Heart failure & cardiomyopathiesGuideline or statement

Pharmacologic Pitfalls in Heart Failure: A Guide to Drugs that May Cause or Exacerbate Heart Failure. A European Journal of Heart Failure Expert Consensus Document

Eur J Heart FailPublished

  • Expert consensus document

Recommendations

As issued by the authors

  1. Drug classes reviewed: antidiabetic agents (e.g. thiazolidinediones, dipeptidyl peptidase-4 inhibitors), antiarrhythmics (particularly Class I and III), calcium channel blockers, NSAIDs, antifungals (e.g. itraconazole, amphotericin B), macrolide antibiotics, antihypertensives (e.g. α1-blockers, centrally acting sympatholytics), neurological and psychiatric medications (e.g. carbamazepine, pregabalin, lithium), selected anaesthetic and anticancer agents (e.g. anthracyclines, VEGF inhibitors)

  2. Individualized therapy, close review of medication regimens and collaborative care to minimize iatrogenic harm

Original publication

Pharmacologic Pitfalls in Heart Failure: A Guide to Drugs that May Cause or Exacerbate Heart Failure. A European Journal of Heart Failure Expert Consensus Document. Eur J Heart Fail. Published 11 December 2025. doi:10.1002/ejhf.70087

Summarised from the published abstract; every number is checked against it