FIFTH AMENDMENT TO AMENDED AND RESTATED

                           CREDIT AGREEMENT AND WAIVER



         THIS FIFTH AMENDMENT TO AMENDED AND RESTATED CREDIT AGREEMENT AND

WAIVER made and entered into as of August 14, 2000, by and among HORIZON MEDICAL

PRODUCTS, INC., a Georgia corporation (the "COMPANY"), HORIZON ACQUISITION

CORP., STRATO/INFUSAID, INC. AND STEPIC CORPORATION (collectively "GUARANTORS"

or "SUBSIDIARIES") the Lenders signatory to the Credit Agreement referred to

below (the "LENDERS"), AND BANK OF AMERICA, N.A., SUCCESSOR TO BANC OF AMERICA

COMMERCIAL FINANCE CORPORATION, formerly known as NationsCredit Commercial

Corporation, as Agent for the Lenders (the "Agent").



                               STATEMENT OF FACTS



         A. The Company, the Lenders and the Agent are parties to the Amended

and Restated Credit Agreement, dated as of May 26, 1998, as amended by the First

Amendment to Amended and Restated Credit Agreement dated as of November 11,

1998, and the Second Amendment to Amended and Restated Credit Agreement and

Waiver dated as of March 31, 1999 and the Third Amendment to the Amended and

Restated Credit Agreement and Waiver dated March 29, 2000 and the Fourth

Amendment to the Amended and Restated Credit Agreement and Waiver dated June 6,

2000 (the "CREDIT AGREEMENT"; capitalized terms used in this Amendment and not

otherwise defined herein have the meanings given in the Credit Agreement, as

amended hereby), whereby the Lenders have agreed to make certain loans and other

financial accommodations to the Company, subject to the terms and conditions

contained in the Credit Agreement.



         B. The Company has requested that the Agent and the Lenders agree to

modify certain terms of the Credit Agreement and that the Agent and the Lenders

grant certain waivers relating to the Credit Agreement, and the Agent and the

Lenders are willing to agree to such modifications and to grant certain waivers,

subject to the terms and conditions of this Amendment.



                               STATEMENT OF TERMS



         NOW, THEREFORE, in consideration of the premises and mutual covenants

contained herein, and other good and valuable consideration, the receipt and

sufficiency of which are hereby acknowledged, the parties hereto agree as

follows:



1.       WAIVER OF CERTAIN DEFAULTS OR EVENTS OF DEFAULT. Subject to the terms

and conditions of this Amendment, the Lenders hereby waive any Default or Event

of Default arising solely by reason of the Company's failure, for the test

periods ending on or before July 31, 2000, to be in compliance with the

covenants contained in the following Sections, as in effect prior to this

Amendment:





<PAGE>   2



         (i)      Section 6.13 (Minimum Net Worth)

         (ii)     Section 6.15 (Total Debt Coverage Ratio);

         (iii)    Section 6.16 (Leverage);

         (iv)     Section 6.17 (Minimum EBITDA);

         (v)      Section 6.18 (Interest Coverage); and

         (vi)     Section 6.19 (Debt to Capitalization).



2.       AMENDMENT TO CREDIT AGREEMENT. Subject to the terms and conditions of

this Amendment, the Credit Agreement is hereby amended as follows:



         (a)      Section 6.15 is amended by deleting the phrase "The Company

shall not permit the ratio on the last day of any fiscal quarter" in the first

sentence of said section and inserting in lieu thereof the phrase "The Company

shall not permit the ratio on the last day of any calendar month..." and by

deleting the phrase "except for the fiscal quarter ending December 31, 2000, for

which the Company shall not permit such ratio to be less than 1. 15 to 1.0" at

the end of said section and inserting in lieu thereof the phrase "except for the

calendar months ending October 31, November 30 and December 31, 2000, for which

the Company shall not permit such ratio to be less than 1. 15 to 1.0.



         (b)      Section 6.16 of the Credit Agreement is amended to read as

follows:



                           SECTION 6.16. Leverage. At no time shall the ratio of

                  (i) Consolidated Total Debt at such time to (ii) Adjusted

                  EBITDA for the twelve consecutive calendar months then most

                  recently ended (considered as a single accounting period;

                  provided that for the purposes of compliance on any date prior

                  to the date that twelve consecutive calendar months have

                  elapsed since the Initial Closing Date, Adjusted EBITDA for

                  the relevant period shall equal the sum of Adjusted EBITDA for

                  twelve consecutive calendar months completed since the Initial

                  Closing Date, annualized), exceed 3.50 to 1.0; provided

                  further that during the Fiscal Years ending December 31, 1999

                  and December 31, 2000, the ratio of (i) Consolidated Total

                  Debt at such time to (ii) EBITDA for the twelve consecutive

                  calendar months then most recently ended shall not exceed the

                  ratio set forth below for the periods occurring during such

                  Fiscal Year:



<TABLE>

<CAPTION>

                  Period                                              Ratio

                  ------                                              -----

                  <S>                                                 <C>

                  January 1, 1999 through June 30, 1999              4.00 : 1.00

                  July 1, 1999 through December 31, 1999             3.75 : 1.00

                  January 1, 2000 through March 31, 2000             4.40 : 1.00

                  April 1, 2000 through June 30, 2000                4.10 : 1.00

                  Each calendar month for the period from

                      July 1, 2000 through September 30, 2000        3.75 : 1.00

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