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    Old 08-28-2008, 11:16 AM   #1
    brattybratteddi
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    Is there anyone who has info on these meds?

    I am currently on this long list of perscription meds, and anyone that I have talked to don't think there are interactions but I am just not sure. Especially since I don't feel as I am getting the proper benefit for anyof these meds.

    Heart and blood pressure

    1) Cartia XT 120 mg taken in the morning
    2) Aspirin 81 mg taken in the morning
    3) Lisinopril 2.5 mg taken in the morning
    4) Plavix 75 mg taken in the morning
    5) Furosemide 20 mg only taken on friday and monday mornings

    Allergies

    6) alavert d taken 2 times a day morning and evening prior bedtime

    asthma

    7) albuterol inhaler (also do have nebulizer when things are real serious) taken as needed/ still as often as 4-6 times daily
    8) sprivia taken 1 time a day
    9) singulair 10 mg taken 1 time a day

    Type 2 diabeties

    10) Januvia 100 mg dinner time
    11) glipizide 10 mg 2x's daily dinner time and bed time
    12) actos 15 mg dinner time

    acid reflux

    13) aciphex 20 mg taken at bedtime

    cholesterol

    14) crestor 10 mg taken at bedtime

    pain relief

    15) ms contin 15 mg 2 x's daily morning and bedtime
    16) es vicodin (break through pain) now taking daily 4x's daily up to 6 hr. difference
    17) fexmid 7.5 mg taken 2 x's daily morning and bedtime

    Constipation

    18) doc q lace 100 mg 2 x's daily morning and bedtime
    19) senokotxtra 2 x's daily morning and bedtime (still having issues with constipation)

    period

    20) motrin 800 up to 3 x's daily only when excessive heavy flow

    sleep disorder

    21) amitriptyline hcl 50 mg at bedtime

    rash under breast

    22) nystatin topical powder (for acid burn under both breast 2x's daily

    dry skin on feet

    23) clotrimazone-betameth cream 2x's daily because of bite from a brown lucrux spider from 10 years ago.

    Reason why I ask is because I have been having headaches constantly, still having issues with constipation, still have a lot of pain, still unable to sleep or have restful sleep, blood levels are constantly unstable when they check for sugar levels, cholesterol, thyroid, and liver enzymes. I know and realize this is quite the cocktail of medications to take regularly and have have been having increased issues in regards to other things so I am pretty concerned. I have talked with my pharmacist and doctors about my concerns and yet no one can truthfully give me any answers to my question in regards to all of these medication and possible interactions. I just know its a lot of medication and I know I have been experiencing some things and now the increase of acid reflux (backwashing into mouth at night after lying down for about an hour on an average of 2-3 x's a week) which is another concern.

     
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    Old 08-28-2008, 11:24 AM   #2
    brattybratteddi
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    Re: Are there any pharmacist out there, or anyone who has info on these meds?

    Should also mention that these are all perscribed and taken as directed by my doctors, I am just concern about the quantity of these medications and if they have interactions with this combination. As I stated earlier I do realize that this is an awful long list of medications that I do take regularly on daily basis unless been stated for when I need to use them.

     
    Old 08-29-2008, 10:55 AM   #3
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    Re: Are there any pharmacist out there, or anyone who has info on these meds?

    Wholly moly, I thought I was on a ton a' pills!

    Does your doctor have a PA? Physician's Assistant? Or a nurse? Someone who has the time and knowledge to go over these meds and their interactions with you?

    No way should you be given this vast a medication cocktail without thorough and frequent checks, not only between you and your doc's office, but between your primary care doc and any and all of your specialists.

    Make sure your doctors TALK to each other, by phone if not in person. Paperwork can get lost or misread. And they all know the full cocktail, right?

    Last edited by AuntieLeela; 08-29-2008 at 10:59 AM.

     
    Old 08-29-2008, 03:03 PM   #4
    brattybratteddi
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    Re: Are there any pharmacist out there, or anyone who has info on these meds?

    Yes, each of my doctors knows exactly what I am taking, how much and how often. I usually carry a copy of all my scripts with me and bring it to all of my medical appointments also if needed when going to the ER. On this list states what I am taking, reason why am taking, what for, who perscribed and how much. Next is also the name, address and phone number of the doctor who perscribed it. I also break down this list based on what ailment/condition so they know at a glance what I am taking for what condition.

    The last time I seen my primary doctor, instead of bringing the list I decided to bring in all of the bottles that are kept in a makeup case approx. 8x13x6 inch depth (which is completely full!!!!) almost bursting at its seems and requiring another additonal case. (No, I am not bragging about this as I do believe I am on way to much and afraid this vast amount of meds, will ultimately cause more harm than good, if not kill me.) I stated it this way to give an additonal view of the vast amounts of meds that I am on.

