Medications

sec_arr Cardiovascular Medications

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