Medication

Medication is prescribed for a reason, is this true?

What if some of that medication is counter productive, due to a patients other conditions?  Such as COPD. . . .

Should the patient or carer be the one to question this?

Is it the Doctors responsibility to consider other long-standing conditions, and explain to the patient about possible side-effects they should be aware of?

Is it the pharmacist that should make the patient aware of the medication that may have adverse effects on current long-standing conditions?

The following list shows the medication that has been prescribed for my Dad prior to his discharge from hospital.  This was presented to us by the nurse on the ward, we discussed the medication in detail, when to take it, and how to take it (some with or after food, aspirin dissolved in water)

It was a lot to take in. . . We left the hospital armed with a bag full of medication.

List of Medication:

Atorvastatin

Atorvastatin is used to treat high cholesterol, and to lower the risk of stroke, heart attack, or other heart complications in people with type 2 diabetes, coronary heart disease, or other risk factors.

Ticagrelor

Ticagrelor is used to reduces the risk of stroke, heart attack, or death in certain patients who have had a heart attack or who have angina (chest pain) It should be used along with Aspirin as directed by a Doctor.

I had read that some medical conditions may interact with ticagrelor. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

If you have lung or breathing problems (eg, asthma, chronic obstructive pulmonary disease [COPD]) – The reason I questioned this!

Clopidogrel – This replaced the Ticagrelor after I raised concerns with my Dads GP on it’s use with patients who had COPD.  I was concerned that my dads COPD had not been discussed prior to this medication being prescribed.

Ramipril

Ramipril is used to treat high blood pressure (hypertension) or congestive heart failure, and to improve survival after a heart attack.

Aspirin

Aspirin is used to treat pain, and reduce fever and inflammation, it is also used to treat or prevent heart attacks, strokes, and chest pain (Angina).  Aspirin should be used for cardiovascular conditions only under the supervision of a Doctor.

Previous Medication:

Prior to my dad suffering a heart attack, he was taking the following medication for COPD (and continues to do so, along with the medication listed above)

Microgram Inhaler                                                                                                    (Tiotrpium Bromide) – A small blue tablet is inserted into the inhaler which contains Microgram inhalation powder.

Tiotropium is indicated as a maintenance bronchodilator treatment to relieve symptoms of patients with chronic obstructive pulmonary disease (COPD).

Tiotropium should be used with caution in patients with recent myocardial infarction – Something else I questioned with my dads GP!

Ventolin Inhaler  – To be used as and when required

Fultium (Vitamin D) – Prescribed due to vitamin D deficiency – This was resulting in Dad having difficulties with shaky legs, and not being able to stand for long periods of time, he had been taken this for over a year.

Prochlorperazine Maleate ( Stemetil)

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