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ACE inhibitors


ACE inhibitors (ACEI) relax the blood vessels. This decreases the workload of your heart and lowers your blood pressure. ACEI offer long-term benefits. They improve symptoms and prolong life. Side effects may include weakness, dizziness and cough.

Beta-blockers


Beta-blockers help lower blood pressure, slow your heart rate and reduce angina (chest pain). They may improve the pumping action of the heart over time and prolong your life.

Side effects may include fatigue, dizziness and a slower heart rate. These side effects are common within the first two weeks of starting beta-blockers, but side effects generally disappear over time. These drugs should not be started if there is evidence of fluid retention (when the body holds back too much water).

Specific Medications for Congestive Heart Failure


Ace inhibitors
Ace inhibitors (ACEI) are drugs that relax the blood vessels. (See box at left for more description). Some commonly prescribed ACEI include: Capoten (captopril); Vasotec (enalapril); Prinivil/Zestril (lisinopril); Accupril (quinapril); Altace (ramipril); and Monopril (fosinopril).

Beta-blockers
Beta-blockers help lower blood pressure and slow your heart rate. They also block the harmful effects of some of the hormone-like substances that advance heart damage. Over time, Beta-blockers may also improve the pumping action of the heart . (See box at left for more description). Commonly prescribed beta-blockers include Coreg (carvedilol) and Lopressor/Toprol (metoprolol).

Taking an ACEI or beta-blocker will improve heart function over time (months and years). Both drugs, either taken alone or together, have been very useful in improving heart conditions.

Diuretics
Diuretics or "water pills" help rid the body of excess fluid that may collect in your lungs, stomach, or feet and ankles. Less fluid in your body will decrease the workload of your heart.

In addition to excess fluid, diuretics may also deplete your body of potassium. If your potassium level becomes too low,  you may need a prescription for supplements. Potassium is a mineral that, among other things, helps to balance the fluid in your body's cells. It is important for your muscles to work properly. The richest sources of potassium are fruits and vegetables, especially bananas, dried prunes, raisins, baked potatoes (with skin), and tomato juice.

Side effects include dizziness, weakness, gout and muscle cramps (usually due to low potassium). Common diuretics include: Lasix (furosemide); Bumex (bumetanide); Demadex (torsemide); and HCTZ (hydrochlorothiazide).

Spironolactone is a weak "water pill" but helps prevent loss of potassium and scarring of the heart muscle. In a recent research study, spironolactone (Aldactone) helped patients live longer and have fewer hospital admissions. These effects have only been proven in people with more advanced congestive heart failure so far .

Digoxin
Digoxin (lanoxin) is a medication that can help the heart muscle pump blood more effectively. It can also regulate a heartbeat that is too rapid or irregular. However, if your body's Digoxin level gets too high, you may have loss of appetite, nausea, bluish or yellowish vision or rapid, forceful heartbeats. For this reason, your digoxin level will be monitored closely.


 

Medications for related conditions

Your physician may prescribe additional medications to treat other cardiac disorders, such as:

  • Antihypertensives, which help lower your blood pressure.
  • Antiarrhythmics, which control a rapid and/or irregular heartbeat, particularly when the irregular heartbeat is causing heart failure symptoms.

  • Anticoagulants, which thin the blood and help prevent blood clots that could lead to heart attacks or strokes.
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