Following your heart attack, there's a good chance that you were released from the hospital with a fist full of prescriptions - necessitating a pharmacy stop by you, or someone close to you. So now you may be in possession of quite a few pill bottles containing heart medications you know little, if anything, about.
Tempting as it might be to just throw them in a drawer, they are probably vital to your heart's recovery and your survival, so let's take a look at what they do and take heart - as you improve, you probably won't need so many.
If your MI (heart attack) damaged your heart, you have probably been prescribed the following 3 types of medication. Taken exactly as directed, they work in unison to help your heart recover by strengthening and remodeling it.
- ACE Inhibitors - lisinopril (Prinivil, Zestril), ramipril (Altace), enalapril (Vasotec), captopril (Capoten), benazepril (Lotensin) Help to reverse heart failure, lower blood pressure, decrease heart's workload, and reduce artery inflammation.
- Beta-Blockers - metoprolol (Toprol XL, Lopressor) propranolol (Inderal) carvedilol (Coreg), bisoprolol (Zebeta) Reduce heart failure symptoms and risk of abnormal heart rhythms/death; aid heart remodeling.
- Diuretics - furosemide (Lasix), bumetanide (Bumex) Help to decrease fluid retention associated with heart failure. Aldosterone Antagonists spironolactone (Aldactone), eplerenone (Inspra) are potassium-sparing types of diuretic that may also help to reverse any heart scarring.
In addition to the trio above, you are most likely to be given a statin drug. Anyone who receives a drug-coated stent is usually advised to take a statin for at least a year. If you have problems with cholesterol, your doctor may want you to regularly take statins because statins minimize cholesterol-and the prevalent Western medicine hypothesis is that high cholesterol is behind most heart attacks.
Other possible prescriptions are the following:
- ARBs- losartan (Cozaar), valsartan (Diovan) Typically prescribed for those who cannot take ACE inhibitors, they have similar effects. Nitrates or Vasodilators are other alternatives.
- Digitalis - digoxin (Lanoxin) Reduces symptoms of heart failure, slows the heartbeat, and increases the strength of heart contractions.
- Blood Pressure Meds - ACE Inhibitors and diuretics both help to lower blood pressure. There is a long list of other blood pressure medications that I will leave you to search out online if needed.
Topping all of the above, you are likely to be given a single low-dose (81 mg) aspirin regimen per day. Technically speaking, NSAIDs, this very low dose-usually considered appropriate, is moderately anti-inflammatory, helps to thin the blood, and can also lower cholesterol slightly.
The following supplements are often taken by heart attack survivors and can make quite a difference in your recovery. But be sure to discuss with your doctor before buying or taking one.
- CoQ10 (ubiquinol) - Statins deplete the body's normal level of this crucial substance, weakening the heart muscle. Knowing this, most doctors recommend 200 mg daily. Ubiquinol is the better-absorbed version and should be taken with oil for proper absorption (I take it at the same time as my fish oil).
- D-Ribose - When the heart has been blood and/or oxygen-deprived, or when stressed by certain drugs (such as digoxin), Ribose can supply the energy needed to regenerate. It can be particularly helpful in the first 10 days to 2 weeks after a heart attack - the longer the heart was deprived of it is the normal flow of blood and oxygen, the greater the need.
- Fish Oil - Reduces inflammation, thins the blood, and can lower triglycerides. Wild-caught cold-water fish oil is best. Can contribute to easy bruising if on other blood thinners, so I take 1000 mg daily.
- Vitamins
- C - An antioxidant and anti-inflammatory that can lower elevated C-reactive protein (inflammation), supports blood vessels, and may even help lower blood pressure and cholesterol slightly. Buffered is easier on the system.
- B complex - Cutting back on animal products can deplete important B vitamins that aid blood vessel health, reduce stroke risk, and modulate homocysteine. I prefer to stay away from mega-dose versions.
- D3 - Switching from dairy products to alternatives may mean you'll need to supplement this vitamin. A 16-year international study of participants age 50-79, published June 2014, showed a 26% increased cardiovascular related death risk for subjects in the US who were deficient in this vitamin. If you don't get much sun you may want more than 1000 IU daily.
- Magnesium - Many people are deficient in this important mineral which aids in keeping heartbeats regular, as well as lowering blood pressure.
- Niacin ER (time-released) - Can change your LDL to the non-harmful type BUT, when taken while on statins, can cause excessive metabolic stress on the liver. Available as a prescription medication.