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Heart Failure

Polypharmacy guidance: realistic prescribing
Scottish Government Effective Prescribing & Therapeutics Division
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ACE inhibitor (Enalapril 2.5-40mg/day (uptitrated as tolerated) vs placebo, severe heart failure

ACE inhibitor (Enalapril 2.5 - 20mg/day (uptitrated as tolerated) vs placebo, heart failure

ACE inhibitor (Enalapril 2.5 - 20mg/day (uptitrated as tolerated) vs placebo, CKD

ACE inhibitor and Indapmide (perindopril 4mg/day and Idapamide 2.5mg/day) vs placebo

ACE inhibitor (Ramipril 10mg/day) vs Placebo (High-risk of cardiovascular disease without LVSD or heart failure)

ACE inhibitor (Enalapril 2.5 - 40mg/day (uptitrated as tolerated) vs placebo, asymptomatic heart failure

Angiotensin II receptor antagonist (Telmistartan 80mg/day) vs placebo

Angiotensin II receptor blocker (Candesartan 4-32mg/day)

Betablocker (Bisoprolol titrated to target dose of 10mg/day) vs placebo

Betablocker (Carvedilol titrated to target dose of 25mg twice daily) vs placebo

Betablocker (Metoprolol modified release titrated to a target dose of 200mg /day) vs placebo

Betablocker (Nebivolol titrated to a target dose of 10mg/day) vs placebo

Spironolactone 25mg daily vs placebo

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