Cardiovascular system disorders, Guidance

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Choosing an antidepressant for people with coronary heart disease

29 April 2025Sertraline is the first-line option in people with coronary heart disease. Alternatives include fluoxetine, paroxetine and mirtazapine.

Statin suggestions for adults with swallowing difficulties

27 June 2024A range of statin formulations are suitable for adults with swallowing difficulties.

ACEI suggestions for adults with swallowing difficulties

20 June 2024A range of Angiotensin Converting Enzyme inhibitors (ACEI) formulations are suitable for adults with swallowing difficulties

ARB suggestions for adults with swallowing difficulties

20 June 2024A range of angiotensin II receptor antagonists (angiotensin receptor blockers, ARB) formulations are suitable for adults with swallowing difficulties.

Antiplatelet suggestions for adults with swallowing difficulties

13 June 2024A range of antiplatelet formulations are suitable for use in adults with swallowing difficulties.

Anticoagulant suggestions for adults with swallowing difficulties

13 June 2024A range of oral anticoagulant formulations are suitable for adults with swallowing difficulties.

Using heparins during breastfeeding

19 January 2024Low molecular weight heparin and unfractionated heparin can be used during breastfeeding. Recommendations apply to full term, healthy infants only.

Using antiplatelet medicines during breastfeeding

7 July 2023Antiplatelets can be used with caution in breastfeeding. Avoid exposure to aspirin if infant has a fever. Recommendations apply to full term, healthy infants.

Using beta-blockers during breastfeeding

2 June 2023Labetalol, metoprolol or propranolol are the beta-blockers of choice during breastfeeding. Recommendations apply to full term and healthy infants only.

Using calcium-channel blockers during breastfeeding

2 June 2023Nifedipine and verapamil are the calcium-channel blockers of choice during breastfeeding. Recommendations apply to full term and healthy infants only.

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