Cardiovascular system disorders
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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.
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.
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.
ACEI suggestions for adults with swallowing difficulties
24 March 2025A range of Angiotensin Converting Enzyme inhibitors (ACEI) 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.
Statin suggestions for adults with swallowing difficulties
27 June 2024A range of statin formulations are suitable for adults with swallowing difficulties.
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.
Identifying risk factors for developing a long QT interval
17 February 2026Some medicines (erythromycin, citalopram, ondansetron) can cause a long QT interval. Consider risk factors and follow MHRA recommendations for safe use.