    Anyways, when I brought in this case, my doctor had looked and was shocked about the quantity of meds I am on (saying something that if I was older and worse health this amount would or could kill me and that we should look at getting rid or tapering off someof these.) She said the only thing I have going for me in that regard is the fact that I am only 39 so technically not considered as old.

    I then preceeded to tell her that the majority of the scripts I am on, are perscribed by you only vary few are actually perscribe from the pain specialist and the cardiologist. She was trying to blame it on the fact because I see various specialists and things could get out of hand that way.

    Regardless, as we were going through all the meds individually again, she was concerned why I m not on a beta blockers because of the stent being put in, in Nov of 06 for the left main artery of my heart of which had a good size blockage 95% ( to be exact).

    She decided to look at my lastest blood work again, and complained once again about the levels for my cholesterol and diabeties (A1C) or something and instead of taking me off anything she increased the crestor to 10mg and added actos 15mg to the cocktail. I was on actos earlier after the heart attack and throughout that year I had gained 50 lbs because of this pill, once getting off the pill I lost 15 lbs the first month, and consistantly lost more weight after that. It seemed that the cholesterol med, and diabeties med were intact interacting and that was the reasoning for odd blood levels.

    I preceeded to tell her, that since the heart attack that if the sugar is fine, the cholesterol is out of whack and same goes is cholesterol is fine then the diabeties is out of whack. (she also wanted me to start insulin, of which at that point I am trying to not start.) I don't think personally the sugar is as bad as she makes it out to be, I don't suffer any effect or symptoms of sugar, and frankly I am looking to try to decrease some of these meds. I don't think that constantly changing, adding adjusting and what not is always the answer.

    I had also told her that when I first moved down to this area, 2 years ago I was only on albuterol, claritin and HCTZ for blood pressure, and prilosec for acid. That it has been since my move down here all these other conditions showed up, dramatic increase of med and all my other slew of symptoms have gotten worse and that I truthfully feel its because of this med cocktail that I take daily.

    Even though each of the major illnesses do run in my family, I don't really see how I could get each and everyone of these conditions, and not forgetting that I am not all that old yet either. Most of the more life threatening conditions also had happened in my family much later than life. I often wonder if they (the drs.) are just script happy? or are they treating each condition seperately and not looking at the full picture? For instance, though I know the show "House" is only a show and that "House" in not a real dr., but could I benefit from someone like him in real life and that would look at the full picture, and not each thing individual. Not to mention the changes I have gone through within the last 2 years is very dramatic, where I was always outgoing, out walking and enjoying life. To now not able to walk, constant pain and barely getting through the day (even a simple task as going to the bathroom is a chore for me due to the pain. And how does 1 person's life change the dramatic in a short time? Many American have these conditions, and they fuction in life; and some of these people may have all the above conditions, but not near as many pills that I have.

    Last edited by brattybratteddi; 08-29-2008 at 03:23 PM.

     
    Old 08-29-2008, 08:44 PM   #5
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    Thumbs up Re: Are there any pharmacist out there, or anyone who has info on these meds?

    Hi Bratty

    I am curious if you have your blood tested often? I take about ten different medications every day. My dr. insists I have my blood checked every three months because I take so many meds.

    I hope your doctor or nurse will explain about your various meds and drug interactions. Take care.

    Nadine

     
    Old 08-29-2008, 10:13 PM   #6
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    Re: Is there anyone who has info on these meds?

    what i have experienced from pain meds...is they can reap havoc on your stomach.

    vicodin is an addicting drug that your body can get used to. so if you are feeling MORE pain, then it would be your body getting accustomed to it. I would try to get off of this ASAP and stick to motrin or just tylenol. also too much acetaminophen is bad for the liver. It doesn't matter if its prescribed... it can still be an addictive drug.

    what are the pain meds for? chronic pain? Have you had recent Xrays, exams, heart tests to see if there is still a need to take all of the medications. My mom is on heart med.s and she has to see the doctor at least once a month. I would recommend sticking to ONE doctor... and seeing that ONE doctor for all your needs.

     
    Old 08-30-2008, 09:27 AM   #7
    brattybratteddi
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    Re: Are there any pharmacist out there, or anyone who has info on these meds?

    Music

    Yes I do have my blood checked regularly because of the diabeties, and the cholesterol. When they do the blood work, I always have a full blood work done (usually up to 6 vials of blood). The only things I know for certain that they check for is thyroid ( which is slightly off, but no meds for it.) Cholesterol (Hd, Ldh, total cholesterol, and triglicerides (sp.)), Diabeties (overall sugar contant, and A1C) They also regularily check liver (this isn't always, but since a raise in enzymes have been checked for the last 9 month (3 blood workups).

    Not to mention, I re-did the liver enzymes after 6 wks 2x's, and have had a full blood workup for each of my past 3 procedures. April cause of branch block injections, May because of 4 teeth being removed and August for the discography. They also checked levels of the plavix during this time as its known for bleeding issues and prior to surgery wanted to make sure we wouldn't have excessive problems with surgery due to bleeding.

