Alternative Medicine/Contraindications

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Mr. Brandt –

I had been taking a multivitamin for 7 years, but the formula has recently changed and I need to find a low-dose replacement which will not be contraindicated by my medications and food allergies.  Neither my primary care physician nor my cardiologist take my questions seriously, or just do not know the answers. I don’t know who to trust and I hope you will advise me. I apologize for being lengthy but, before asking my questions, here is some information about me.

I am nearly 70 years old, male, vegetarian and in generally good health, 5’9” and approximately 198 pounds. Most recent tests showed my cholesterol was 136; triglycerides 83 ; HDL 46; LDL 73; Vitamin D 40 ng.   

My Medications include: Metoprolol Tartrate, 25 mg twice daily (for 2 years, since experiencing one episode of atrial fibrillation); Aspirin, 81 mg. once daily (for atrial fibrillation); Amlodipine, 5 mg. once daily (for 8 years for blood pressure); Lisinopril, 40 mg. once daily (for 15 years for blood pressure); and Lipitor, 20 mg. once daily ( for 30 years for cholesterol).

In addition, I take daily: 200 mg Co-Enzyme Q10; 20 mg Lutein; 1,000 mg Vitamin C with Rosehips; 3,000 iu Vitamin D; 2,000 mg Salmon Oil; and Acidophilus.  

Three years ago, I had an anaphylaxis reaction (severe itching, hives, very low blood pressure) to food items I had previously eaten regularly. Testing was inconclusive, but indicated allergies to: almond, peanut, pistachio, pine nut, tomato, spinach, soy, whole grain rice, crab, oregano, basil.  

My Questions:
(1 )Is Vitamin E contraindicated because I take a daily baby aspirin (I occasionally get a very bloodshot or sometimes a right-sided nosebleed)? If not, what is the dosage range?  
(2) Is Vitamin K contraindicated because I take Lisinopril, Metoprolol and Aspirin? If not, what is the dosage range with and/or without also taking Vitamin E? My diet includes blood-thinning garlic, onions, olive oil, cauliflower/broccoli, green and black teas.
(3) What dosage range should I have for all B vitamins and Folic Acid (because I am vegetarian)?  
(4) What dosage range should I have for Potassium, Calcium/Magnesium, Iodine, Zinc and Selenium (because Calcium/Vitamin D should be avoided with Amlodipine, because Amlodipine may deplete Magnesium and Potassium, and because Lisinopril may deplete Zinc)?  
(5) Is it true that the potassium chloride from which many supplements derive Iodine should be avoided?   
(6) Is Silicon necessary? Often it appears to be derived from horsetail extract, but would its diuretic properties be contraindicated because I take blood pressure medicines?  

Thank you so very much for any and all guidance you can provide.  
Peter

Answer
Hii Pter,

(1 )Is Vitamin E contraindicated because I take a daily baby aspirin (I occasionally get a very bloodshot or sometimes a right-sided nosebleed)? If not, what is the dosage range?  
Hi doses of Vitamin E can cause bleeding and inerfere with the absorption of Vitamin K.  Use only low dose as is available in multivitamins.

 
(2) Is Vitamin K contraindicated because I take Lisinopril, Metoprolol and Aspirin? If not, what is the dosage range with and/or without also taking Vitamin E? My diet includes blood-thinning garlic, onions, olive oil, cauliflower/broccoli, green and black teas.
The recommended daily intake of Vitamin K is 120 mcg per day.

(3) What dosage range should I have for all B vitamins and Folic Acid (because I am vegetarian)?  
Vitamin B and Folic acid are water soluble and you can not ooverdose on them. Multiple vitamins are an adequate supplement.

(4) What dosage range should I have for Potassium, Calcium/Magnesium, Iodine, Zinc and Selenium (because Calcium/Vitamin D should be avoided with Amlodipine, because Amlodipine may deplete Magnesium and Potassium, and because Lisinopril may deplete Zinc)?  
Do not take potassium unless you are deficient. You need a blood test to check that. Do not take iodine. It can fool your thyroid and make you  hypohyroid..
Ordinary table salt is iodized and supplies our need. Some multivitamins contain iodine, those are safe.
I ecommend 50 m Zinc per day, Cacium from all sources, including food should not exceed 1 g per day. Too much calcium is counerinndicated in your heart condition.
(5) Is it true that the potassium chloride from which many supplements derive Iodine should be avoided?   
See above. Re potassium and ioine.

(6) Is Silicon necessary? Often it appears to be derived from horsetail extract, but would its diuretic properties be contraindicated because I take blood pressure medicines?  
Silicon is not necessary
Thank you for u'sing Allexpets.
Sincerely,
Eric Brandt, B.Sc. Pharm

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Eric Brandt

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I will answer questions regarding prescripion and non prescription drugs as well as commonly used mdicinal herbs. I will also answer questions on various medical conditions such as heart disease, hypertension, thyroid problems, diabets, menopause, parkinson`s disease, multiple sclerosis, depression etc.

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