Table 1.
Some effective medicines for the treatment of heart failure (HF).
Drug | Initial Dose | Target Dose* | Side Effects | |
---|---|---|---|---|
- | Captopril | 6.25-25 mg TID | 50 mg TID | Hypotension |
- | Enalapril | 2.5 mg BID | 20 mg BID | SCr/BUN increase |
Angiotensin Converting Enzyme Inhibitors |
Lisinopril | 2.5-5 mg daily | 40 mg daily | Hyperkalemia |
- | Trandolapril | 1 mg daily | 4 mg daily | Cough |
- | Perindopril | 2 mg daily | 16 mg daily | - |
- | Bisoprolol | 1.25 mg daily | 10 mg daily | Hypotension |
Beta Blockers | Carvedilol | 3.125 mg BID | 50 mg BID | First-degree heart block |
- | Carvedilol CR | 10 mg daily | 80 mg daily | Dizziness |
- | Metoprolol succinate | 12.5-25 mg daily | 200 mg daily | - |
- | Candesartan | 4-8 mg daily | 32 mg daily | Hypotension |
Angiotensin Receptor Blockers | Losartan | 25-50 mg daily | 150 mg daily | SCr/BUN increase |
- | Valsartan | 20-40 mg BID | 160 mg BID | Hyperkalemia |
- | Hydralazine | 25-50 mg TID-QID | 300 mg daily | Hypotension Headache |
Vasodilators | Isosorbide dinitrate(ISD) | 20-30 mg TID-QID | 120 mg daily | Dizziness Asthenia |
- | Fixed-dose combination | 37.5 mg hydralazine/20 mg ISD TID | 75 mg hydralazine/40 mg ISD TID | Nausea |
- | Bumetanide | 0.5-1.0 mg daily or | 10 mg daily | Fluid loss |
Diuretics | Furosemide | 20-40 mg daily or | 600 mg daily | Hyperuricemia |
- | Torsemide | 10-20 mg daily | 200 mg daily | Cramping/diarrhea |
- | Ethacrynic acid | 25-50 mg daily | 100 mg BID | Hypotension |
Positive inotropic | Digoxin | 0.125-0.25 mg daily | 0.25 mg daily | Heart block Arrhythmias Anorexia |