starting most heart failure patients on "triple therapy"

November 1998

Some cardiologists now recommend starting most heart failure patients on "triple therapy"...with an ACE inhibitor, diuretic, and digoxin.

Current guidelines recommend a "step" approach...starting with an ACE inhibitor...then adding a diuretic and digoxin as needed.

But starting with ALL THREE drugs seems to be more effective.

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Table of Contents

STANDARDIZED herbal products
Diabetes confused about the readings they're getting from the newer blood glucose meters
Interactions significant interaction when verapamil is combined with lovastatin (Mevacor) or simvastatin (Zocor)
Cardiology new antiplatelet drug called Plavix
Cardiology starting most heart failure patients on "triple therapy"
Cardiology now marketing Nitrolingual Pumpspray
Hypertension Atacand (candesartan), a new angiotensin II receptor blocker (ARB) for hypertension
gabapentin (Neurontin) for psychiatric disorders
Paxil (paroxetine) or other SSRIs for social phobia
SSRIs can increase the risk of falls in the elderly
Periostat, a new "pill" for periodontitis
Infectious Diseases lamivudine for chronic hepatitis B
Infectious Diseases This year's flu vaccine may be especially beneficial
Infectious Diseases two promising antivirals to treat and prevent influenza
cautioning about the use of albumin in seriously ill patients
Osteoporosis benefit of two of the newer drugs for osteoporosis
Osteoporosis pharmacists now offer bone density tests
folic acid supplements substantially reduce the risk of colon cancer