(Each recommendation is based on review of the specific details of a patients history, current symptoms and desires about medications. The results described are specific to a real patient case and should not be used to make decisions outside the care of a physician.)
Identification and recommendations to resolve Drug Interactions:
Interactions between medications, supplements and conditions
Ex. A patient, JD, with diabetes started on a new supplement they were given by their acupuncturist, called Omega Q, prior to starting this JD's blood pressure was elevated at the physicians office. The physician wanted it to be <130/80 to fit with the ADA guideline, for cardiovascular health in people with diabetes.
After taking the supplement for a few weeks JD started to feel dizzy. JD knew the supplement could be involved but in the physician's office the BP reading was 125/76 and JD wanted to be sure something else wasn't wrong. He arranged to have a pharmacist with My Rx Review check his medications. The outcome was that interactions between the blood pressure medications metoprolol 100 mg, amlodipine 5 mg and benazepril 20 mg and one of the components of the Omega Q could have been responsible. JD wanted to reduce the medications taken, and preferred continuing the supplement if possible.
In reviewing the medications, JDs conditions, medical history, lab results and what JD wanted. The pharmacist made the suggestion to the physician to try stopping the amlodipine, and changing the benazepril from 20 mg once a day to 10 mg twice a day to see if the dizziness resolved and the BP remained under control. The physician accepted the suggestions and JD achieved a BP within the ADA guideline. Amlodipine was removed from JD's daily routine and JD remained on 2 medications that are proven to keep people like JD healthier. The benazepril is recommended because JD has diabetes and benazepril with metoprolol is recommendable because JD had a small heart attack 7 years ago. JD also continues to take the Omega Q.
JD now works with the physician and pharmacist to get control of the blood glucose which JD struggles with.