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Key Counseling Points of Cardiovascular Agents

Terms in this set (48)

Amiodarone Hydrochloride
Use sunscreen; avoid tanning beds and prolonged sun exposure. Report signs/symptoms of cardiac arrhythmias, pulmonary toxicity, or liver toxicity. Multiple drug interactions so inform providers about all medications you are taking. Take consistently with regard to meals but avoid taking with grapefruit or grapefruit juice. Patient medication guide must be dispensed with this medication.
Amlodipine
Instruct patient to report signs/symptoms of hypotension or exacerbation of angina with initial dosing and dose changes. Avoid alcohol while taking drug. Report signs/symptoms of peripheral edema, fatigue, hypotension, or hepatic dysfunction. This medicine may cause dizziness. Avoid activities that could be dangerous if dizziness occurs at initiation of therapy. Dizziness may be worse if too much water is lost from the body due to excessive sweating, diarrhea, or vomiting.
Amlodipine Besylate; Benazepril Hydrochloride
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Apixaban
Seek medical attention if any unexpected bleeding or trouble breathing. Take with or without food. Do not stop taking apixaban without talking with your HCP; stopping early may increase the risk of stroke, especially in patients with atrial fibrillation. Apixaban should be interrupted 24-48 h prior to dental and surgical procedures and re-started after hemostasis. Avoid OTC NSAIDs and high-dose aspirin; they increase the risk of bleeding.
Atenolol
Take on an empty stomach. Avoid abrupt discontinuation; exacerbations of angina may occur. Report signs/symptoms of bradycardia, hypotension, heart failure, or exacerbation of angina with initial dosing and dose changes. May cause dizziness or drowsiness. Diabetic patients to carefully follow blood sugar levels as β-blockers may mask symptoms of hypoglycemia. Drug may cause sexual side effects, fatigue, and depression.
Atorvastatin Calcium *Contraindicated in 1st Trimester
Avoid excessive alcohol, grapefruit, and grapefruit juice (>1 L/d) consumption while taking drug. Atorvastatin does not take the place of lifestyle changes (diet, exercise) to lower cholesterol levels. Notify prescriber if unexplained muscle tenderness or weakness occurs.
Benazepril Hydrochloride
Avoid pregnancy. Seek medical attention immediately if you experience any facial swelling. Most common adverse effect is dry cough. Use potassium supplements or salt substitutes only under medical supervision. May cause dizziness that may worsen if dehydrated. Take at the same time daily.
Carvedilol
Take carvedilol with food or milk. Report signs/symptoms of heart failure, bradyarrhythmias, bronchospasm, hypotension, syncope, or exacerbation of angina with initial dosing and dose changes. Avoid abrupt discontinuation, may cause rebound HTN. Avoid driving, using machinery, or doing anything else that could be dangerous if not alert. Diabetic patients should carefully follow blood sugar levels as beta-blockers may mask symptoms of hypoglycemia.
Chlorthalidone
Take in the morning with food. Instruct patient to report signs/symptoms of dyspnea, hypotension, gout, or heart failure. Avoid alcohol (may cause hypotension) and NSAIDs (may decrease effectiveness). This medicine may cause dizziness or blurred vision. Avoid driving, using machinery, or doing anything else that could be dangerous if not alert.
Clonidine
Avoid alcohol, CNS depressants. Use caution with driving and other tasks requiring alertness. May cause nausea, vomiting, insomnia, constipation, fatigue, or dry mouth. Swallow extended-release tablet whole. Apply patch to hairless area of intact skin on upper outer arm or chest; rotate patch location. If patch loosens during the 7-d wearing, secure adhesive cover. Report signs/symptoms of hypotension, exacerbation of angina peripheral edema, fatigue, hypotension, or hepatic dysfunction with initial dosing and dose changes. Avoid abrupt discontinuation to avoid rebound HTN.
Clopidogrel Bisulfate
Report signs/symptoms of bleeding, especially if used concomitantly with anticoagulant therapy. Do not stop therapy abruptly without first talking with prescriber to minimize the risk of re-thrombosis, particularly after stent placement.
Cyanocobalamin (Vitamin B-12)
May require several weeks for maximum effect. Take extended-release products with food. Avoid alcohol as it inhibits the absorption of B12.
Digoxin
Take after morning meals (and after evening meals if giving in divided doses). Report signs/symptoms of bradycardia. Do not discontinue drug suddenly.
Diltiazem Hydrochloride
Report symptomatic hypotension, bradyarrhythmia, peripheral edema, or syncope. This drug is available in multiple brand names with varying properties by brand. Instruct patient to follow administration instructions specific to the prescribed brand with regards to meals and timing. Do not drink alcohol while taking this drug. Some products may be opened and sprinkled on a spoonful of applesauce (applesauce should not be hot, and should be swallowed without chewing, followed by a glass of water). Administer at same time of day, either morning or evening.
Enalapril Maleate
Use potassium supplements or salt substitutes only under medical supervision. Report signs/symptoms of angioedema. May cause dizziness that may worsen if dehydrated. Use caution rising from sitting or lying position, especially when initiating treatment.
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