Medications
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