mended hearts

An Evening with your Pharmacists

MENDED HEARTS

Specialty Practice Pharmacist Electrophysiology

MIKE BOYD, PHARM D

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 AF®)

ANTIARRHYTHMIC DRUGS

Specialty Practice Pharmacist Cardiology/Cardio-thoracic Surgery

KEVIN KISSLING, PHARM D

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)

ANTICOAGULANTS

Drug of choice for more than 50 yearsRequires monitoring of PT/INR

Reflects level of anticoagulationAllows for daily dose to be adjusted

Effect can be reversed with Vitamin KDiet can effect control

Key is consistency, not avoidance

WARFARIN (COUMADIN®)

Dabigatran (Pradaxa®)Must be taken twice dailyMust be stored in original packaging

Rivaroxaban (Xarelto®)Once daily dosingShould be taken with the evening meal

Apixaban (Eliquis®)

THE NEW ANTICOAGULANTS

Take as directedAlert healthcare workers you are taking

Have a plan for invasive proceduresScreen for drug interactionsSafety in emergent situations

Be mindful of signs of bleedingBlood in urine, stoolSeek medical attention for persistent bleeding

TIPS FOR ALL ANTICOAGULANTS

Specialty Practice Pharmacist Acute Coronary Syndromes

DANIELLE BLAIS, PHARM D

Leading cause of death in both men and women

Risk factors AgeSmokingDiabetesHigh blood pressureHigh cholesterol

CORONARY ARTERY DISEASE

CORONARY ARTERY DISEASE

To keep your Stent openAspirin 81 mg daily

FOR LIFEClopidogrel (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

PROTECT YOUR STENT

Specialty Practice Pharmacist Cardiology/Cardio-thoracic Surgery

PAMELA BURCHAM, PHARM D

Makes you at risk for a heart attackGood cholesterol – HDLBad cholesterol – LDLStatins :

Atorvastatin (Lipitor)Lovastatin (Mevacor)Simvastatin (Zocor)Rosuvastatin (Crestor)Pravastatin (Pravachol)

HIGH CHOLESTEROL

Side effects:Muscle pains Stomach bloating

Drug interactions : Amiodarone Blood thinnersSeizure medications Antidepressants

WHAT TO WATCH OUT FOR

Specialty Practice Pharmacist Heart Failure

KERRY PICKWORTH, PHARM D

HEART FAILURE

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)

DRUGS USED TO TREAT

Weigh yourself daily If weight ↑ by 2-3 lbs /day or 5 lbs /wkWatch you liquid intake Restrict your salt intake May need potassium and magnesium

supplements

WATER PILLS

Cardiology Pharmacy ResidentSAJNI PATEL, PHARM D

Acetaminophen (Tylenol)Dose

325-650 mg every 4-6 hours

Maximum of 4,000 mg per day

AspirinDose

325-650 mg every 4-6 hours

Side Effects Bleeding Upset stomach

ACHES, PAINS, AND FEVERS

Non-Steroidal Anti-inflammatory Drugs (NSAIDs) Ibuprofen (Motrin, Advil) Naproxen (Aleve)

DO NOT USE

Why?Damages the kidneys Increased risk of heart attack and strokeCan increase blood pressureCan interact with many medications, including: Warfarin (Coumadin) Aspirin Clopidogrel (Plavix)

AVOID NSAIDS

Cardiology Pharmacy Resident

KRISTEN TASCA, PHARM D

Chlorpheniramine (Coricidin HBP)Variety of available formulations

COUGH AND COLDGuaifenesin

(Robitussin)Variety of available formulations

Pseudoephedrine ProductsSudafedAdvil Cold and SinusDayQuil-DNyQuil-DClaritin-DMucinex-D

Phenylephrine Sudafed PEDayQuilNyquil Sinus

DO NOT USE

CHECK THE LABELS

Specialty Practice Pharmacist Cardio-thoracic Surgery

ERIK ABEL, PHARM D

Be your own best advocateAllergies?Stopped meds ...Why?New medication?

Risks? Interactions?Adherence? Cost?

Be compliant for the best outcome

HOW CAN I HELP MYSELF?

Time

Coordinate your careTalk to all your healthcare providersPlanning for procedures?Refills?Ask questions

Primary Care Physician, Cardiologist Pharmacist Dentist

HOW CAN I HELP MYSELF