======Heart Failure======

^  Drug  ^  Initial Dose  ^  Target  ^
^  Angiotensin-Converting Enzyme Inhibitors  ^^^
| Captopril | 6.25-12.5 mg q6-8h | 50 mg tid |
| Enalapril | 2.5 mg bid | 10 mg bid |
| Fosinopril | 5-10 mg daily; can use bid | 20 mg daily |
| Lisinopril | 2.5-5.0 mg daily; can use bid | 10-20 mg bid |
| Quinapril | 2.5-5.0 mg bid | 10 mg bid |
| Ramipril | 1.25-2.5 mg bid | 5 mg bid |
| Trandolapril | 0.5-1.0 mg daily | 4 mg daily |
^  Angiotensin Receptor Blockers  ^^^
| Valsartan | 40 mg bid | 160 mg bid |
| Losartan | 25 mg daily; can use bid | 25-100 mg daily |
| Irbesartan | 75-150 mg daily | 75-300 mg daily |
| Candesartan | 2-16 mg daily | 2-32 mg daily |
| Olmesartan | 20 mg daily | 20-40 mg daily |
^  Thiazide Diuretics  ^^^
| HCTZ | 25-50 mg daily | 25-50 mg daily |
| Metolazone | 2.5-5.0 mg daily or bid | 10-20 mg total daily |
^  Loop Diuretics  ^^^
| Bumetanide | 0.5-1.0 mg daily or bid | 10 mg total daily (maximum) |
| Furosemide | 20-40 mg daily or bid | 400 mg total daily (maximum) |
| Torsemide | 10-20 mg daily or bid | 200 mg total daily (maximum) |
^  Aldosterone Antagonists  ^^^
| Eplerenone | 25 mg daily | 50 mg daily |
| Spironolactone | 12.5-25.0 mg daily | 25 mg daily |
^  β-Blockers  ^^^
| Bisoprolol | 1.25 mg daily | 10 mg daily |
| Carvedilol | 3.125 mg q12h | 25-50 mg q12h |
| Metoprolol succinate | 12.5-25.0 mg daily | 200 mg daily |
^ Digoxin | 0.125-0.25 mg daily | 0.125-0.25 mg daily |