
Drugs Used to Treat Children with Heart Conditions Not all children with cardiac problems will require the use of medication. If your child does need it, the drugs prescribed will depend on the nature of your child's heart condition, and the degree of symptoms they are showing. All of the drugs have a chemical or generic name which identifies the 'ingredients' of the medication, but the pharmaceutical companies which make the drugs also give them a company or proprietary name, so there may be several names for the same drug.
Digoxin:
This increases the force of contraction of the heart muscle making
it more efficient, and it also slows down the electrical impulses within the
heart. It is used to give extra support to the heart muscle and to slow down
the heart if it is beating too fast. It can occasionally make your child sick
or nauseous and they may lose their appetite.
Diuretics Frusemide and Chlorothiazide: These
drugs enable the kidneys to produce and excrete more urine. When the heart
is not working very efficiently it causes the body to retain fluid within
the lungs and the liver. Consequently the lungs become heavier and work less
efficiently causing the child to become breathless, which often results in
difficulty in feeding in babies. These drugs tend to excrete potassium, sodium,
and chloride in the urine and supplements of these substances are sometimes
needed.
Spironolactone / Amiloride: These are slightly weaker diuretics that
also do not cause the excretion of potassium. They are often used together
with one of the other diuretics. Potassium supplements These are given with
the diuretics to help replace the lost potassium, but your child will probably
not like the taste very much..
Hydralazine and Captopril: These drugs
are vasodilators, which means that they increase the size of the blood vessels
and reduce blood pressure. They are also used to lower high blood pressure,
but can also be used if the heart action is very weak, as by reducing the
blood pressure it reduces the work of the heart. Propranolol Another drug
that reduces the rate and force of contraction of the heart muscle, it is
used to treat fast heart rates, high blood pressure, and to relieve the spasms
of the heart muscle in Fallot's Tetralogy.
Anti-arrythmic Drugs. There are many anti-arrythmic drugs such as Verapamil,
Disopyramide, Lignocaine, Phenytoin, Mexilitene, Flecainide, and Amiodarone.
They are used to control arrhythmias - irregular or abnormal heartbeats Anticoagulants
These drugs thin the blood and are used in patients who have an artificial
heart valve, to prevent blood clots forming in the valve. Warfarin is the
drug used and regular blood tests are essential to assess the amount of thinning
and to adjust the dose. All children on this drug should carry a card with
them detailing the dose and result of the latest blood test, so that they
receive the correct treatment in an emergency. Any medicines containing Aspirin
should be avoided when taking Warfarin, as it is also an anticoagulant. Aspirin
is sometimes used in adolescents with heart conditions as it reduces the stickiness
of the platelets in the blood.
These are just a few!