Medications
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Cardiovascular Medications
Aldactone Antagonists
Eplerenone | INSPRA |
Spironolactone | ALDACTONE |
A – approved while on duty; monitor for electrolyte abnormalities
D – diagnosis may dictate restriction
Alpha Blocking Agents
Doxazosin | CARDURA |
Prazosin | MINIPRESS |
Terazosin | HYTRIN |
T – temporary restriction at beginning of treatment; monitor for orthostatic hypotension, somnolence, visual disturbances
D – diagnosis may dictate restriction
Angiotensin-Converting Enzyme-Inhibiting Agents
Benazepril | LOTENSIN |
Captopril | CAPOTEN |
Enalapril | VASOTEC |
Fosinopril | MONOPRIL |
Lisinopril | PRINIVIL, ZESTRIL |
Moexipril | UNIVASC |
Perindopril | ACEON |
Quinapril | ACCUPRIL |
Ramipril | ALTACE |
Trandolapril | MAVIK |
A – approved while on duty; monitor for orthostatic hypotension, electrolyte abnormalities
D – diagnosis may dictate restriction
Angiotensin Receptor-Blocking Agents
Candesartan | ATACAND |
Eprosartan | TEVETEN |
Irbesartan | AVAPRO |
Losartan | COZAAR |
Olmesartan | BENICAR |
Telmisartan | MICARDIS |
Valsartan | DIOVAN |
A – approved while on duty
D – diagnosis may dictate restriction; monitor for orthostatic hypotension, electrolyte abnormalities
Anti-Arrhytmia Agents
Adenosine | ADENOCARD |
D – diagnosis may dictate restriction
Amiodarone | CORDARONE, PACERONE |
T – temporary restriction at beginning of treatment; monitor for visual disturbance, arrhythmia, pulmonary fibrosis, thyroid problems
D – diagnosis may dictate restriction
Atropine
D – diagnosis may dictate restriction
Digoxin | DIGITEK, LANOXICAPS, LANOXIN |
A – approved while on duty; monitor blood level; monitor for behavior changes
D – diagnosis may dictate restriction
Disopyramide | NORPACE |
Dofetilide | TIKOSYN |
T – temporary restriction at beginning of treatment; monitor for arrhythmia
D – diagnosis may dictate restriction
Flecainide | TAMBOCOR |
R – approved only if assigned to restricted duty; medication may cause severe arrhythmia
Ibutilide | CORVERT |
Isoproterenol | ISUPREL |
Lidocaine | XYLOCAINE, XYLOCARD |
D – diagnosis may dictate restriction
Mexiletine | MEXITIL |
Procainamide | PROCANBID, PRONESTYL |
Propafenone | RYTHMOL |
R – approved only if assigned to restricted duty; may cause severe arrhythmia
Sotalol | BETAPACE |
T – temporary restriction at beginning of treatment; monitor for hypotension, arrhythmia
D – diagnosis may dictate restriction
Anti-Hyperlipidemia Agents
Bile Acid Sequestrants
Cholestyramine | QUESTRAN |
Colesevelam | WELCHOL |
Colestipol | COLESTID |
A – approved while on duty
Statins
Atorvastatin | LIPITOR |
Fluvastatin | LESCOL |
Lovastatin | MEVACOR |
Pravastatin | PRAVACHOL |
Rosuvastatin | CRESTOR |
Simvastatin | ZOCOR |
A – approved while on duty; monitor for side effects especially myopathy
Other Lipid-Lowering Agents
Ezetimibe | ZETIA |
Fenofibrate | TRICOR |
A – approved while on duty; monitor for side effects especially myopathy
Gemfibrozil | LOPID |
T – temporary restriction at beginning of treatment; monitor for myopathy, dizziness, blurred vision
Niacin
S – approved if taken off duty/0 to 1 hour, depending on individual tolerance
A – approved while on duty if medication is well tolerated; monitor for orthostatic hypotension
Omega-3 fatty acids
A – approved while on duty
Beta Blocking Agents
Acebutolol | SECTRAL |
Atenolol | TENORMIN |
Betaxolol | KERLONE |
Bisoprolol | ZEBETA |
Carvedilol | COREG |
Esmolol | BREVIBLOC |
Labetalol | TRANDATE |
Metoprolol | LOPRESSOR, TOPROL XL |
Nadolol | CORGARD |
Penbutolol | LEVATOL |
Pindolol | |
Propanolol | INDERAL |
Timolol | BLOCADREN |
T – temporary restriction at beginning of treatment; monitor for orthostatic hypotension, heat injury
D – diagnosis may dictate restriction
Calcium Channel Blocking Agents
Amlodipine | NORVASC |
Diltiazem | CARDIZEM |
Felodipine | PLENDIL |
Isradipine | DYNACIRC |
Nicardipine | CARDENE |
Nifedipine | ADALAT, PROCARDIA |
Nisoldipine | SULAR |
Verapamil | CALAN |
A – approved while on duty; monitor for orthostatic hypotension
