MEDICATION
Medication is often the first course of treatment, and there are several classes of medications that are used to treat cardiomyopathy. The choice of medication depends on the type of cardiomyopathy, symptoms, and heart function.
Common Medications
Children with cardiomyopathy often experience heart failure. In these cases, medication is prescribed to improve heart function and alleviate symptoms. Other medications may be used to treat associated complications such as blood clots, metabolic irregularities, arrhythmias, or obstruction of blood flow. The different categories of medications include:
- Angiotensin Converting Enzyme Inhibitors (ACE-I)
- Angiotensin Receptor Blockers (ARBs)
- Antiarrhythmics
- Anticoagulants
- Beta-Blockers
- Calcium Channel Blockers
- Digitalis
- Diuretics
- Inotropes
When the cause of cardiomyopathy is suspected or confirmed to be a metabolic disorder, special dietary supplements, such as carnitine, may be prescribed in addition to cardiac medications.
Each child may have a slightly different medication plan depending on the condition of their heart. It is not uncommon for a child to take several medications to manage their symptoms. For a list of common medications used to treat and manage cardiomyopathy, download the Medication Chart.
Intake and Monitoring
Careful monitoring is important with any drug regime. Parents should have a general understanding of each drug’s purpose and possible side effects. The Medication Chart provides information on common side effects.
Each medication has guidelines on daily dosage and frequency. Most may be given in 1-2 doses with or without food. As a child grows and his/her heart function changes, adjustment of doses or changes in medication may be necessary to ensure safety and effectiveness. Any reactions or side effects should be reported to the cardiologist, as well as any changes to the medication plan.