    Last edited by brattybratteddi; 08-30-2008 at 09:44 AM.

     
    Old 08-30-2008, 09:41 AM   #8
    brattybratteddi
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    Re: Is there anyone who has info on these meds?

    Calidreaming

    I am on the pain meds because of really bad back, and hip problems. I am not able to stand or walk for any length of time greater than 2 minutes. The pain has routinely if not constantly getting worse and I have gone for x-rays of low back 4 times in past 2 years, low back mri and also hip (both hips). Most recent test was a discography which showed I have 2 bad discs and looking at getting a discectomy. Nothing else has been said in regards to surgery because was on mild anes. and will confirm with doctor this coming wednesday.

    I know I am on a lot of meds, and which is why I am concerned about them especially since I don't feel as though I am getting any benefits from them. My blood levels are always off. Since the heart attack in nov 06 and having to start plavix (known for bleeding issues and having already stomach ulcers and acid reflux) I have seeing an increased in acid reflux (something worse than I had it even without meds) which is another concern. Dr recently thought about insulin because of messed on sugar level again ( she held off for right now, and gave me another pill and adjust one of the others). I don't defy having a sugar problem, I just don't think it is as bad is she is telling me at the moment and I think the main reasoning for screwy blood levels, is because of all the meds. I just find it rather hard to believe to keep blood levels in check with this much medication. Another concern with the plavix, and all these meds is the fact I am perimedipause (have been for last 7 years started at age 32) Is the increase problems I have in regards to my period (lol). Hormones are not in balance (not that they ever were) but getting consistantly worse. Its mainly just who whole I idea of all these meds and things I have been experiencing that has me concern, (especially since alot has changed in the last two years and for the worse).

    The only doctors who perscribe meds are my pain specialist (because of a narcotic release form I had to sign and the regulations of the law in regards to narcotics. My cardiologist because he's a specialist of the heart, all other have been through my regular primary doctor. They all talk with each others in regards to seeing and treating me after each and every visit.

    I am how ever considering changing primary because I do beleive that she is stuck in tunnel vision in regards to my care (meaning she is looking at each symptom separately instead of looking at each of them as a whole) also though she is concerned of my quantity of meds, don't seem to concerned about taking me off of anything and everytime I see her she is either adding something new, or changing the dosage of the ones I have already. None of them have been able to address my concerns on drug interactions even my pharmacist. Which is the reasoning of my post because I am trying to get answers about this. Just so many things have change in the last 2 years and where I used to love walking (I can't anymore) Not to mention the huge increae in weight within the last 2 years, and having dropped that after being took of actos, (but I am now on it again).

    Last edited by brattybratteddi; 08-30-2008 at 09:56 AM.

     
    Old 08-31-2008, 12:02 AM   #9
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    Re: Is there anyone who has info on these meds?

    Polypharmacy. That's the medical term for it. It's considered polypharmacy after nine medications so you're overqualified. I take ten so I guess I'm in the club too. An article I read on polypharmacy said the possibility for side effects rise exponentially with every added medication.

    MedlinePlus is a good starting point search tool. [url]http://www.nlm.nih.gov/medlineplus/[/url]
    The elderly and psychiatric patients are the focus of most articles.

    There's a book called "Our Daily Meds" a critical take on overmedicating and pharmaceutical companies. I haven't read it myself, I heard a rave review of it on the radio. A drug interaction guide (usually in the nursing section of the bookstore or library) is different than regular drug guides in that they focus only on interactions.

    I second your decision to change your primary doc. I think that's a really good idea. It sounds like she's frustrated and she's just throwing meds at you now. I've found doc's get that way when a patient's problems are beyond them, ego won't let them admit it. (and they start getting cranky)

     
    Old 08-31-2008, 03:49 PM   #10
    brattybratteddi
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    Re: Is there anyone who has info on these meds?

    Yeah, I really do want to change primary's mainly because I don't think I am actually getting the proper care, or benefit from most if any of my 23 different meds. It is such a medi cocktail thats truthfully in my honest opinion way to too.

    There are two things mainly holding me back from changing at least at this moment. One is the fact I am working with my pain specialist and who is working on getting me surgery (which will need prior auth from insurance, via also my primary) The surgery is to fix the 3 bad discs in my back, and hopefully not only get me on the road to recovery, but also give me part of my life back. I don't have high expectations at this point, and dozens of questions I am asking pain spec. on Wed.

    Another reason, if by chance I do actually and truthfully need this vast cocktail daily, if I could or can continue getting samples (through new primary) as at least 6 of them are not, and will not be covered by my insurance (another reason why medicaid sucks) LOL
    I am concerned about this mainly cause:

    The aciphex is needed to guard about known damages of plavix, I have really bad acid reflux and a couple of ulcers that are under control (or atleast were, as I have been having more problems lately).

