Medications


Aldactone:
Aldactone is a diuretic given to retain potassium while getting rid of the extra body fluid. The drug is available as a pill and as a liquid. It is important to be consistent in the timing of the medicine each day. The pill can still be taken 2 hours after the regular hour in case the child forgot to take it, however if the delay is more, it is recommended not to take anything and to take the next dose regularly. The next dose should not compensate for the missed one. If the child vomits the medicine 10 within 10 minutes, the exact dose should be given one more time. If more than 10 minutes have passed, wait until the next dose and give it regularly.

The side effects of Aldactone are: dehydration seen with dry mouth and skin, lack of tears when crying in babies and a decreased urine output. Other side effects are rare but include fatigue, muscle weakness, GI tract disturbances, irregular heartbeat and anorexia.

Aspirin:
Aspirin is used as an anticoagulant drug. It prevents blood clots. Aspirin should be administered at the same time each day and preferably with food since it can cause some stomach disturbance.

If the child forgot to take the pill, he still can take it up to 2 hours after the regular hour, however if more than 2 hours have passed it is recommended to wait for the next dose. The next dose should not compensate for the missed one. If the child vomits the drug within 10 minutes, the same dose can be given a second time. If he vomits it more than 10 minutes after taking the pill, it is recommended to wait for the next regular dose.

Your child’s dentist should know that he is taking Aspirin. There are no known side effect except for some stomach disturbances seen as stomach pain and sometimes black or bloody stools, ulcers and nausea.

Coumadin:
Coumadin is an anticoagulant drug. It helps prevent the blood to clot and thus prevent the obstruction of the blood vessels or valve by these clots.

It is important to follow the doctor’s order on the dosage of the medicine given. The dosage might be given in a cycle and might be different each day. Even if the dosage is different, it should be given at the same time each day.

If the child forgets to take a dose, he should take it as soon as he remembers it during the same day, then on the next day, he should go back to the regular schedule. Never try to compensate for a missed dose by taking an extra dose the next time.

If the child is taking coumadin, he should be closely monitored. The dose prescribed by the doctor is of great importance. If it is too little, the blood will form clots and therefore will obstruct blood vessel or valve. If the dose is too high, the blood will be too thin and hemorrhages and bleeding can occur. To monitor the child, a prothrombin test should be taken every week at first than every two weeks or every month.

The child taking coumadin might encounter the following side effects. Too much bleeding from small injuries, blood in the stools, nose bleeding, blood vomiting, Joint pain, headaches, anorexia and skin lesions.

Vitamin K, known for its coagulant effect should also be monitored since it can interact with coumadin levels. To monitor this vitamin in food, It is recommended to eat vitamin K-rich food in a constant amount so that the coumadin level stabilizes. Some vitamin K-rich foods include: Spinach, cauliflower, Broccoli, Lettuce, cucumber, chick peas.

Digoxin or Lanoxin:
This drug is usually given when symptoms of congestive heart failure are seen. It strengthens the heart muscle and helps to slow the heart rate. It is usually given prior to surgery in order to treat and reduce the symptoms of congestive heart failure.

The medicine should be given at a regular time each day. A delay of a maximum of two hours is acceptable, the child can still take the drug. However, in case of a longer delay, the child should abstain from taking the drug until the next scheduled dose. The missed dose should not be compensated during the next dose.

A child taking Digoxin might encounter the following side effects: Nausea, vomiting and loss of appetite and anorexia, diarrhea, and bradycardia.

Lasix or Furosemide:
This drug is a diuretic, used to treat symptoms of congestive heart failure, and to remove the extra body fluid. It is used especially after surgery.

The medicine should be taken at regular times each day. The child can still take the dose until a maximum of two hours after the regular hour. After that, it is advised to wait for the next regular dose, and not to try to compensate for the missed dose.

A child taking lasix can have several side effects. Since Lasix is a diuretic, the child will have an increased urination causing dehydration and a loss of potassium. Children should get extra potassium from food like bananas, potatoes, milk and yogurt. A child having dehydration will have a dry mouth and skin, lack of tears and decreased urination. Other side effects would include: elevated blood sugar level, anemia, headache, dizziness and hypotension.

