Aa
A
A
A
Close
Heart Disease Community
20.1k Members
Avatar universal

drug induced cardiomyopathy

I was wondering if a person in thier 30's is taking 17 perscriptions for mental problems. Could this produce cardiomyopathy. I would think since he was in the hops with 2 surgeries that something like this would have shown up. But my son died in his sleep June 21st 2009. Medical examiner ruled his death as morbidly obese and cardiomyopathy. Here is list of perscribed meds the Dr's had him on over the last 1 1/2
1. Alprazolam (xanax)                            antianxiety
2. Zolpidem    (ambient)                         hypnotic
3. Amitriptyline                                      antidepressant
4. Atenolol    (Tenormin)                        side effect control
5. Clonidine   (Catapress)                       Anti ADD  antianxiety
6. Depakote   (Divalproex)                     Mood stabilizer
7. Diazepam  (Valuim)                           antianxiety
8. Fluoxetine (Prozac)                            antidepressant antipanic
9. Gabapentin (Neurontin)                     Mood stabilizer
10. Levothyroxin                                     Potentiates antidepressants
11. Lexapro                                             antidepressant
12. Metoprolol                                         side effect control
13. Oxazepam                                          antianxiety
14. perphenazine                                     Antipsychotic
15. Risperidone                                       Antipsychotic
16. Seroquel                                            Antipsychotic
17. Trihexyphenidyl                               Side effect control
.Pantoprazole  
Omeprazole
Diphenoxylate/ Atropine  

He was on most of these the whole time some were changed each month like prozac and the seroquel.
I just feel like He did not die just because he was obese. He started to decline after being put on all these meds. I thought he was only on a few til they called me and said he died. then I found out he was on 17 perscriptions a month for the most part. I am appalled they would just say it was cause he was fat. If that was the case most of the obese people in the world today would die at a young age too.
12 Responses
Avatar universal
Gwen,

That is an obscene amount of medication. While I don't know if any one of those can cause cardiomyopathy, it may be possible that a combination of any of the above could cause this. I would be more concerned his death was due to an overdose of the sleeping/anti-anxiety medication.
Avatar universal
A toxocology was done. I have not picked up the info as yet but when I called they said there were no toxic levels in his system. They had found an empty hydrocodone bottle next to his bed and thought he may have committed suicide but I am sure his room mates just took the pills. Yes I am not sure how all these were filled and not flagged. The list is what I pulled frome Walgreens. I do not think they were doing there job. On May 6th he had 17 perscriptions filled. then on May 28 he had nine of them refilled. What gets me is on May 6th he had 120 hydrocodone for 5mg. On may 28th he got 180 hydrocodone 10mg. then got it refilled on June 20th. In all he ad 1610 pills perscribed in May and 22 day span on refills. He got 120 hydrocodone5mg  and 300 hydrocodone 10mg in a 45 day span. I can pull 6 of the meds off the DEA Controlled substance list and since he was on so many same classifications I am sure alot more are in there but not list by name.I am trying to do something about this as these are considered polypharmacutical perscribing DR's out there killing people.I do believe he got drug induce cardiomyopathy
Avatar universal
Oh by the way he lived on his own til 30 then had to go to boarding homes as he qualified for disability. He was diagnosised as anixety disorder bipolar and mild agoraphobic so not sure why he had so many antipsychotic meds. He really managed ok for alot of years I do think he was depressed alot cause of his weight he was kinda lazy. And it was hard for him to get girl friends and have a family which he had always wanted but no one wants to hook up with someone who is not so motivated. so in my book I am not sure why he had most of those meds.
367994 tn?1304957193
Cardiomyopathy can be the result of medication, and obecity would also put stress on cardiovascular system.  And as CubbieBlue states the combination of the drugs would also contribute, and in my opinion a deadly outcome...  Did one doctor prescribe all those medications, or was your brother seeing many doctors without any communication among the doctors?  

The tox report doesn't show toxicity, but the cardiomyopathy is probably cardiac arrest with  the underlying cause being arrhythmia caused by an enlarged heart and heart muscle damage.  
Avatar universal
It was my son who died. He was seeing only the 2 Dr's. One was what I guess would be primary outside Dr. the other was a Dr from a mental health clinic. I do believe they both knew each other was perscribing I think I will copy and paste his med sheet from Just May 2009 for you too see who perscribed what. I will tell you over the last seven months of my sons life both Dr's had perscribed the same meds whichWalgreens did not flag nor did the insurance. Also the Dr;s would switch off on who perscribed what meds to him. also they hopped back and forth on some meds Like one month prozac the next month Seroquil. I do not know how they can get by with thier perscribing practices like this. I am having them investigated by the Medical board so hopefull they have toned down what they perscribe to there other patients before they kill them. Here is May list I have 1 1/2 yrs I pulled from Walgreens. I just got back from MHMR since I seem to be in a depressed state. I over heard a lady say she was in the hosp and they said she has inlarged heart and the MHMR needs to call them and discuss her meds. I just sat there with tears streaming down my face it just came over me like a heat.

