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Chronic Condition Management
Heart Failure Tip of the Month
Medications to Avoid in Heart Failure Patients
Certain medicines may cause clinical worsening in patients with heart failure. Follow the below guidelines to avoid further damage.

  • NSAIDs should not be used in all types of heart failure
  • Third generation calcium channel blockers such as amlodipine may be used for blood pressure control in heart failure with reduced ejection fraction (HFrEF)
  • Other calcium channel blockers such as verapamil, diltiazem, and nifedipine should be avoided in patients with HFrEF
  • Routine use of nitrates should be avoided in patients with heart failure with preserved ejection fraction (HFpEF)
Have medication questions? Contact the MSHP Pharmacy Team
Managing Heart Failure in Primary Care

The heart failure care pathway provides evidence-based guidelines for managing heart failure primary care. What’s inside:

  • Prevention, diagnosis, categorization, and staging of heart failure
  • Medications
  • Care delivery steps and clinical integration models
  • Testing and referral
  • Initial and subsequent office visit templates
About the Chronic Condition Management Hub
Mount Sinai Health System's Chronic Condition Management Hub is an online resource center for primary care physicians, specialists, and other care providers with resources and information to help them manage chronic health conditions
Contact Us
P: 877-234-6667