    Both meds for diabeties the actos, and the januvia are not covered by molina, medicaid and have tried to get auth on them for the past 2 years. I was off the actos for approx. oct - aug. and found out that the actos is what was putting on the weight. LOL (am overweight already, surely don't need no help in gaining 4'8" tall and around 165. Something like a ball rolling??? down street.

    Singulair for my asthma ( this has really kept the asthma at bay, and under control.

    Skelaxin, or flexmid ( as a muscle relaxer because of the back and hip)

    Crestor for the cholesterol, (unfortunately with molina medicaid only very few meds are covered, and the simvistatin I was on until oct. was adding complications to the pain prob. with my back and hips.) Some condition it is not uncommon to do, though since I am still in a lot of pain, not sure changing actually made the difference or not, thruthfully too hard to tell with the back and hips issues I have.

    So this is a concern, though possibly if changing primary's I may, or maynot need these meds or all of them hard to tell I guess and I assume most doctors do have some samples.

    Another reason for wanting to change besides everytime seeing the doctor I keep getting pushed more, and more pills and they keep adding up or changing dosage or whatnot. Is also because I feel they are treating each symptom individually and not looking at the whole picture as 1.

    Another issue I have, and please don't get me wrong I would work if possible, but at this point I am truthfully without a doubt unable. The fact I am on cash assistance, I have to have a paper filled out every three months telling them the same that I can't work. Its not that she don't doubt it either, but since I am working with the pain specialist she doesn't want to fill out this form. However. and here's the catch the pain specialist through treating me, he can't fill out this form only the primary can. The same goes with the handicapped parking placard. She dosen't doubt the fact I need it, but since someone else is doing the care, she doesn't like filling out the paper work because of fear of getting into trouble. She eventually does, and often with me telling her that these doctors do talk with you each and everytime I see them you get copies of the reports and what is going on (even with any changes of meds) She has seen the Mri's and other test reports. But cause she isn't the only treating, don't feel right about filling out this paper work. The only thing is and this is the case with both papers, only certain people can fill out this work, and that is either a physcial therapist, or the primary. With medicaid and the molina network I couldn't get any PT covered, so don't have a PT at all. So this leaves me in a catch 22 with my primary and getting her to sign this work.

    Not to mention people who have fibromyalgia (also have these problems in keeping jobs, or unable to walk distances depending on the day) Same with Arthritic problems and some of these people also have or can't work depending on the severity of the arthritis. But she also did have from the MRI's showing I had a bulging disc and a herniated disc. X-rays however ever after 4 sets of them didn't show much with the exception the ones done by the Chiro though these were done standing not laying down. LOL.

    I am just really frustrated in general because of the vast amounts of meds, seeing my life and mobility changing dramatically in the past 2 yrs. I used to love to walk, enjoyed walking in fact and in times of not having a car walked 2 miles to the store and brought groceries home by foot; and now barely being able to walk enough to get to the bathroom before extreme pain sets in, and the numbness and weakness in my legs start.
    I know I am rambling but it is cause of frustration due to the meds, and now lack of mobility and not understanding why this is happening in such a fast pace. Not to mention when they started treating the back 2 yrs ago and granted I have had a chronic bad back for years. But usually vicodins would solve it, now none of the pain meds are working and at best just barely taking the edge off. And seeing it go from low back to hips, to thighs or hip bones and these areas being ALOT hotter than the rest of my body (regardless of clothes or cause of sitting) and then having pain in my tailbone, both sides of the groin and now weakness and numbness in both legs going down my legs. Its just a cause for concern. Especially knowing how meds or what normally work and having a "window" of 1/2 walking to less than 2min now. Can't stand to take showers (have to takes baths), Have to prop a leg for just brushing teeth or other normal hygene routine stuff.

     
    Old 09-08-2010, 09:14 AM   #11
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    Re: Is there anyone who has info on these meds?

    I have a lengthy list of medications as well. What I found useful was to make a table/spreadsheet that shows:
    name of medication
    dosage
    when taken (AM/midday/PM)
    what is is prescribed for
    what the possible side effects are according to the manufacturer
    the side effects I'm experiencing

    I find it important to separate out the possible side effects from the one's I'm currently experiencing because you never know when another side effect will kick in! Listing all of these sections makes it easy for me to understand - and explain to the doctor - what is going on. If you see three medicines are giving you the tremors, then you have a basis for specific discussion with the doctor about tremors.

    I find the possible side effects either on the original packaging or 'google' the drugs on the internet.

    In the end, I believe that we patients need to take ownership of the medicines we take. This usually requires just an additional minute with the prescribing to get the information for the 'table'.

    Best wishes to you for a successful treatment and recovery.

     
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