Family, Internal Medicine, General Medical Questions/am i taking right treatment??

Advertisement


Question
my mother aged 50 years is suffering from hyper tension, diabetes, cervical pain from many years and is on several medicines like seco 500 mg(mecobalamin), voltral 50 (diclofenac sodium), tansin 50 mg (losartan potassium),gevelox plus(glucosamine sulphate USP 500mg, chondrotin sulphate USP 400mg),nuberol forte,lipiget,ruling 20 (omeprazole), surbex,amazol,monitor, diamicron.
recently she has been complaining of severe pain in her left arm and legs, sudden and occasional swelling of her face, extreme tiredness and depression. please help me and suggest  is it proper medication and what else can we do.
if this question is irrelevant then kindly guide me to whom can i approach.
thank you.

Answer
Samreen,

Your mother is on multiple meds [(seco 500 mg(mecobalamin), voltral 50 (diclofenac sodium), tansin 50 mg (losartan potassium),gevelox plus(glucosamine sulphate USP 500mg, chondrotin sulphate USP 400mg),nuberol forte,lipiget,ruling 20 (omeprazole)] that can have drug-drug interactions.  There may even be some drug-supplement interactions.  With T2DM, HTN and her other issues there should be a focused attempt by her doctors to limit unnecessary medications, insure there are no drug interactions contributing to her symptoms, assess her mental health (rule out depression) and also diabetic neuropathy.  Pharmogenomics (PGx) is a way to determine how she (genetically) metabolizes her meds, so they can be adjusted.  Ask for this test from her doctors.  The limb pain may be due to her DDD (degenerative disc dz) in her neck, may require an MRI for further evaluation or this may be due to diabetic induced neuropathy.  Swelling of the face may be a reaction to the ARB (losartan)so be careful with this one.  This forum does not allow for the diagnosis or treatment recommendations, so it is imperative that all her doctors work together to determine root cause of her symptoms.  

Family, Internal Medicine, General Medical Questions

All Answers


Answers by Expert:


Ask Experts

Volunteer


Yusuf (JP) Saleeby, MD

Expertise

Will ONLY answer questions pertaining to Hypothyroidism, Hashimoto's disease and thyroid disorders. I will forward all other questions to the question pool. This forum does not allow for the diagnosis and treatment of illness, so please don't ask questions in that regard.

Experience

Medical School: Medical College of Georgia (Augusta, GA class of 1991) Post Graduate Training: ECU school of Medicine (Greenville, NC) 20 years in Emergency Medicine, Urgent Care and Occupational Medicine (retired 2012). *** Licensed in states of GA, NC, SC and VA. *** Medical Director of Priority Health of SC (www.PriorityHealthSC.com) *** Former Medical Director and Founder of the Saleeby Longevity Institute a clinical practice and research center in integrative (CAM,Allopathic Medicine (1999 to 2004). *** Founder of Vita Sanus, Inc. Manufacturer & Distributer of Vita Sanus Nutraceuticals and Skin Care products (www.vitasanus.com) Sold in 2006. *** Adjunct Professor in Graduate School of Nursing Georgia Southern University (2002-2006). *** Author of "Wonder Herbs: A Guide to Three Adaptogens" available for sale at www.xlibris.com/wonderherbs or signed copies at www.saleeby.net *** Former Medical Director of the Emergency Department at Marlboro Park Hospital, Bennettsville, SC (2006-2010) *** Appointed to Medical Advisory Board for Aerobic & Fitness Association of America (AFAA) 2007-present & Contributing Editor AFAA (American Fitness magazine) 2013-present. *** Appointed to Medical Advisory Board for Beach Body (Product Partners) 2008-present *** Founder and regional director of www.eStatLabs.com an alternative to high priced lab testing sites (DAT). *** Life Extension 5th Edition Book on Prevention and Disease Treatment (contributor on Chapter on Adrenal Fatigue and Stress Management) 2013 5th edition. *** Worked as chief formulator for supplement companies: Vita Sanus Nutraceuticals (Longevity Pack & entire line), SSN's PreGame Formulas for Golf and Tennis, AdapTx Labs' CardioFactor & PreFight, BeachBody's Shakeology consultant, Parhelion Labs' Oviun BioPharma sub-fertility formula ''Fertility Regimen''.

Organizations
South Carolina Urban Search & Rescue Task Force-1 (USAR), former Medical Director/Control. 2010-2012. Founder and developer of http://www.eStatLabs.com Current medical practice: http://www.PriorityHealthSC.com Former member of American Telemedicine Association Former member of A4M and ACAM. Attend regular meetings of AMMG Member in good standing ILADS (www.ILADS.org)

Publications
American Fitness magazine (multiple) Cortlandt Forum Medical Economics DocSaleeby.blogspot.com (blog) JIVE magazine (out of print) Tea Digest Experience (out of print) Authored Books on Adaptogen Herbs (Wonder Herbs: A guide to three adaptogens) 2006 Authored chapter on Stress Management for LEF text book on Prevention of Diseases and Treatments (2013) Authored Chapter 3 in "Stop the Thyroid Madness, II" (2014)

Education/Credentials
Health & Wellness Blogger, Medical Writer. Author of book on Adaptogens. Pioneer in Telehealth, member of ATA. Contributing Editor for American Fitness magazine. Authored Books on Adaptogen Herbs (Wonder Herbs: A guide to three adaptogens) 2006 Authored chapter on Stress Management for Life Extension Foundation LEF text book on Prevention of Diseases and Treatments (2013) Authored Chapter 3 in "Stop the Thyroid Madness, II" (2014)

Awards and Honors
*** co-Author of "Stop the Thyroid Madness, II" (Laughing Grape, 2014) Chapter on NDT/Thyroid. *** Authored chapter in "Life Extension Foundation, 5th Edition book on Prevention and Disease Treatment" Chapter on Stress Management/ Adrenal Fatigue.

Past/Present Clients
HIPAA prohibits revealing names. Some celebrity clients.

©2016 About.com. All rights reserved.