General Medical issues thread

[Flashback]

I am basically back to my lowest since Uni days so you win @Flashback. I can get into the dinner suit I bought in my 20s.

Well done! Didn't need the Senegal assist in the end, weighed in at 79.9 this morning. Brill.

 

[RooFlyer]

Well done! Didn't need the Senegal assist in the end, weighed in at 79.9 this morning. Brill.

Senegal, as in ... sennapod? or a local dodgy take-out?

 

[RooFlyer]

Well, that was annoying.

I am on BP medication for hypertension and its generally well controlled by that (and a bit of exercise, and a bit of diet); always a discussion whenever I see GP. GP prescribes another med for another issue and next day I'm light headed. 95/65!! Hmmmm. Does that new med have BP side effects? Googles ... Yes it does! Lucky to get a telehealth appointment with him next day. Errr, yes, I probably should have warned about that ... Stop taking it. No kidding.

I stopped it after the first dose, but BP remained low for the next 4 days, so I telehealthed the GP again. OK - probably should reduce your primary PB medication. Me: I'm losing a bit of weight with the Mounjaro use. Could that be influencing things.?

Yes, for every kilo, your BP would reduce by about a point.

Conclusion: I'm currently over-medicated, and we can reduce a couple of things

Moral - watch out for thyself (which has always been the case of course, but just re-enforced again).

 

[Quickstatus]

Does that new med have BP side effects?

If you have a regular pharmacist they should have picked up on that too.

 

[RooFlyer]

If you have a regular pharmacist they should have picked up on that too.

True - I do, and they didn't.

 

[Flashback]

Senegal, as in ... sennapod? or a local dodgy take-out?

As in.......... one of my meals tomorrow in Dakar, Senegal

 

[TheRealTMA]

Well, that was annoying.

I am on BP medication for hypertension and its generally well controlled by that (and a bit of exercise, and a bit of diet); always a discussion whenever I see GP. GP prescribes another med for another issue and next day I'm light headed. 95/65!! Hmmmm. Does that new med have BP side effects? Googles ... Yes it does! Lucky to get a telehealth appointment with him next day. Errr, yes, I probably should have warned about that ... Stop taking it. No kidding.

I stopped it after the first dose, but BP remained low for the next 4 days, so I telehealthed the GP again. OK - probably should reduce your primary PB medication. Me: I'm losing a bit of weight with the Mounjaro use. Could that be influencing things.?

Yes, for every kilo, your BP would reduce by about a point.

Conclusion: I'm currently over-medicated, and we can reduce a couple of things

Moral - watch out for thyself (which has always been the case of course, but just re-enforced again).

New bp medication often has strange effects until your body gets used to it. Not sure what you are taking but be careful if it’s Sevikar HCT containing olmesartan.

 

[Seat0B]

If you have a regular pharmacist they should have picked up on that too.

I have to say my regular pharmac_ is great with that sort of thing. I really value that extra set of eyes on the complications of being a poly-pharmac_ patient.

That said, under my GP’s care I am on a deliberate process of reducing all the things I have been prescribed over time by various specialists that are not really contributing much to my overall well being. So far, have stopped dom peridone and rabeprazole completely and have not taken any codeine for over 2 months (that will make my travels easier!)

I’ve also embarked on a traditional Chinese medicine journey with a recommended local practitioner. The wen dan tang pills and acupuncture are better at reducing my phlegm related coughing than any western medicine I have tried. I’m aware that these can raise blood pressure, so monitoring carefully and so far no drama. A lot better than contemplating brain surgery. I hope it sticks.

 

[Quickstatus]

reducing all the things I have been prescribed over time by various specialists that are not really contributing much to my overall well being

A lot of people are on multitudes of pills.
Always worth reconsidering if some are actually needed.

 

[Pushka]

A lot of people are on multitudes of pills.
Always worth reconsidering if some are actually needed.

Yes. I'm cutting back too. steroi_s for PMR stopped three months ago. Plaquenil stopped two months ago - it's not supposed to but think it's why I've had so many respiratory bugs in the last two years. Only on Xarelto because I don't want another clot and have APS, somac and lasted three days before heartburn got me again, and thyroxine as my thyroid left the building twenty years ago, and high blood pressure tablet. Still a lot though I guess.

 

[drron]

I always aimed to reduce the numbers of medications someone is on from the number they were on when admitted. Often not successful but sometimes some spectacular results. The best being with an 85 year old transferred to the Sunshine Coast from a Sydney teaching hospital so she could die closer to her only son. She was on nearly 20 pills plus Insulin. Fortunately her son was a patient of mine having haemochromatosis She turned out to have that as well. Very gingerly began venesection and she had an amazing response. Not only lived to 99 but was only on 2 tablets a day for her heart failure. She was able to help her son re fence his property in her early 90s.