Atorvastatin medication
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Q: What medication is best for heart protection?
some say asprin and some say atorvastatin calcium
A: Red Wine, Aspirin, and Omega 3 and 9 fatty acids
Q: My skin is turning orange. Is it my medication or have I been Tangoed?
I am currently using Aspirin, Indapamide, Atenolol, Paroxetene, Tildiem LA, Atorvastatin, Ramipril and Insulin.
A: Indapamide can sometimes cause haemolytic anaemia – breakdown of the red blood cells and give an orange appearance .Also paroxetine can sometimes cause jaundice- the whites of the eyes are yellow .dark urine like beer ,and light coloured motions like clay,also your urine is very frothy .Suggest that you make an appointment with your GP who can do the appropriate tests to find the cause.Do NOTstop paroxetine suddenly.
Q: my mother suffers sudden increase in blood pressure?
she does not have consistent high blood pressure but sometimes suddenly increse in Blood pressue, how to handle and what are the medications. she is 55 years old and taking clopidogrel and atorvastatin on regular basis, once suffered from paralytic stroke now undergoing physiotherepy.
A: Blood pressure can be elevated temporarily by stress, pain, caffeine, and nicotine. Therefore the blood pressure should be checked on several occasions to determine if it is persistently elevated. If the blood pressure is greater than 140/90 on at least 2-3 occasions then high blood pressure can be diagnosed. If your mother’s blood pressure is not persistently elevated then it is likely related to some temporary factor, such as stress.
If her blood pressure is persistently elevated, then there are many things she can do to help reduce her blood pressure. The first step is eating a healthy well balanced diet that is high in fruits and vegetables and is low in salt, saturated fat and cholesterol. The DASH diet is associated with the greatest reduction in blood pressure and you can look it up if you are interested. Regular exercise also reduces blood pressure and the recommendation is 1 hour five times weekly. I know your mother has residual paralysis and I don’t know if exercise is possible. She can ask her physiotherapist and doctor what exercises would be ok for her. Drinking alcohol in excess is associated with high blood pressure, therefore women should not exceed one alcoholic beverage in a day. If these measures do not work, then medications may be required depending on how high your mother’s blood pressure is. There are many blood pressure medications available. It is important that your mother has an appropriate evaluation for her elevated blood pressure, because elevated blood pressure increases her risk of having another stroke. Controlling her blood pressure if it is high will reduce the chance of stroke, heart attack and death. Discuss it with her doctor. Good luck.
Q: Circulatory system drugs?
Hi…I was wondering if anyone knew of a common medication that would be prescribbed for 2 disorders or diseases of the circulatory system? I was planning on using atherosclerosis and arrhythmias, and using lipitor (atorvastatin) as the drug…would that be correct?
A: Atherosclerosis, any of the “..statin” drugs would be appropriate.
For arrythmias, such as Atrial Fibrillation, a medication such as dixogin would be used.
Q: A case of peripheral vascular disease, vascular surgons/ intervention cardiologist please?
One of my patient named Mr. Dhirajbhai Shah 69yrs/ male, he is known case of
Diabetes > 10 yrs
Hypertension > 10 yrs
Ventricular outflow obstruction in brain > 10 yrs
Diabetic nephropathy for last 3 yrs
Benign prostatic hypertrophy for last 6 months
Operated case of CABG and Cholecystectomy,
He developed pain in both legs, pain increases at the time of walking, one limb is swalloen because of filariasis from a long time, his sugar level is under control, s. creatinine is 2.3, no other gross abnormalities in blood reports.
His MR angio of both lowerlimb reveals,
* Narrowing of the distal portion of abdominal aorta
* Non visualisation of right common iliac artery with reformation of right external iliac via collaterals
* Block of proximal and middle thirds of superficial femoral arteries, bilaterally with reconsitution of lower thirds.
* Non visualisation of right anterior and posterior arteries
* non visualisation of middle and distal thirds of left tibial arteries.
Medication : at present he on Oral hypoglycemic agents with sos insulin
Losar H ( Losartan with hydrochlorthiazide 50 + 12.5)
Ecosprin 150 mg ( Aspirin)
Clopidogral 75 mg
Acitrom 2 mg
Atorvastatin 20 mg bed time
Trental 400 mg tds
Symptomatic medicine
As patient is not very much co operative and inspite of chances of renal failure requiring dialysis personally relatives would like to go for non invesive procedure.
