ
1st line
Hypertension — initial single-pill combinationStarting 150/12.5 mg once daily; may double after 4–6 wk if BP ≥130 systolic Avoid
Avoid: Can exacerbate gout and diabetesinstead: In pregnancy the chapter's first-line agents are labetalol or nifedipine XL
Example named initial combination; beta-blockers are NOT first-line without another indication

Source: CPS — Hypertension (rev. Jan 6, 2026)

Pregnancy/Lactation flags reflect only what the named source chapter states — “—” means the chapter doesn't address it, not that the drug is safe or unsafe.

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For exam preparation only. Doses are transcribed from the Canadian sources named on each table and simplified for study — always verify against the current product monograph and full guideline before any clinical use.