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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For A Diabetic Who Is Already On Prescription Medicines

Which diabetic drugs should not be prescribed for a person already on these prescription drugs and/or supplements: Tikosyn, Lasix, Metoprolol Tartrate, Amlodipine, Lisinopril, Lipitor, Coumadin, Omeprazole, Enteric coated ASA, Liquid fish oils, Magnesium Citrate, B12 Folate, multivitamins, Vitamin D3, Calcium, and stool softener.
Thank you for your response.
Thu, 10 Dec 2015
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Diabetologist,  's  Response
Hi,

Thanks for your question.
Noted your concern.

Currently you are on multiple drugs for heart problem and clotting tendency.
While deciding antidiabetic medicines for such person who is on these kind of medicines following additional factors need to be considered-
- Age and gender of patient.
- Height, Weight, BMI.
- Kidney function status.
- Liver Function status.
- Heart function - Left Ventricular Ejection fraction.
- Need to assess Risk of hypoglycemia vs hyperglycemia.

Considering these fats probably insulin with frequent monitoring of blood sugar levels may be preferred along with short acting oral medicines relatives safe for heart and kidney and having lesser interaction with coumadin.

Hope this helps you. If so do vote as helpful.
I find this answer helpful
Diabetologist,  Dr. Dr. Abhay A Mali's  Response
Hi,

Thanks for your question.
Noted your concern.

Currently you are on multiple drugs for heart problem, clotting tendency, nutritional supplements.

While deciding antidiabetic medicines for such person who is on these kind of medicines following additional factors need to be considered-
- Age and gender of patient.
- Height, Weight, BMI.
- Kidney function status.
- Liver Function status.
- Heart function - Left Ventricular Ejection fraction.
- Need to assess Risk of hypoglycemia vs hyperglycemia.
- Glycemic control Fasting and postprandial blood sugar level, HbA1c level.

Considering these fats probably insulin with frequent monitoring of blood sugar levels may be preferred along with short acting oral medicines relatives safe for heart and kidney and having lesser interaction with coumadin.

Hope this helps you. If so do vote as helpful.
I find this answer helpful
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Suggest Medication For A Diabetic Who Is Already On Prescription Medicines

Hi, Thanks for your question. Noted your concern. Currently you are on multiple drugs for heart problem and clotting tendency. While deciding antidiabetic medicines for such person who is on these kind of medicines following additional factors need to be considered- - Age and gender of patient. - Height, Weight, BMI. - Kidney function status. - Liver Function status. - Heart function - Left Ventricular Ejection fraction. - Need to assess Risk of hypoglycemia vs hyperglycemia. Considering these fats probably insulin with frequent monitoring of blood sugar levels may be preferred along with short acting oral medicines relatives safe for heart and kidney and having lesser interaction with coumadin. Hope this helps you. If so do vote as helpful.