Thanking you
Yours sincerly
Dr. Nemish gandhi M.D.
Consultant physician.
Krishna clinic
1/1026 choki street,
Nanpura,
Surat. : 395001
Gujarat
India
m :092279 02941
098252 89330
A: MR angio is famous for not well visualising the lower extremity arteries in detail.
Without seeing the angios, it hard to tell if an endovascular procedure would work. It might be worth it to get a standard angiogram (after proper premedication and hydration). This would provide the interventionalist with badly needed info. If there is significant stenosis in the aorto-iliac vessels, it might be treated with stents.
One possiblity is athrectomy using a device called the Silver Hawk.
However, this isn’t always possible/successful.
A bypass would only work if there are good target vessels below the SFAs.
Difficult situation. Best of luck.
Q: Can anyone tell me what the care management issues are for the below patient?
patient A is 79 years old and has chronic obstructive pulmonary disease (COPD), a condition which she has had for the last 10 years. She has just been discharged from hospital after being treated as an in – patient for a chest infection. She has been prescribed a 7 day course of oral antibiotics and a reducing course of oral steroids. She has also been prescribed salbutomol via an inhaler which she must take using the spacer. This is the first time she has been prescribed this medication. She lives alone in a 1st floor warden aided flat. Her husband died 3 years ago and her daughter (her only living relative) lives some distance away. She relies heavily on the warden and her friends from the local community centre for company, shopping and social support. Patient A worries a lot because her vision is not as good as it used to be and she feels unsteady on her feet. She is not able to leave the house on her own.
Past Medical History
COPD since 1997
Type II Diabetes diagnosed 1997.
Hypertension 1994
Medication
No known allergies
Salbutomol inhaler
Cefuroxime 500mg BD
Metformin 500mg TDS
Bendrofluazide 2.5mg OD
Aspirin 75mg OD
Atorvastatin 10mg OD
Prednisolone reducing dose from 50mg – 5mg over two weeks
Vital Signs
BP 150/90
Pulse 90 reg
Respirations 20 breaths/min
HBA1C – 8%
A: Has the patient been assessed in her home regarding activities of daily living? Would she benefit from a walking aid? When is her next eye exam scheduled?
Steroid use dampens infection response and often results in fungal infections, so does the use of antibiotics so oral candidiasis may be an issue. Her diabetes will need to be managed. You could take each disease process and write a care plan on it and you would have a good “cover all”.
Q: how would i use the nursing process within the community for this patient?
patient A is 79 years old and has chronic obstructive pulmonary disease (COPD), a condition which she has had for the last 10 years. She has just been discharged from hospital after being treated as an in – patient for a chest infection. She has been prescribed a 7 day course of oral antibiotics and a reducing course of oral steroids. She has also been prescribed salbutomol via an inhaler which she must take using the spacer. This is the first time she has been prescribed this medication. She lives alone in a 1st floor warden aided flat. Her husband died 3 years ago and her daughter (her only living relative) lives some distance away. She relies heavily on the warden and her friends from the local community centre for company, shopping and social support. Patient A worries a lot because her vision is not as good as it used to be and she feels unsteady on her feet. She is not able to leave the house on her own.
Past Medical History
COPD since 1997
Type II Diabetes diagnosed 1997.
Hypertension 1994
Medication
No known allergies
Salbutomol inhaler
Cefuroxime 500mg BD
Metformin 500mg TDS
Bendrofluazide 2.5mg OD
Aspirin 75mg OD
Atorvastatin 10mg OD
Prednisolone reducing dose from 50mg – 5mg over two weeks
Vital Signs
BP 150/90
Pulse 90 reg
Respirations 20 breaths/min
HBA1C – 8%
A: In her stats, it is obvious that she has some breathing issues. Her B/P is a little high, she has diabetes as well. Is she overweight? She is also taking aspirin – hopefully under a doctor’s supervision – so I wonder if she also has CHF. There must be a home-nursing service in the area and perhaps they could come once a day to be sure that the meds are being used correctly and keep track of the Diabetes, CHF and COPD. The state offices can recommend a nursing service if she is low-income. Good luck.
