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Common Medication Uses & Side Effects: Patient Education A Student and Nurse’s Guide “Hello, I have the medications that have been ordered for you. I have ________, _________, and ________. Are any of these new for you?“ If yes, tell them what the medication is for. Using the teach back method ask them to tell you what the new medication is for. When giving any medications, state “some possible side effects for this new medication are __________, ____________, and ___________.” Using the teach back method ask them to tell you what the new medication is for. Medication Angiotensin Converting Enzyme (ACE) Inhibitor (e.g. captopril, enalapril, lisinopril, “prils”) Beta Blockers (e.g. atenolol, metoprolol, Toprol, “Lols”) Angiotensin Receptor Blockers (ARBs) (e.g. Losartan, Valsartan, Candesartan, Irbesartan) Calcium Channel Blockers (e.g. Norvasc, Cardizem, Procardia, Verapamil, Plendil) Diuretics (e.g. Lasix, Diurel, Aldactone, Bumex) What the medication does Lowers blood pressure & decreases strain on the heart. This makes it easier for the heart to pump & improves blood flow. Lowers blood pressure and slows the heart rate. It does this by altering hormones (body chemicals) that are damaging to the heart. May strengthen the heart’s pumping action over time. Lowers blood pressure and decreases strain on the heart, making it easier for the heart to pump and improves blood flow. May be prescribed instead of an ACE inhibitor. Interrupts the movement of calcium into the cells of the heart & blood vessels. May decrease the heart’s pumping strength & relax blood vessels Helps rid the body of excess water, which reduces swelling & may improve breathing. Less fluid to pump means the heart doesn’t have to Reasons for medication Possible side effects Used to treat or improve symptoms of heart conditions such as high blood pressure or heart failure Low blood pressure (may make you dizzy), dry cough, change in kidney function, too much potassium in the body, swelling of mouth, lips, or tongue. Used to lower blood pressure, treat chest pain, or to prevent future heart attacks Low blood pressure (may make you feel dizzy), low heart rate, depression, tiredness, sexual dysfunction, heart failure symptoms may be worse at first, but will improve over time. Used to treat or improve symptoms of heart conditions such as high blood pressure & heart failure. Used when patients cannot take ACE Inhibitors Low blood pressure (may make you feel dizzy), change in kidney function, too much potassium in the body, swelling of mouth, lips, or tongue (rare). Used to treat high blood pressure, chest pain caused by reduced blood supply to the heart muscle & abnormal heart rhythms Dizziness, headache, eye pain, facial flushing Used to help lower blood pressure & reduce swelling from extra fluid in the body Frequent urination, loss of potassium, magnesium, or sodium from the body. Kidney problems, low blood pressure (may make you work as hard. Often call “water pills”. feel dizzy), high blood sugar, gout, impotence, dehydration. Digoxin (e.g. Lanoxin, Digitek) Increases the force of the heart’s contraction and slows the irregular atrial contractions Statins (e.g. Lipitor, Zocor, Pravachol, Crestor) Lowers blood cholesterol Used to lower bad & can help prevent future cholesterol (LDL) & raise heart attacks good cholesterol (HDL) & lower triglyceride levels Headache, muscle aches or tenderness, dizziness, nausea, vomiting, constipation, liver failure Antiplatelets (e.g. aspirin, Plavix, dipyridamole) Helps prevent blood clots, which could block an artery. May reduce your risk of heart attack or stroke. Decreases the clotting ability of the blood by decreasing platelet aggregation Treats and prevents infections Used to treat or prevent heart attacks, chest pain, TIA’s (little strokes) Bleeding, heartburn or indigestion, ringing in the ears, sleepiness, headache. Used to prevent harmful clots that can cause a heart attack, stroke or clots in the legs & lungs Used to treat and prevent infections Bleeding, bruising, low platelets Diarrhea, constipation, headache, abdominal pain Anti-anxiety (e.g. lorazepam (Ativan), alprazolam (Xanax), diazepam (Valium) Decreases amount of acid Used to treat and prevent in stomach and decreases ulcers, heartburn, GERD; histamine production can also be used in managing allergic reactions Calms the brain but Used to treat anxiety, works on panic attacks, sleep neurotransmitters within problems, alcohol the brain withdrawal, Narcotics/Opioids (e.g. Norco, Dilaudid, Percocet, Morphine) Lowers the feeling of pain Used to relieve moderate by affecting the mu to severe pain receptors in the brain Nausea, rash, itching (mostly when injected), constipation, drowsiness Stool Softeners or Stimulants (e.g. docusate, senna) Antiemetics (e.g.Zofran, Phenergan, Reglan) Antidepressants (e.g. Celexa, Zoloft, Increases activity in the bowel Used to treat hard stools or constipation Stomach cramps, nausea, diarrhea Calms the vomiting center in the brain Used to decrease nausea and vomiting Headache, constipation, dizziness Increases chemicals in the brain that improve Most commonly used to treat low mood or Sleepy, lightheaded, nervous, dry mouth, Anticoagulants (e.g. Lovenox, Coumadin, Heparin, Pradaxa, Xarelto) Antibiotics; antimicrobials (e.g. Levaquin, Ancef, Vancomycin, Zosyn, Rocephin) Protonix (pantoprazole) Pepcid (famotidine) Tagamet (rantididine) Used to relieve heart failure symptoms or to slow heart rate in irregular heart rhythms High digoxin levels can lead to very low heart rates, nausea/vomiting, or changes in vision Rash, stomach upset, diarrhea Light headed, sleepiness, change in thinking, change in vision, dry mouth Effexor, Paxil, Elavil) mood depression nausea, suicidal ideation Anti-diabetic (e.g. insulin, metformin, glipizide) Lowers blood sugar & may help insulin work better Used to prevent or treat high blood sugar Low blood sugar, dizziness, stomach upset, diarrhea Neurontin (gabapentin) Works on nerves to reduce irritation on nerve fibers and therefore reduces pain Used to treat painful Dizziness, nausea, weight nerve disease, restless leg gain, change in thinking syndrome, seizures clearly