Page 3 of 3 FirstFirst 123
Results 21 to 22 of 22

Thread: [Case] A Clinical Case of New Diagnosed Diabetes

  1. #21
    Administrator admin's Avatar
    Join Date
    Jan 2013
    Location
    Chengdu, Sichuan, China
    Posts
    304

    Default

    On Sep 22nd 2015 the patient's Rx had some changes.

    Former Rx (since Aug 15th 2015)
    Allopurinol 200 mg Bid
    Atorvastatin 20 mg Qd

    Current Rx (since Sep 23rd 2015)
    Allopurinol 200 mg Bid
    Atorvastatin 20 mg Qod
    Irbesartan/Hydrochlorothiazide 150/12.5 mg Qd
    Nifedipine XL 30 mg Qn

    Because the patient has tachycardia after the ingestion of nifedipine XL, tonight I asked him to stop drug of nifedipine XL 30 mg Qn. I think the tachycardia probable was caused by nifedipine induced hypotension during sleep. The reduction in dose of atorvastatin was due to the increased level of AST/ALT and bilirubin, which was modified by the physician on Sep 23rd 2015.

    Rx:
    Allopurinol 200 mg Bid
    Atorvastatin 20 mg Qod
    Irbesartan/Hydrochlorothiazide 150/12.5 mg Qd
    B.S. Pharm, West China School of Pharmacy, Class of 2007, Health System Pharmacist, RPh. Hematology, Infectious Disease. Chengdu, Sichuan, China.

    Blog: http://www.tomhsiung.com
    Facebook: http://www.facebook.com/TomHsiung
    Twitter: @TomHsiung
    Sina Microblog (Weibo): http://weibo.com/xiongliang0



  2. #22

    Default

    The patient has a over-normal response to Irbesartan/Hydrochlorothiazide 150/12.5 mg Qd with the most apparent clinical presentation of fatigue, which is a adverse effect of Irbesartan/Hydrochlorothiazide. So The dose had been cut half on Sep 23rd.

    And according to continuing self BP monitoring, the blood pressure are controlled within the therapeutic target of below 130/80 mm Hg for the most of time.

    BP records:

    1.Date 2.Morning(before ingestion of Irbesartan/Hydrochlorothiazide) 3.Noon 4.Evening 5.Bedtime



    Morning Noon Evening Evening Bedtime
    Sep 29




    Sep 30 129/76



    Oct 1 122/79

    122/71
    Oct 2 137/79



    Oct 3 120/74



    Oct 4 113/73



    Oct 5




    Oct 6 118/80



    Oct 7 121/69 125/68


    Clinical Pharmacy Specialist - Hematology

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •