What other medications does Mitch take? List their mechanisms and potential side effects/drug-nutrient interactions
What will be an ideal response?
Dyazide is also known as hydrochlorothiazide (thiazide diuretic) combined with triamterene (potassium-sparing diuretic). It works by decreasing the blood volume, which ultimately lowers blood pressure. Dyazide also increases urinary output and inhibits sodium and water reabsorption to help with edema or fluid retention in the extremities.
Side effects:
• Hypokalemia,
• Hyperlipidemia
• Hypertriglyceridemia
• Hypercholesterolemia
• Glucose intolerance
• N/V
• Anorexia
• Dehydration/Dry mouth
• Diarrhea
• Weakness
• Potentially hypotension
• Constipation
Drug-nutrient interactions:
• Increases potassium excretion, so may need a potassium supplement
• Cannot take with NSAIDSs
• Avoid licorice
• Take with food
• Do not take with Ca, Al, Mg, or Fe supplements within 2 hours of medication
Lipitor (trade name for atorvastatin) is a statin drug in the HMG-CoA reductase inhibitor class. Therefore, it works on the rate-limiting step of cholesterol production to decrease cholesterol, LDL, and triglycerides. It also raises HDL levels 7-30%.
Side effects:
• Myopathy: muscle pain
• Increased liver enzymes
Drug-nutrient interactions:
• Cannot be prescribed if patient has liver disease
• Cannot take with certain antibiotics, various anti-fungal agents, and P 450 inhibitors (e.g. grapefruit)
• Fibrates and niacin should be used with caution
He is also beginning insulin.
• Lispro: rapid-acting insulin. Taken with meals to help control high blood glucose levels.
• Glargine: basal insulin to help control high blood glucose levels.
• Potential side effects: Hypoglycemia
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Found in meat, poultry, and fish, the meat factor
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