What is the first line drug for heart failure?
Heart failure medications can control symptoms for many years. What are these medications? Are there other options for treating heart failure other than medication? Answers and more details in the following article.
Heart failure medications
Patients may need heart failure (Heart failure) to several drugs deals with each one of them different casually, while clarifying more about the treatment of heart failure drugs comes:
Here is a list of the most common heart failure medications:
1. Angiotensin-converting enzyme (ACE) inhibitors
ACE inhibitors dilate blood vessels and thus improve blood flow, and this helps reduce the burden on the heart and facilitates the pumping of blood throughout the body. Examples of these drugs are: Enalapril, Lisinopril, and Captopril.
2. Angiotensin II receptor blockers
Angiotensin II receptor blockers offer the same benefits as ACE inhibitors and are used as an alternative in people who cannot tolerate the dry cough, which is the most common side effect of ACE inhibitors.
Examples of these medications include candesartan, losartan, and valsartan.
3. Beta blockers
While beta-blockers are many and varied, the ones used to treat heart failure are: Bisoprolol, Carvedilol, and Metoprolol.
Beta blockers offer the following benefits in treating heart failure:
- slow down the heart rate;
- lowers blood pressure;
- Reduces damage to the heart of people with systolic heart failure.
- Reduces the risk of heart rhythm disturbances .
- Reduce the risk of sudden death.
- Protects the heart from the effects of adrenaline and noradrenaline.
Diuretics allow fluids to be drained from the body through urination. This reduces fluid accumulation in the body caused by heart failure, and thus relieves swollen ankles and shortness of breath due to fluid pooling around the lungs.
There are many different types of diuretics, but the most commonly used ones for heart failure are: furosemide and bumetanide.
5. Aldosterone antagonists
Aldosterone antagonists include spironolactone and eplerenone, which act as diuretics and help lower blood pressure and reduce fluid congestion around the heart. These medications are used in severe cases of systolic heart failure.
These medications are given intravenously in the hospital in severe cases of heart failure to improve the heart’s pumping and maintain blood pressure.
7. Other heart failure medications
Here is a list of some other medications that can be used to treat heart failure:
- Ivabradine is used instead of or along with a beta-blocker to slow the heartbeat.
- Sacubitril valsartan: This is used in severe cases when the heart cannot pump enough blood despite taking other medications.
- Hydralazine with nitrate: These medications are prescribed by a doctor for patients who cannot have an ACE inhibitor or an angiotensin II receptor blocker.
Other medicines for heart failure patients
In addition to medications to treat heart failure, the doctor may prescribe other medications depending on the health problems concurrent with heart failure that the patient suffers from, and the following are some examples of these medications:
- Anticoagulants: These medications may be prescribed if you have heart failure, atrial fibrillation, or other heart problems.
- Cholesterol-lowering drugs: A doctor may prescribe this class of drugs for patients who have high cholesterol or who have had a previous heart attack .
- Digoxin: This drug may be prescribed to some patients with heart failure if the doctor feels this is justified.
Other treatment options for heart failure
In addition to heart failure medications, treatment may include the following options, depending on the severity of the disease:
- Healthy lifestyle changes are an integral part of heart failure treatment.
- Cardiac resynchronization therapy (CRT) surgery or implantation of devices in the chest to control heart rate, among many other options.
- Heart transplant .