ABOUT HF LIVING WITH HF

When you have HF, even little changes can make a difference

Managing HF is often about more than just medicine. While eating right and staying active is a good idea for everyone, it's especially important for people with HF. Doctors usually recommend that changes in eating habits and lifestyle, such as the ones listed below, be a part of any HF treatment plan. Be sure to work with your doctor to establish an HF treatment plan that's right for you.

Eat right

When you have HF, it's important to eat a balanced diet high in heart-healthy foods and low in salt. Salt causes the body to retain water, which can cause swelling and make it even harder for the heart to pump. Here are some ideas on how to reduce the amount of salt in your diet.

Study nutritional labels
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When you have HF, it's important to know how to read labels correctly. For example, if a can of soup contains 2 servings and each serving has 500 mg of sodium, then eating the entire can adds up to 1,000 mg of sodium total. Simply multiply the number of servings by the sodium content listed to get the total amount of salt in the package.

Shop smart
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Try opting for fresh or frozen vegetables over canned vegetables, lean cuts of meat like chicken and fish, and fresh foods over pre-packaged choices.

Cook heart-healthy meals when eating in
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When cooking at home, try selecting healthy proteins, like chicken or fish, and roasting or steaming them instead of frying them in oil. You should also try to eat a variety of foods to get the nutrition you need. And remember, cooking without salt doesn't mean your food has to be boring. Try swapping salt for spices like cayenne or oregano for an added kick.

Read menus carefully when dining out
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When in doubt, stick to items that have been steamed or grilled rather than fried and ask for all sauces to be left off or served on the side. If you make the right choices, it's possible to eat out and still eat healthy—even at fast food restaurants.

Stay active

Like any muscle, the heart may benefit from physical activity. And, in fact, most doctors consider light exercise an important part of HF treatment. If you have HF and your doctor says you are healthy enough, here are some ideas you can try:

Stay active at home
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Engaging in everyday activities is a great way to stay active. 2,000 steps add up to approximately 1 mile of walking, so every little bit helps. Even vacuuming the house or raking the yard counts.

Take a walk
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Start with a walk to the mailbox and build from there. To give you a sense of distance, 15 blocks is the approximate equivalent of walking 1 mile. Grab a friend or family member and make it a social affair.

Move around, even while seated
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Try rolling your shoulders or squeezing a small ball. Even standing during commercial breaks helps, as 1 hour of standing burns approximately 50 calories. Every little bit helps.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about ENTRESTO?

ENTRESTO can harm or cause death to your unborn baby. Talk to your doctor about other ways to treat heart failure if you plan to become pregnant. If you get pregnant while taking ENTRESTO, tell your doctor right away.

INDICATION

What is ENTRESTO?

ENTRESTO is a prescription medicine used to reduce the risk of death and hospitalization in people with certain types of long-lasting (chronic) heart failure. ENTRESTO is usually used with other heart failure therapies, in place of an ACE inhibitor or other ARB therapy.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about ENTRESTO?

ENTRESTO can harm or cause death to your unborn baby. Talk to your doctor about other ways to treat heart failure if you plan to become pregnant. If you get pregnant while taking ENTRESTO, tell your doctor right away.

Who should not take ENTRESTO?

Do not take ENTRESTO if you:

  • are allergic to sacubitril or valsartan or any of the ingredients in ENTRESTO
  • have had an allergic reaction including swelling of your face, lips, tongue, throat (angioedema) or trouble breathing while taking a type of medicine called an angiotensin-converting enzyme (ACE) inhibitor or angiotensin II receptor blocker (ARB)
  • take an ACE inhibitor medicine. Do not take ENTRESTO for at least 36 hours before or after you take an ACE inhibitor medicine. Talk with your doctor or pharmacist before taking ENTRESTO if you are not sure if you take an ACE inhibitor medicine
  • have diabetes and take a medicine that contains aliskiren

What should I tell my doctor before taking ENTRESTO?

Before you take ENTRESTO, tell your doctor about all of your medical conditions, including if you have kidney or liver problems; are pregnant or plan to become pregnant; are breastfeeding or plan to breastfeed. You should either take ENTRESTO or breastfeed. You should not do both.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Especially tell your doctor if you take potassium supplements or a salt substitute; nonsteroidal anti-inflammatory drugs (NSAIDs); lithium; or other medicines for high blood pressure or heart problems such as an ACE inhibitor, ARB, or aliskiren.

What are the possible side effects of ENTRESTO?

ENTRESTO may cause serious side effects including:

  • angioedema that may cause trouble breathing and death. Get emergency medical help right away if you have symptoms of angioedema or trouble breathing. Do not take ENTRESTO again if you have had angioedema while taking ENTRESTO. People who are Black or who have had angioedema and take ENTRESTO may have a higher risk of having angioedema
  • low blood pressure (hypotension). Call your doctor if you become dizzy or lightheaded, or you develop extreme fatigue
  • kidney problems
  • increased amount of potassium in your blood

The most common side effects were low blood pressure, high potassium, cough, dizziness, and kidney problems.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

INDICATION

What is ENTRESTO?

ENTRESTO is a prescription medicine used to reduce the risk of death and hospitalization in people with certain types of long-lasting (chronic) heart failure. ENTRESTO is usually used with other heart failure therapies, in place of an ACE inhibitor or other ARB therapy.

This information is not comprehensive. Please see full Prescribing Information, including Boxed WARNING, and Patient Prescribing Information.

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