TherapyStarting dosageTarget/common dosageCost*
Drugs shown to decrease mortality and/or improve symptoms
Aldosterone antagonists
Eplerenone (Inspra)25 mg once per day50 mg once per day$65 ($275)
Spironolactone (Aldactone)12.5 mg once per day25 mg once per day$10 ($70)
Angiotensin-converting enzyme inhibitors
Captopril6.25 mg (one-half tablet) three times per day12.5 to 50 mg three times per day$35 to $150
Enalapril (Vasotec)2.5 mg twice per day10 mg twice per day$25 ($920)
Fosinopril5 to 10 mg once per day40 mg once per day$20
Lisinopril (Prinivil)5 mg once per day10 to 20 mg once per day$9 ($60)
Perindopril (Aceon)2 mg once per day8 to 16 mg once per day$40 to $125 ($100 to $200)
Quinapril (Accupril)5 mg once per day10 to 20 mg twice per day$20 ($250)
Ramipril (Altace)1.25 mg twice per day5 mg twice per day$13 ($300)
Trandolapril (Mavik)1 mg once per day4 mg once per day$16 ($75)
Angiotensin receptor blockers
Candesartan (Atacand)4 mg once per day32 mg once per day$65 ($145)
Valsartan (Diovan)40 mg twice per day160 mg twice per day$30 ($420)
Beta blockers
Bisoprolol (Zebeta)1.25 mg (one-fourth tablet§) once per day10 mg once per day$20 ($175)
Carvedilol (Coreg)3.125 mg twice per day25 mg twice per day$10 ($266)
Metoprolol succinate (Toprol XL)12.5 mg (one-half tablet) once per day200 mg once per day$35 ($100)
Angiotensin receptor blocker/neprilysin inhibitor
Sacubitril/valsartan (Entresto)49 mg/51 mg twice per day97 mg/103 mg twice per dayNot available ($425)
Sinus node modulator
Ivabradine (Corlanor)5 mg twice per day7.5 mg twice per dayNot available ($407)
Vasodilators
Hydralazine37.5 mg three times per day75 mg three times per day$35
Isosorbide dinitrate (Isordil)20 mg three times per day40 mg three times per day$180 ($245)
Isosorbide dinitrate/hydralazine (Bidil)20 mg/37.5 mg three times per day40 mg/75 mg three times per dayNot available ($590)
Drugs for symptomatic therapy
Diuretics (loop)§
Bumetanide1 mg once per day1 to 10 mg per dose (maximum 10 mg per day)$165 for maximum
Ethacrynic acid (Edecrin)25 mg once per day25 to 200 mg per dose (maximum 400 mg per day)$8,000 ($11,850)
Furosemide (Lasix)40 mg once per day20 to 160 mg per dose (maximum 600 mg per day)$40 ($420) for maximum
Torsemide (Demadex)20 mg once per day20 to 100 mg per dose (maximum 200 mg per day)$35 ($980) for maximum
Diuretics (thiazide)§
Hydrochlorothiazide25 mg once per day25 to 100 mg once per day$8
Metolazone2.5 mg once per day2.5 to 10 mg once per day$30
Inotrope
Digoxin (Lanoxin)0.125 mg once per day0.125 to 0.375 mg per day$15 ($230) to $35 ($650)