Every medicine has its own set of side effects, and Dr Dmitry Yaranov, a Russia-based cardiologist, who specializes in heart failure, advanced heart failure, heart transplantation, and mechanical circulatory support, says that some everyday drugs can pose hidden risks to the heart. His message is not meant to spark fear but to encourage awareness about medications we often assume are completely harmless.Below are five categories of common drugs that Dr. Yaranov believes deserve more caution, especially for those with existing heart issues.NSAIDs - Nonsteroidal Anti-inflammatory DrugsThese are your everyday painkillers, which includes ibuprofen or naproxen. While they are go-to options for headaches, fever, or muscle cramps, Dr Yaranov says that its frequent use could strain the heart. These drugs reduce inflammation by blocking certain chemical pathways, but they also make the body retain salt and water. This can:Raise blood pressureWorsen swellingIncrease the risk of heart failure, particularly in people who already have high blood pressure or heart diseaseDr. Yaranov suggests discussing long-term or frequent NSAID use with a doctor, instead of using them casually.Chemotherapy DrugsWhile these drugs are life-saving, it may have side effects that could weaken the heart muscles. Dr Yaranov explains that drugs like doxorubicin or trastuzumab could also affect how well the heart pumps blood, which can lead to ardiomyopathy or heart failure.Because of this, many cancer centres now include routine heart monitoring before, during, and after chemotherapy. The goal is to fight cancer without compromising long-term heart health.Stimulant Medicines For ADHDStimulants that contain amphetamines help improve focus and alertness, but Dr. Yaranov warns that they can also:Increase heart rateRaise blood pressureTrigger arrhythmiasElevate the risk of heart attack in people who have underlying heart issuesHe stresses that misuse or unsupervised use is especially dangerous. Even for those who take them as prescribed, regular follow-ups with a doctor are important.Older Diabetes MedicationsManaging diabetes could mean being on medicines for lifelong. Yaranov points out that older drugs like rosiglitazone can increase the risk of heart failure despite effectively lowering blood sugar. Because of these concerns, many doctors now prefer newer diabetes medications that also support cardiovascular health. However, patients should never switch or stop medicines without medical guidance. Common Cold MedicinesThanks to allergens and climate change, common cold now stays all around the year, which means you will be taking cold medicines frequently and for a longer stretch. These medicines contain pseudoephedrine that work by narrowing blood vessels to relieve nasal congestion, however, Dr Yaranov says that they can also: spike blood pressureDisturb normal heart rhythmsIncrease strain on the heartFor individuals with hypertension or heart disease, Dr. Yaranov advises avoiding these drugs or using them only after consulting a healthcare provider.Dr. Yaranov’s core message is simple: even routine medications have side effects worth understanding. Being informed helps people protect their cardiovascular health, especially if they already have heart risk factors. The goal is not to avoid necessary treatment but to use medicines wisely and stay in regular touch with your doctor.Note: This article is based purely on the remarks shared by Dr. Dmitry Yaranov. Health and Me does not recommend discontinuing or changing any medication without first consulting your doctor.