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Re: Beta blockers » ed_uk

Posted by SLS on October 30, 2005, at 14:10:26

In reply to Re: Beta blockers » SLS, posted by ed_uk on October 30, 2005, at 12:53:53

> What medication/doses is your grandmother taking at the moment?

Hi Ed.

How's this for a cocktail:

Coreg (carvedilol)
Cozaar (losartan)
Folgard (folate, B6, B12)
Hydralazine
Imdur (isosorbide)
Lasix (furosemide)
Protonix (pantoprazole)
Quinine sulfa
Levoxyl (T4 thyroid)
Aspirin
Celebrex (celecoxib)
Flonase (fluticasone)
Advair 100/50

I can't figure out where all the potassium is coming from in her diet. I guess it's unavoidable. She has only one kidney. She had been able to handle Cozaar 100mg without her potassium becoming dangerously high. She was stable. Then, a new cardiologist removed the Cozaar because he got spooked by the potassium numbers, which were actually acceptable. Once the Cozaar was restarted, it seems that her system was less able eliminate the potassium. He should have left things alone. Now, at Cozaar 25mg, she is hyperkalemic to the point that her EKG shows a spike on the T wave. We will probably have to discontinue the Cozaar.

I would like to see her thyroxine increased a bit. Hypothyroidism can throw off potassium clearance, especially under exertion. Her TSH is around 5.0. Free T4 and T3 are OK, but I tend to trust more the TSH number when it comes to thyroid efficiency. I'd like to see it closer to 2.0.


- Scott

 

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