Living with Your Pacemaker: Essential Medication Guidelines

A comprehensive guide to medication management for pacemaker patients

Cardiology

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Last updated: Mar 24, 2025

Understanding Your Medications

Anticoagulation Therapy

  • Warfarin (Coumadin®) or other blood thinners may be prescribed
  • Regular INR monitoring is essential
  • Maintain consistent vitamin K intake

Antibiotics

  • Prophylactic antibiotics may be needed before dental procedures
  • Always inform healthcare providers about your pacemaker
  • Follow antibiotic prescriptions exactly as directed

Medication Interactions

Avoid Without Consultation:

  • Certain antiarrhythmic medications
  • Some psychiatric medications
  • Select muscle relaxants

Important Guidelines

Medication Schedule

  1. Take medications at the same time daily
  2. Use a pill organizer if needed
  3. Keep a current medication list

Emergency Preparedness

  • Carry medication list at all times
  • Include pacemaker model and settings
  • Keep emergency contacts updated

Warning Signs

Contact Your Doctor If:

  • Experiencing new heart rhythm symptoms
  • Noticing medication side effects
  • Having pacemaker site concerns

Regular Monitoring

Follow-up Care

  • Attend all scheduled appointments
  • Complete regular blood work as prescribed
  • Report any new medications to your care team

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