Q: i have 70 0/0 narrowing of the carotid artery. after doppler test.?
i am on medicine tidliem, and atorvastatin, also aspirin, and that is it, i thought, .that i would be a candidate for surgery if i was as much as 70 0/0. narrowed, i dont have tia, symtoms, but i do have terrible tiredness and no , no energy, at all all i want to do is sleep all day, but it looks like docs are now just going to leave it, as it is on medication, what else can i do
i can give you more details. i am age 65′,all this has been caused by smoking, and stress, mainly smoking ‘ as my diet has never been bad, but i have always been a heavy smoker, other thing which happened, is this year had a operation for glaucoma, i have high raised pressure. in my eye, and that was when the carotid was discovered, as eye specialist saw calcium in my eye’so tests where then done on the carotid, i have glaucoma and have been using eyedrops for 15 years
i dontt have high pressure in my eye now i use eyedrops to control that , but i do have glaucoma still , it can only be controlled
i dontt have high pressure in my eye now i use eyedrops to control that , but i do have glaucoma still , it can only be controlled
i agree with david c as would be better than surgery, as it is the brain that would be affected , and part would die
i see ther eis a lot of great information here from everyone, i would have liked if gangadhar , would have said , in his opinion, if any of the procedures, would be more suitable for me, so as to ward of any chance of stroke
A: 70 % narrowing of a carotid artery is something most docs will just monitor as long as you are not having any symptoms like dizziness or visual changes. The fatigue that you are having is something that can be very hard to pinpoint the cause. May or may not be related to the narrowing.
The main things that you can do in this situation is keep you cholesterol and blood pressure down, eat right and keep your appointments for monitoring this narrowing. Your doctor may want you to have this scanned a few times a year to see if it’s getting worse. And quit smoking if you haven’t already. Sounds like you’ve already educated yourself about the signs and symptoms of TIA and Stroke. Get to the emergency room if you have any of those symptoms
Q: FAMILIAL hyperlipidemia & gout. now 30, history of family cardiac accidents.?
I am currently taking:
Tonact EZ ( atorvastatin & ezembitide)
Folic aicd 5mg
allopurinol 100
I walk daily for 30m. Have truncal obesity, spot near eye and a strong family history of all sorts of strokes etc.
I want to know how I can avoid the same in the future.
Are there any more medications which i shud take/
Please advice for i am scared!
A: I am not judging you , but your obesity is the problem NOT cholesterol
Familial Hypercholesterlemia affects only .05% of the population.
Levels above 350 mg/dl
And even in these people who have a real disease UNlike hypercholesterlemia, studies have shown that large reductions of cholesterol levels in patients with FH were NOT followed by large reductions in their obstruction
FH patients have a defective cholesterol metabolism but cholesterol is NOT the cause of their obstructions
Dr. Ravnskov talks about this in his book wghich is given away free on his site
http://www.ravnskov.nu/cholesterol
Q: Why have pharma companies been churning out crappy products in recent years?
Look; I haven’t been a doctor for all that long, but from what I have seen and heard, pharma companies really aren’t innovating like they used to innovate.
I actually do try to meet with as many pharma reps as I can (not for any nefarious reason; just to hear them out), and their new products are crap. They are mostly just reformulations of existing medications. Time-release; XL; XR; and other crap that probably shouldn’t even be patentable.
And the new categories of product mostly seem like crap. Fenofibrate? Ripoff products like sipuleucel-T that cost $93,000 per course and basically do nothing?
I keep mentioning this to the reps, and they keep ignoring me. I’m considering ignoring them except when they promise to bring free samples that I can dispense to patients free of charge.
Why has the pharma industry stopped innovating, compared to the “golden age” of the late 1970’s-1980’s? That’s when we had genuinely new products like atorvastatin. The stuff I see these days quite frankly looks mostly like desperate money grabs by desperate corporations. Why don’t they choose to innovate instead?
A: In the early 1990’s the FDA dropped the requirement for pharmaceutical ads to include chemical structures. Prior to that, just browsing through a medical or pharmacy journal the reader was constantly reminded of the drug’s structure and could compare products on a structural level.
There is a chemical structure censorship in the media, anytime a drug or chemical comes up in the news they almost never show the structure. If they did, people would start learning and that would be hard on sales.
Much of drug abuse and misuse comes from the mystery of what drugs are and how they act. The mystery is a lure. Education of how the body works and how drugs affect the body should be taught in public schools to prevent drug abuse and to optimize health, but that would be bad for sales.
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