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