Patient Info: Jeramy White
3510 KNOTTYASH
SAN ANTONIO, TX 78230
(210) 415-4220 Date of Birth: 04/16/1977 Gender: Male
Allergy Conditions: NO KNOWN ALLERGIES

Health Conditions: ANXIETY
BIPOLAR AFF DISOR UNSPEC
PANIC DIS W/AGORAPHOBIA



Prescription Number Medication RPh Prescriber Insurance Plan
Claim Ref# Date of Service Quantity Price Note
0820052-03140 CHANTIX 0.5MG TABLETS GFM STOLLER, JERRY CASH/ 5/5/2009 11 $33.89     
NDC: 00069046856 Total Fillings: 1 Subtotal: 11 $33.89
0820054-03140 ZOLPIDEM 10MG TABLETS GFM STOLLER, JERRY HUMNAPDS/
A0095251095431 5/5/2009 30 $1.10 Your insurance saved
you $58.89  
NDC: 00093007401 Total Fillings: 1 Subtotal: 30 $1.10
0820324-03140 HYDROCODONE/APAP 5MG/325MG TABS GFM POTTERF, RAYMOND HUMNAPDS/
A0095262859121 5/6/2009 120 $1.10 Your insurance saved
you $77.99  
NDC: 00591320201 Total Fillings: 1 Subtotal: 120 $1.10
0820325-03140 OMEPRAZOLE 20MG CAPSULES GFM POTTERF, RAYMOND HUMNAPDS/
A9095267859291 5/6/2009 60 $1.10 Your insurance saved
you $142.89  
NDC: 00781223310 Total Fillings: 1 Subtotal: 60 $1.10
0820333-03140 DIVALPROEX ER 500MG TABLETS GFM POTTERF, RAYMOND HUMNAPDS/
A5095261282081 5/6/2009 60 $1.10 Your insurance saved
you $166.89  
NDC: 00378047301 Total Fillings: 1 Subtotal: 60 $1.10
0820334-03140 AMITRIPTYLINE 50MG TABLETS GFM POTTERF, RAYMOND HUMNAPDS/
A2095267887441 5/6/2009 30 $0.75 Your insurance saved
you $11.24  
NDC: 00378265010 Total Fillings: 1 Subtotal: 30 $0.75
0820336-03140 FLUOXETINE 20MG CAPSULES GFM POTTERF, RAYMOND HUMNAPDS/
A6095267898451 5/6/2009 60 $1.10 Your insurance saved
you $37.59  
NDC: 00781282201 Total Fillings: 1 Subtotal: 60 $1.10
0820337-03140 LEXAPRO 20MG TABLETS GFM POTTERF, RAYMOND HUMNAPDS/
A2095269401461 5/6/2009 30 $3.20 Your insurance saved
you $112.79  
NDC: 00456202001 Total Fillings: 1 Subtotal: 30 $3.20
0820339-03140 LEVOTHYROXINE 0.05MG (50MCG) TABS GFM POTTERF, RAYMOND HUMNAPDS/
A5095264532591 5/6/2009 30 $1.10 Your insurance saved
you $11.89  
NDC: 00527134210 Total Fillings: 1 Subtotal: 30 $1.10
0820344-03140 TRIHEXYPHENIDYL 2MG TABLETS GFM POTTERF, RAYMOND HUMNAPDS/
A2095269424811 5/6/2009 90 $1.10 Your insurance saved
you $15.39  
NDC: 00603624021 Total Fillings: 1 Subtotal: 90 $1.10
0820348-03140 CLONIDINE 0.1MG TABLETS GFM POTTERF, RAYMOND HUMNAPDS/
A8095269435261 5/6/2009 60 $0.76 Your insurance saved
you $14.23  
NDC: 00378015210 Total Fillings: 1 Subtotal: 60 $0.76
0820351-03140 TOPROL XL 25MG TABLETS JUS POTTERF, RAYMOND HUMNAPDS/
A1095278688171 5/7/2009 60 $3.20 Your insurance saved
you $82.79  
NDC: 00186108805 Total Fillings: 1 Subtotal: 60 $3.20
0820352-03140 PERPHENAZINE 4MG TABLETS MRB POTTERF, RAYMOND HUMNAPDS/
A9095287575121 5/8/2009 150 $1.10 Your insurance saved
you $136.89  
NDC: 00781104701 Total Fillings: 1 Subtotal: 150 $1.10
0820499-03140 DIPHENOXYLATE/ATROPINE TABLETS JUS POTTERF, RAYMOND HUMNAPDS/
A1095277564001 5/7/2009 30 $0.80 Your insurance saved
you $16.69  
NDC: 00378041501 Total Fillings: 1 Subtotal: 30 $0.80
0820925-03140 CHANTIX 1MG TABLETS MRB STOLLER, JERRY CASH/ 5/10/2009 60 $155.39     
NDC: 00069046956 Total Fillings: 1 Subtotal: 60 $155.39
0821381-03140 ALPRAZOLAM 2MG TABLETS GFM POTTERF, RAYMOND TXMED/
00039298457301 5/13/2009 180 $0.00 Your insurance saved
you $76.99  
NDC: 00228203910 Total Fillings: 1 Subtotal: 180 $0.00
0821506-03140 DIAZEPAM 10MG TABLETS JUS STOLLER-GLENNEY, JERRY-MARY TXMED/
00039305999001 5/13/2009 120 $0.00 Your insurance saved
you $29.99  
NDC: 00378047705 Total Fillings: 1 Subtotal: 120 $0.00
Total Scripts: 17 Total: $206.79
Using generics saved you a total of $0.00
Using more generics could have saved you a total of $0.00
Your insurance saved you a total of $993.14


