A guide to drugs that can trigger or worsen heart failure

Common over-the-counter medications such as ibuprofen, Gaviscon or nasal decongestants can trigger or worsen heart failure, the American Heart Association says.

It has published an exhaustive list of prescription, OTC drugs and complementary remedies and supplements that could seriously affect patients with heart failure.

Unintended side-effects are a particular problem in heart failure, as patients tend to have many comorbidities, are on complex drug regimens and are treated by a disparate number of healthcare providers.

All these factors can conspire to worsen heart failure through myocardial toxicity, drug-drug interactions, or both, says the association a scientific statement published in the journal Circulation.

"Since many of the drugs heart failure patients are taking are prescribed for conditions such as cancer, neurological conditions, or