Are you taking medicines to help your heart? Your heart acts as the pump to circulate the blood in your body, so it is very important to maintain heart health. The best way to help the heart in everyday life is to have a healthy diet and exercise regularly. As we age, high blood pressure, high cholesterol and Diabetes are just some of the problems that can affect cardiovascular function and medicine is used to maintain your cardiovascular health. The table below has just some examples of adverse effects of common medicines. Your doctor, pharmacist or nurse is always available for to answer your questions. Medicines to treat Blood Pressure The most common class of drugs is called “ACE Inhibitor” enalapril, fosinopril, lisinipril, ramipril Beta blockers (atenolol, carvedilol metoprolol, sotolol) Arrhythmia, the most common drug is amiodarone Cholesterol, common drugs are Lipex, Lipitor, Pravastatin and Zocor Atrial Fibrillation, the most common drug is warfarin Stoke prevention, the most common drug is low dose aspirin Common adverse effects When taken with diabetes medicine can further reduce blood glucose levels (BGL) When taken with non steroidal antiinflammatory (NSAIDS) drugs, can affect your kidney function and increase your blood pressure When taken with non steroidal antiinflammatory (NSAIDS)* drugs and fluid tablets can reduce your kidney function When taken with non prescription medicines that contain salt, can increase blood pressure When taken with potassium supplements can cause increased potassium levels Can cause a dry cough When taken with other medicines that reduce blood pressure, can cause dizziness Can cause asthma-like symptoms or cold hands and feet Can affect thyroid function, vision and causes photosensitivity Can increase levels of Lanoxin when taken together If liver function is reduced, there is more risk of adverse effects When taken with antidepressant medication can increase risk of adverse effects When taken with grapefruit can have increased blood levels and more risk of adverse effects There are many drugs, foods, such as green leafy vegetables and vitamins such as ginkgo, fish oil that interact with warfarin so it is important to continually monitor your INR When taken with non-steroidal antiinflammatories (NSAIDs) or warfarin, there is an increased risk of bruising, bleeding What to do Monitor BGL Take these pain relievers only on the advice of your doctor and have your blood pressure checked regularly Take these pain relievers only on the advice of your doctor and monitor kidney function Always read the label of non prescription medicine and avoid salt if possible Avoid these supplements, check with your doctor Report any cough to doctor Take care when standing up and report dizziness to your doctor Report any symptoms to your doctor Discuss any symptoms with your doctor and always wear sunscreen Discuss any nausea or loss of appetite with your doctor Discuss any muscle pain with your doctor Regularly monitor your INR, notify your doctor if bruising or bleeding occurs Notify your doctor if bruising or bleeding occurs *If you have been diagnosed with Heart Failure do not take NSAIDS If you have concerns about your medicines, ask your doctor for a Home Medicines Review and your pharmacist can visit you at home. For more information on medicines: www.mydr.com.au www.nps.org.au Prepared by The Pharmacy Guild of Australia NSW Branch www.guild.org.au 84 Christie St., St Leonards 2065 02 9467 7124