For patients / Information on Cardio-Vascular Medications

YOUR MEDICATIONS AND YOU

To maximize the effect of your medication, it is really important to follow your doctors and pharmacist instructions very carefully.

Certain medications are prescribed to prevent the risks of angina and/or heart attack. You have to take all medications as prescribed regularly. It may be necessary for you to take a combination of medications. There are some medications of “prolonged action”. These medications’ names are often followed by LA, SR, CD or XL. They must not be broken, cut or chewed.

 

 ASPIRIN

NON COATED                                 COATED

Aspirin 325/80 mg                       Entrophen 325 mg

                                                           Novasen 325 mg/300 mg

                                                           MSD AAS 325 mg

                                                           Asaphen 80 mg

This drug thins the blood. It decreases the risk of blood clot formation. This medication has to be taken with food as it can irritate the stomach. Special coating of the Aspirin may help protect your stomach. If you are prescribed the coated aspirin, do not chew, cut or break the pill.

 

 

 

NITROGLYCERIN

This medication is highly effective in decreasing chest pain related to angina. It opens the coronary arteries thus bringing more oxygen to the heart. It can also be taken before effort or stress to prevent angina.

Differences between the pills and the spray of Nitro

                                         Pills                                           Spray

Dose                                      0.3/0.6 mg                                    0.4 mg

To be taken                          under the tongue                        on or under the tongue

Can be kept                          3 months from date of                                                                                                                                                            opening                                          up to 3 years

 

Caution                                  Do not swallow or chew           Not to be inhaled, shaken

                                    Keep in its original bottle        To be given with the spray                                                                                                                                     directed upward

 

ALWAYS HAVE NITRO WITH YOU.

 

TO BE KEPT FAR FROM HEATED AND HUMID PLACES

It is very important to lie or sit down before you take this medication.

 




SIDE EFFECTS:

  1. Headaches,
  2. Dizziness
  3. Flushing, warmth
  4. Rapid heart beat

 

WHAT TO DO WHEN YOU HAVE CHEST PAIN

When you have chest pain, it is not possible to know if it is angina or a heart attack, it is then important to follow these steps:

1. Stop the activity that you are doing, lie or sit down.

2. Take one (1) Nitro pill or spray. Close your mouth and do not swallow.

3. If the pain is still present after 5 minutes, take a second Nitro and then wait for 5 more minutes

4. If the pain is still there, take one more (third) Nitro.

5. If 5 minutes after the third Nitro, you still have the pain, call 911 for an ambulance to go to the hospital immediately.

 

 


Types of medications

 

NITRATES

BETA-BLOCKERS

CALCIUM BLOCKERS

NAME

Imdur

Isordil

Nitro-dur

Nitrong-SR

Transderm-Nitro

Minitran

Betaloc (Metoprolol)

Corgard (Nadolol)

Tenormin (Atenolol)

Lopressor (Metoprolol)

Sectral (Acebutolol)

Sotacor (Sotalol)

Trandate (Labetalol)

Transicor (oxyprenolol)

Visken (Pindolol)

Coreg ( Carvedilol)

Inderal (Propanolol)

AdalatPA/XL (Nifedipine)

CardizemCD/SR (Dilitiazem)

IsoptinSR (Verapamil)

Chronovera Verapamil

Norvasc (Amlodipine)

Plendil (Felodipine)

Renedil (Felodipine)

ACTION

Increase oxygen

delivery to heart

Opens coronary

arteries

Decrease demand for oxygen

Decreases heart’s work

 

Decreases heart rate

Decreases heart work

Increases oxygen delivery to

Heart.

Decreases oxygen demand of

The heart

WHEN

TO TAKE

Nitro-patch:

Usually 10-12 hrs

off.

Imdur: usually take

at wake up.

Isordil: 30 mins

before meal

With Meals

Adalat/Isoptin,

avoid grapefruit juice.

