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Suggest Treatment For Congestive Heart Failure
mother (70 yrs) just came out of the hospital a day b4 yesterday,she was diagnosed with congestive heart failure, she has diabetes type ii. they prescribed 4 new mds and she is on januvia, paroxetine, alendronate, novlog(sliding scale), lisinopril, xarelto(new) metropopol(new) atorvastatin, piglitiozone, digoxin(new) furosemide(new) and rivaroxaban, zolphidem (as needed for sleeping, hardly takes it) and tramadol (when needed, hardly uses it) but since she was discharged she has been feeling very nasuated and has vomited several times, she had strong stomach ache and she was prescribed prilozed(not sure do not have d tabs in front of me) i believe is omeprazole? but she still very nasuated, was wondering if some of these other new meds are causing her the nausea?
Wed, 30 Sep 2015
Hello, I am Dr Mody and I will be addressing your concern.
Your mother has been put on optimum medication for congestive heart failure.
Maybe the sheer virtue by which so many new medicine are added may have not been tolerated by her stomach as each individually would cause a lot of gastritis. Taking some of them with food and in a few days she should be used to the medication as the benefit from the medication is far more than the side effects.
Some of my observations are
1) pioglitazone is for diabetes but not recommended in patients with congestive heart failure because of fluid retaining properties
2) if one drug for stomach ache and nausea than its Digoxin, so you may consult your doctor for it, if symptoms persist
Lastly omeprazole twice a day for a week may help her.
Regards Dr Priyank Mody
Your mother has been put on optimum medication for congestive heart failure.
Maybe the sheer virtue by which so many new medicine are added may have not been tolerated by her stomach as each individually would cause a lot of gastritis. Taking some of them with food and in a few days she should be used to the medication as the benefit from the medication is far more than the side effects.
Some of my observations are
1) pioglitazone is for diabetes but not recommended in patients with congestive heart failure because of fluid retaining properties
2) if one drug for stomach ache and nausea than its Digoxin, so you may consult your doctor for it, if symptoms persist
Lastly omeprazole twice a day for a week may help her.
Regards Dr Priyank Mody
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