Male in his mid-60s who has been treated for high blood pressure for twenty years now. Average BP 130/90. Overweight and largely a sedentary office worker due to significant sciatica issue. That sciatica also impacts my ability to sleep and I seldom get more than four hours of sleep daily.
I believe my medication load has seriously degraded my energy over the last six months and it is this area that I'd like to have your thoughts. Four months ago I was diagnosed with A-Fib and have been on Warfarin since. The Fenofibrate recently replaced the Gemfibrozil (600mg) that I'd been on for a number of years. Total cholesterol typically comes in at about
120. One of the three arteries to the heart is totally occluded. Currently I am taking:
Losartan 100mg (morning)
Atenolol 100mg (evening)
Crestor 40mg (evening)
Fenofibrate 200mg (evening)
Warfarin 7.5mg (evening)
Over the last three months, I have had increasing difficulty breathing - a walk to our second floor leaves me winded. On a couple of nights each week I can't breath while trying to sleep and I have to get to my feet. about
a year ago, I lost one of MGH's top cardiologists and in his place I have a youngster just out of internship. This new cardiologist detected a discrepancy in the five-year old test results and questioned the MGH findings but a cardiac cath procedure done three months ago found no change whatsoever.
I am concerned about
the path that I'm on. I'm concerned that both atenolol and fenofibrate have been implicated as having a role with A-Fib. My lethargy overrules too much of my physical activity and I feel that my cardiac issues are being treated to the exclusion of my overall well being.
Does this med protocol strike anyone as being overdone? I feel that some of the symptoms, that have prompted med changes, may be caused by the other meds and I'm wondering if a medically-supervised removal from all meds (followed by testing) might be a reasonable request on my part.
Thank you ... RL
Post Edited (Right Lane) : 11/29/2011 7:23:54 AM (GMT-7)