D – diagnosis may dictate restriction
Centrally Acting Anti-Hypertension Agents
Clonidine | CATAPRES |
Guanfacine | TENEX |
T – temporary restriction at beginning of treatment; monitor for orthostatic hypotension, drowsiness
D – diagnosis may dictate restriction
Methyldopa | ALDOMET |
T – temporary restriction at beginning of treatment; monitor for orthostatic hypotension, drowsiness, pericarditis
D – diagnosis may dictate restriction
Minoxidil | LONITEN |
T – temporary restriction at beginning of treatment; monitor for hypotension orthostatic
D – diagnosis may dictate restriction
Reserpine | SERPASIL |
T – temporary restriction at beginning of treatment; monitor for behavior changes, bradycardia, hypotension
D – diagnosis may dictate restriction
Diuretics
Loop Diuretics
Bumetanide | BUMEX |
Ethacrynic acid | EDECRIN |
Furosemide | LASIX |
Torsemide | DEMADEX |
A – approved while on duty; monitor for orthostatic hypotension, heat injury, electrolyte abnormalities
D – diagnosis may dictate restriction
Thiazide Diuretics
Chlorothiazide | DIURIL |
Chlorthalidone | THALITONE |
Hydrochlorothiazide | ORETIC |
Indapamide | LOZOL |
Metolazone | ZAROXOLYN |
A – approved while on duty; monitor for orthostatic hypotension, heat injury, electrolyte abnormalities
D – diagnosis may dictate restriction
Other Diuretics
Acetazolamide | DIAMOX |
A – approved while on duty; monitor for drowsiness, heat injury, electrolyte abnormalities
D – diagnosis may dictate restriction
Amiloride | MIDAMOR |
A – approved while on duty; monitor for heat injury, electrolyte abnormalities
D – diagnosis may dictate restriction
Nitrates
Oral Formulations
Isosorbide dinitrate | DILATRATE, ISORDIL |
Isosorbide mononitrate | IMDUR, ISMO, MONOKET |
Nitroglycerin sustained release |
A – approved while on duty; monitor for hypotension orthostatic
D – diagnosis may dictate restriction
Sublingual Formulations
Nitroglycerin sublingual | NITROQUICK, NITROSTAT |
LEO may take medication while on duty, but should seek medical attention immediately after taking medication
D – diagnosis may dictate restriction
Other Nitroglycerin Formulations
Nitroglycerin ointment | NITRO-BID |
Nitroglycerin transdermal | NITRODUR |
A – approved while on duty
D – diagnosis may dictate restriction
Other Antihypertensive Medications
Diazoxide | HYPERSTAT |
Epoprostenol | FLOLAN |
Fenoldopam | CORLOPAM |
D – diagnosis may dictate restriction
Hydralazine | APRESOLINE |
A – approved while on duty; monitor for hypotension orthostatic
D – diagnosis may dictate restriction
Nitroprusside | NIPRIDE |
Phentolamine | REGITINE |
D – diagnosis may dictate restriction
Phenoxybenzamine | DIBENZYLINE |
A – approved while on duty; monitor for hypotension orthostatic
D – diagnosis may dictate restriction
Treprostinil | REMODULIN |
D – diagnosis may dictate restriction
Pressors
Dobutamine | DOBUTREX |
Dopamine | INTROPIN |
Ephedrine | |
Epinephrine intravenous |
D – diagnosis may dictate restriction
Epinephrine subcutaneous | EPIPEN |
LEO may take medication while on duty, but should seek medical attention immediately after taking medication
D – diagnosis may dictate restriction
Inamrinone | AMRINONE |
D – diagnosis may dictate restriction
Midodrine | PROAMATINE |
A – approved while on duty; monitor vision, blood pressure, heart rate
D – diagnosis may dictate restriction
Milrinone | PRIMACOR |
Norepinephrine | LEVOPHED |
D – diagnosis may dictate restriction
Phenylephrine | NEO-SYNEPHRINE |
D – diagnosis may dictate restriction (injectable forms)
Other-Cardiovascular Medications
Cilostazol | PLETAL |
A – approved while on duty; monitor for drowsiness, dizziness
D – diagnosis may dictate restriction
Nesiritide | NATRECOR |
D – diagnosis may dictate restriction
Pentoxifylline | TRENTAL |
A – approved while on duty; monitor for drowsiness, dizziness, blurred vision
D – diagnosis may dictate restriction
Ranolazine | RANEXA |
T – temporary restriction at beginning of treatment; monitor for drowsiness, dizziness; monitor for QT prolongation
D – diagnosis may dictate restriction