Yes it’s another drugs post but we think you should be aware of the drugs you should not be taking unless you are being directed by your Doctor or Heart Failure Nurse.

We believe this information is really important because you need to know what you can take and what you can’t and the reasons why.

Many types of drugs can aggravate heart failure by raising blood pressure and heart rate, creating irregular heartbeat or causing fluid buildup.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

These include aspirin, ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn), which are given to relieve pain and inflammation. Even short-term use can increase blood pressure and interfere with blood-pressure-lowering drugs. Many over-the-counter cough and cold medicines contain NSAIDs. The same warning goes for COX-2 inhibitors such as celecoxib (Celebrex).


Rosiglitazone and pioglitazone are two examples of this class of diabetes drugs, which can result in dangerous levels of fluid retention in patients with moderate-to-severe heart failure.


Both of these can raise blood pressure. Pregnancy, in and of itself, can also result in hypertension (high blood pressure).


Psychotropic drugs used to treat attention deficit hyperactivity disorder (ADHD) fall into the stimulant category, including Adderall (an amphetamine) and methylpenidate (Ritalin, Concerta). These medications often elevate blood pressure and increase heart rate. Many so-called diet pills are also stimulants.

Anthracyclines, including the commonly used doxorubicin (Adriamycin), are among the most effective chemotherapy medicines, but they can damage heart muscle. Giving these medications over a longer duration at a lower dosage can make them safer for many patients.

Treating depression can be vitally important in patients with heart disease, but when you have heart failure this treatment must be undertaken carefully. Elevated blood pressure can result from taking noradrenaline reuptake inhibitors including venlafaxine (Effexor). Increased heart rate can be caused by tricyclics, which include amitriptyline (Elavil). Higher blood pressure and irregular heartbeat can be a consequence of mixing monoamine oxidase inhibitors, which include phenelzine (Nardil), with certain cheeses, wines and pickles.

Illegal Drugs
Cocaine and methamphetamine can cause a sudden rise in blood pressure and heart rate. Cocaine can also constrict the heart’s pumping chamber.