In June they had 21 perscriptions they filled but son did not pick them up as he died on the 21st. But they had added Respiridone and Gabapentin I will copy and paste list of all meds he got with there classifications. anyone who has seen this is as shocked as I am that one person had all these perscribed to them

1. Alprazolam (xanax)                            antianxiety
2. Zolpidem    (ambient)                         hypnotic
3. Amitriptyline                                      antidepressant
4. Atenolol    (Tenormin)                        side effect control
5. Clonidine   (Catapress)                       Anti ADD  antianxiety
6. Depakote   (Divalproex)                     Mood stabilizer
7. Diazepam  (Valuim)                           antianxiety
8. Fluoxetine (Prozac)                            antidepressant antipanic
9. Gabapentin (Neurontin)                     Mood stabilizer
10. Levothyroxin                                     Potentiates antidepressants
11. Lexapro                                             antidepressant
12. Metoprolol                                         side effect control
13. Oxazepam                                          antianxiety
14. perphenazine                                     Antipsychotic
15. Risperidone                                       Antipsychotic
16. Seroquel                                            Antipsychotic
17. Trihexyphenidyl                               Side effect control




1.Pantoprazole  anxiety, arthralgia, asthenia, back pain, bronchitis, chest pain, constipation, cough increased, dizziness, dyspepsia, dyspnea, flu syndrome, gastroenteritis, gastrointestinal disorder, hyperlipemia, hypertonia, infection, liver function tests abnormal, migraine, nausea, neck pain, pain, pharyngitis, rectal disorder, rhinitis, SGPT increased, sinusitis, upper respiratory tract infection, urinary frequency, urinary tract infection, and vomiting.
     2. Omeprazole  Nervous System/Psychiatric
      Psychic disturbances including depression, agitation, aggression, hallucinations, confusion,       insomnia, nervousness, tremors, apathy, somnolence, anxiety, dream abnormalities; vertigo; paresthesia; and hemifacial dysesthesia
      3.Diphenoxylate/ Atropine  Since the chemical structure of diphenoxylate hydrochloride is similar to that of meperidine hydrochloride, the concurrent use of this product with monoamine oxidase (MAO) inhibitors may, in theory, precipitate hypertensive crisis.
Diphenoxylate hydrochloride may potentiate the action of barbiturates, tranquilizers, and alcohol. Therefore, the patient should be closely observed when any of these are used concomitantly
367994 tn?1304957193
It is almost criminal to prescribe all of those medications!  Your son's body chemistry would be in a turmoil that could cause arrhythmia (irregular heartbeats and cardiac arrest)by the drug cocktail prescribed.  To illustrate, excessive alcohol, street drugs, etc.  can cause irreversable heart cell damage (cardiomyopathy) and that would be a lot less potent than the all prescribed drugs you have listed.  
Have an Answer?
Top Heart Disease Answerers
159619 tn?1538184537
Salt Lake City, UT
11548417 tn?1506084164
Netherlands
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.