Cardiovascular system disorders
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Using ACE inhibitors during breastfeeding
2 June 2023Enalapril is the angiotensin converting enzyme (ACE) inhibitor of choice during breastfeeding. Recommendations apply to full term and healthy infants only.
Using angiotensin-II receptor antagonists during breastfeeding
19 September 2023Very limited data suggest breastmilk levels are likely to be low, but other medicine classes are preferred. Recommendations apply to full term, healthy infants.
Anticoagulant suggestions for adults with swallowing difficulties
5 November 2025A range of oral anticoagulant formulations are suitable for adults with swallowing difficulties.
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.
Primary care discussions: Heart failure
20 August 2024A practical discussion between two pharmacists with an interest in heart failure about identifying heart failure and optimising treatment in primary care.
SMRs in problematic polypharmacy: cardiovascular disease focus
10 March 2026Consultant pharmacists used a case study to illustrate a patient centred approach to SMRs for patients with cardiovascular disease.
Managing peripheral oedema caused by calcium channel blockers
26 September 2022All calcium channel blockers may cause peripheral oedema. There are different treatment options and the incidence can be affected by different factors.
Using lipid-lowering medicines during breastfeeding
21 April 2023Rosuvastatin, pravastatin and atorvastatin are preferred; simvastatin and ezetimibe can also be used. Recommendations apply to full term and healthy infants.
Using beta-blockers during breastfeeding
9 August 2023Labetalol, metoprolol or propranolol are the beta-blockers of choice during breastfeeding. Recommendations apply to full term and healthy infants only.
Using clopidogrel with proton pump inhibitors (PPIs)
14 September 2023Avoid the combined use of clopidogrel with omeprazole or esomeprazole due to a significant interaction. Other PPIs are considered safe with clopidogrel.