Capoten or Captopril:
Capoten is a medicine given to reduce the blood pressure and the workload against which the heart has to pump. It enlarges the blood vessels. The drug should be given at the same time each day, preferably 1 hour before a meal. Until 2 hours after the scheduled hour, the child can still take the dose safely. However if more than 2 hours have passed, it is advised to wait until the next scheduled dose without trying to compensate for the missed dose. The onset of action of the drug is after 15 to 30 minutes. If the child vomits, no extra dose should be given unless if it occurred less than 15 minutes after taking the drug.

Capoten has several side effects including cough, fever, headache, hypotension, diminution of taste, proteinurea, increased potassium renal absorption, fainting, irregular heartbeat. Capoten may also decrease the effect of some antihypertensive drugs.

Tenormin:
This drug is given to control abnormal heart rhythm and hypertension. Tenormin is a long lasting b blocker. The drug should be taken at the same time each day. If a dose has been missed, it is advised to wait for the next scheduled dose and not to compensate for the missed dose by taking extra at the next dose. The onset of action of the pill is between 60 to 120 minutes.

Tenormin has several side effects including hypotensiom, nausea, vomiting, bradycardia, fatigue and depression.

Inderal:
This medicine is used to treat several symptoms. Its main action is to control abnormal heart rhythm, but it is also used to decrease blood pressure as well as to decrease the contractions of the heart muscle. Inderal is a b-blocker. The drug should be taken at the same time each day. If a dose has been missed, it is recommended to wait until the next scheduled dose and not to try to compensate for the missed dose by taking an extra dose the next time. Whenever taken as pill, the onset of action of inderal is between 40 to 120 minutes after ingestion, however, if a very quick effect is desired, inderal can be ingested intravenously.

Inderal has several side effects including: Hypotension, nausea, vomiting, fatigue, hypo or hyperglycemia and bradycardia.

Diuril:
This medicine is a diuretic, it removes the extra fluid by increasing urine production. By doing so, the blood volume will be reduced and thus reducing the workload on the heart. The drug should be taken at the same time each day. The child can still take the medicine until 2 hours after the regular hour. If more than 2 hours have passed, it is recommended to wait until the next scheduled dose and not to try to compensate the missed dose by an extra dose. It is advised to give Diuril few hours before bedtime so that the child will not be disturbed in his sleep.

The onset of action of Diuril is 1 to 2 hours. Diuril has several side effects including hypokalemia (low potassium level), hypotension, dizziness, hyperglycemia, hyperlipidemia, muscle weakness, vomiting, frequent urination, dehydration seen by a decreased urine output, lack of tears when crying, and dry skin.

It is advised to give the child potassium rich food to prevent hypokalemia. These foods include bananas, potato, milk, orange and yogurt.

Renitec:
Renitec is part of the Angiotensin Converting Enzyme (ACE) inhibitors.
This drug is used to lower blood pressure and to treat heart failure.
Hypertension is defined as a high blood pressure. A person is said to have hypertension when the blood pressure stays higher than is needed even at rest. Heart Failure is when the heart muscle is too weak to pump enough blood to the body. Symptoms of heart failure are usually shortness of breath, fluid accumulation in the body (swollen ankles) and tiredness after light physical activity.
Renitec widens blood vessels so that blood is able to pass through them more easily and the heart doesn’t have to pump hard to move the blood around the body. Therefore it helps prevent the shortness of breath as well as the fatigue after light physical activity.

If the child is taking Renitec to treat heart failure, it should be used with diuretics to help the body lose the excess fluid. It Is Important to follow Doctor’s order on the dosage of the medicine. The medicine should be taken at a regular time each day. If the child forgets to take the dose, he should take it as soon as he remembers it during the day. If it is almost time for the next dose, then he should skip that dose and take the next one regularly. Never try to compensate for a missed dose by taking an extra dose the next time.

A child taking Renitec may encounter the following adverse effects: Headache, fatigue, and dizziness because of a drop in blood pressure. Other side effects include, diarrhea, stomach pain, muscle cramps, fainting, and an increase in heartbeats.

 


Children's Heart Center-American University of Beirut Medical Center-Pediatric Department
Riad El solh Beirut 1107 2020 / P.O.Box 11-0236 Lebanon
Phone: +961 1 350000 EXT 5748