Medications that require special monitoring in older adults, according to cardiologists.

Millions of older adults take medications every day, convinced they are protecting their health. However, some of the most common drugs may be having the opposite effect on the body, especially the heart.

The problem is that the damage doesn’t always appear as chest pain or obvious heart attacks. Often, it manifests as fatigue, dizziness, swelling, palpitations, or shortness of breath—symptoms that are often attributed to aging when they may actually be related to medications.

Below, we review five types of pills that deserve special attention regarding the heart health of older adults.