Take at regular intervals

SIDE EFFECT

Increases heart rate

Headaches,

Dizziness, flushing

Decreases heart rate

Cold hands & feet

Fatigue, Insomnia,

Nightmares, Decreases libido,

Impotence

Decreases heart rate,

Constipation, Headache,

Fatigue, swelling of the feet.

 

 

 

Names

Angiostenine converting enzymes

Inhibitors

 

Accupril (Quinapril)

Altace (Ramipril)

Copten (Captopril)

Versyl (Perindopril)

Inhibase (cilazapril)

Lotensin (Benazepril)

Monopril (Fosinopril)

Prinivil / Zestril (Lisinopril)

Vasotec (Enalapril)

Diuretics

 

 

Lasix (Furosemide)

Hydrodiuril

(Hydrochlorothiazide)

Lozide(Indapamide)

Action

Promotes healing of the heart

after a heart attack

Controls blood pressure

Decreases the failing of the heart

 

Takes off the surplus of water

Controls blood pressure

How to take

Perindopril and captopril have to

Be taken on an empty stomach.

 

The other medications can be taken

with/without foods

To be taken in AM

 

If you are prescribed > 1dose/day, last

dose should

not be taken later than 18h00 (6PM)

Side effects

Increases the blood’s potassium

 

Avoid Potassium supplements

Unless prescribed by your MD.

Dry cough.

More frequent voiding

Dizziness

Lowers blood’s potassium

Sun Sensitivity, to use sunscreen

 

 

 

MEDICATIONS TO DECREASE CHOLESTEROL

TRADEMARK

GENERIC NAME

HOW TO TAKE

Bezalip SR

Bezafibrate

With breakfast & supper

Lipidil Micron

Fenofibrate

With supper

Lopid

Gemfibrosil

30 mins before breakfast & supper

Mevacor

Lovastatin

With supper

Lescol

Fluvastatin

At bedtime

Pravachol

Pravastatin

At bedtime

Zocor

Simvastatin

At bedtime

Lipitor

Atorvastatin

At bedtime

 

These medications help decrease cholesterol and/or triglyceride in the blood. Decreasing cholesterol helps lower the risk of coronary artery disease (angina, heart attack). 

These medications can cause headaches, dizziness, diarrhea, constipation, flatulence, nausea especially at the beginning of treatment. If these problems persist, inform your doctor. Very rarely, they may cause fatigue, muscle weakness, and muscular pain. Notify your doctor immediately if you have any of the muscular weakness/pains.

It is still very important for you to follow the special diet to lower your cholesterol. Your doctor will also prescribe regular blood tests to follow your cholesterol and triglycerides.

 

 

GENERAL RECOMMENDATIONS

1. Keep all your medications away from direct heat or humidity or direct exposition to the sun. Do not store them near a stove, refrigerator, in the bathroom or glove compartment.

2. Keep them locked and away from children.

3. Go to the same pharmacy. This will help them to keep a complete and updated list of your medications. He/she can contact your doctor, if needed. Always ask your pharmacist’s opinion before buying over the counter medications. They may be dangerous for you, or can interact with your other prescribed medications. You can ask your pharmacist about the program “medications codes” for over the counter medications. The products identified by letters (A,B,D,E,H,X) should be consumed with precaution. You have to check with your pharmacist about these products.

4. Always renew your medications a few days in advance so that you will not run out of medications. Always check how many renewals are left. Let your doctor know in advance when you have no renewals left.

5. You cannot stop, increase or decrease the dose of any of your medications without the approval of your doctor. If you believe you are having side effects from one of your medications, contact your doctor or pharmacist. Do not wait until your next appointment with your doctor before clarifying the situation.
6. Always keep with you an updated list of your medications

7. Notify your doctor/dentist of all your medications before any surgery or dental manipulation.

8. Some cardiac medications can cause dizziness. You can decrease these problems by getting up slowly from lying or sitting positions