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
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