Posted by ed_uk on October 30, 2005, at 14:59:49
In reply to Re: Beta blockers » ed_uk, posted by SLS on October 30, 2005, at 14:10:26
Hi Scott
Carvedilol can cause mild hyperkalemia.
Celecoxib is generally contra-indicated in heart failure, especially in patients with renal impairment. Celecoxib has been associated with fluid retention, renal impairment, hypertension and thrombo-embolic events. For what condition is she taking celecoxib?
>I'd like to see it closer to 2.0.
Me too.
>We will probably have to discontinue the Cozaar.
If she suffers from edema, despite her current treatment, perhaps an increased dose of furosemide would eliminate the excess potassium. How bad is her edema?
>Imdur
For heart failure or angina?
>Advair 100/50
For asthma? Carvedilol can aggravate asthma, it's not cardioselective. Has she tried bisoprolol or metoprolol XR? She could add an alpha blocker if necessary.
>losartan
Losartan is my least favourite ARB because it doesn't consistently last 24 hours (if given as a single daily dose). It's probably best given in two divided doses. Candesartan (Atacand) is a long-acting ARB which is approved for the treatment of heart failure.
Ed
poster:ed_uk
thread:569702
URL: http://www.dr-bob.org/babble/20051024/msgs/573447.html