Mended Hearts

Mended Hearts

MENDED HEARTS An Evening with your Pharmacists MIKE BOYD, PHARM D Specialty Practice Pharmacist Electrophysiology

ANTIARRHYTHMIC DRUGS ANTIARRHYTHMIC DRUGS Name (Brand Name) Quinidine (Quinaglute, Quinidex)

Disopyramide (Norpace) Mexiletine (Mexitil) Flecainide (Tambocor) Propafenone (Rythmol, Rythmol SR) Amiodarone (Cordarone, Pacerone) Dofetilide (Tikosyn) Dronedarone (Multaq)

Sotalol (Betapace, Betapace KEVIN KISSLING, PHARM D Specialty Practice Pharmacist Cardiology/Cardio-thoracic Surgery ANTICOAGULANTS Commonly referred to as blood thinners

Used for 2 primary reasons: 1. Prevent a new clot from forming Atrial Fibrillation Other high risk states 2. Treat an existing clot

Pulmonary Embolism (PE) Deep Vein Thrombosis (DVT) WARFARIN (COUMADIN) Drug of choice for more than 50 years

Requires monitoring of PT/INR Reflects level of anticoagulation Allows for daily dose to be adjusted Effect can be reversed with Vitamin K Diet can effect control Key is consistency, not avoidance THE NEW

ANTICOAGULANTS Dabigatran (Pradaxa) Must be taken twice daily Must be stored in original packaging Rivaroxaban (Xarelto) Once daily dosing Should be taken with the evening meal

Apixaban (Eliquis) TIPS FOR ALL ANTICOAGULANTS Take as directed Alert healthcare workers you are taking Have a plan for invasive procedures Screen for drug interactions Safety in emergent situations

Be mindful of signs of bleeding Blood in urine, stool Seek medical attention for persistent bleeding DANIELLE BLAIS, PHARM D Specialty Practice Pharmacist Acute Coronary Syndromes

CORONARY ARTERY DISEASE Leading cause of death in both men and women Risk factors Age Smoking Diabetes

High blood pressure High cholesterol CORONARY ARTERY DISEASE PROTECT YOUR STENT To keep your Stent open Aspirin 81 mg daily

FOR LIFE Clopidogrel (Plavix) 75 mg daily Depends on the type of stent Side effects- bleeding Take your medication daily Do not stop taking unless directed by your Cardiologist

PAMELA BURCHAM, PHARM D Specialty Practice Pharmacist Cardiology/Cardio-thoracic Surgery HIGH CHOLESTEROL Makes you at risk for a heart attack Good cholesterol HDL

Bad cholesterol LDL Statins : Atorvastatin (Lipitor) Lovastatin (Mevacor) Simvastatin (Zocor) Rosuvastatin (Crestor) Pravastatin (Pravachol) WHAT TO WATCH OUT

FOR Side effects: Muscle pains Stomach bloating Drug interactions : Amiodarone Blood thinners Seizure medications

Antidepressants KERRY PICKWORTH, PHARM D Specialty Practice Pharmacist Heart Failure HEART FAILURE

DRUGS USED TO TREAT Drugs which make the heart pump more effectively Enalapril, Lisinopril, Valsartan (Diovan), Losartan (Cozaar) Metoprolol XL (Toprol XL), Carvedilol (Coreg) Drugs which improve the symptoms Diuretics ( water pills )

Furosemide (Lasix) , Torsemide (Demadex) WATER PILLS Weigh yourself daily If weight by 2-3 lbs /day or 5 lbs /wk Watch you liquid intake Restrict your salt intake May need potassium and magnesium supplements

SAJNI PATEL, PHARM D Cardiology Pharmacy Resident ACHES, PAINS, AND FEVERS Acetaminophen (Tylenol) Dose 325-650 mg every 4-6

hours Maximum of 4,000 mg per day Aspirin Dose 325-650 mg every 4-6 hours

Side Effects Bleeding DO NOT USE Non-Steroidal Antiinflammatory Drugs (NSAIDs) Ibuprofen (Motrin, Advil) Naproxen (Aleve)

AVOID NSAIDS Why? Damages the kidneys Increased risk of heart attack and stroke Can increase blood pressure Can interact with many medications, including: Warfarin (Coumadin)

Aspirin Clopidogrel (Plavix) KRISTEN TASCA, PHARM DResident Cardiology Pharmacy COUGH AND COLD Chlorpheniramine

(Coricidin HBP) Variety of available formulations Guaifenesin (Robitussin) Variety of available formulations

DO NOT USE Pseudoephedrine Products Sudafed Advil Cold and Sinus DayQuil-D NyQuil-D Claritin-D Mucinex-D

Phenylephrine Sudafed PE DayQuil Nyquil Sinus CHECK THE LABELS ERIK ABEL, PHARM D Specialty Practice Pharmacist

Cardio-thoracic Surgery HOW CAN I HELP MYSELF? Be your own best advocate Allergies? Stopped meds ...Why? New medication?

Risks? Interactions? Adherence? Cost? Be compliant for the best outcome

Time HOW CAN I HELP MYSELF Coordinate your care Talk to all your healthcare providers Planning for procedures? Refills? Ask questions

Primary Care Physician, Cardiologist Pharmacist Dentist

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