My mom, 72 year old, female, with hypertension for 8 years (with medications, systolic 110-120). In May, while hospitalized due to methyldopa induced cholestasis, she was diagnosed with atrial fibrillation. In 8/09, 14 days into Warfain, she felt & suffered an acute subarachnoid & subdural hemorrhage.
In Dec, she has open cholecystectomy due to acute cholecystitis with pigmented gallstones.
4/09: Sinus Bradycardia & Atrial Premature Complex
5/09: AF, T abnormalities
8/09: (hospitalized for CNS haemorrhages) Sinus rhythm
10/09: AF, T & ST abnormalities
1. Given her near-death bleed out, how safe is it to continue any blood-thinning therapy?
2. Are there any no problematic drug interactions with her medications? We are particularly concerned with some of the Atonolol’s side effects (i.e., the potential to develop type 2 diabetes, and unsteadiness when walking leading to more falls.) Are there safer, just as effective alternatives to Atonolol for her? We are also concerned with the elevated dosages of Lisinopril & Omeprazole. With these dosages, our mother’s systolic blood pressure has been in the lower end of below 120. Should the dosage be lowered, what should that be ?
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