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About Dr. Ravindra Bhaskar Ghooi
Expertise
I can provide information on drugs and medicines, their actions, uses, interactions and adverse effects. To avoid confusion, generic names of medicines may please be provided. I am a pharmacologist, having worked on animal and human pharmacology, and presently I am the Dean of Bilcare Research Academy, where we teach courses on clinical research. We dont work on saturdays and sundays, hence questions reachng me on these days will be replied on Monday, please bear with me.

 
   

You are here:  Experts > Health/Fitness > Pharmacology > Pharmacy > Mother's medications

Pharmacy - Mother's medications


Expert: Dr. Ravindra Bhaskar Ghooi - 8/23/2007

Question
Hi!  My mother, age 54, is on the following meds for various conditions.  Would you review the following list & tell me of any interactions to watch out for?  (I'm particularly concerned about warfarin interactions.)

Warfarin (Coumadin)               2.5 mg / qd 4 days
                                   5 mg / qd 3 days
Metoprolol Succinate (Toprol XL)  100 mg / bid
Lansoprazole (Prevacid)            30 mg / qd
Bumetanide  (Bumex)                 2 mg / bid
Potassium Chloride (K-dur)         20 mg / bid
Allopurinol                       100 mg / bid
Prednisone                         10 mg / qd
Paroxetine HCL (Paxil)             10 mg / qd
Levothyroxine sodium (Levoxyl)   .175 mg / qd
Amlodipine (Norvasc)                5 mg / qd
Simvastatin (Zocor)                80 mg / qd
Aspirin                            81 mg / qd
Fentanyl patch (Duragesic)        100 mcg/ hr

She also takes the following meds on an as needed basis:

Acetaminophen/oxycodone 5/325  (Percocet)
Methocarbamol (Robaxin)   750
Metolazone (Zaroxolyn)      5 mg
Simethicone
Ibuprofen
Charcoal caps

Thank you for your time & attention.

Sincerely,
Shanon, concerned daughter

Answer
Hi Shanon,
When I see such a long list, the first thng that come to my mind is that she is being over medicated. Let me segregate her medication. She appears to have hypertension hence metoprolol, bumetanide, amlodipine. She also has high cholesterol hence simvastatin, aspirin to prevent risk of embolism. She seems to have depression hence paroxetine, thyroid problem hence Levothyroxine, She may have had some cloting disorder hence warfarin. I mean she is being treated for different symptoms without deep thught on her main problems.
I would need more details on her health status before I can comment anything.
Ravi Ghooi

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