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Right Lane
New Member

Date Joined Nov 2011
Total Posts : 4
   Posted 11/29/2011 8:54 AM (GMT -6)   
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)

Right Lane
New Member

Date Joined Nov 2011
Total Posts : 4
   Posted 12/3/2011 3:58 PM (GMT -6)   
Any thoughts on this? Anyone experience similar problems with any (or all) of these medications? Thank you

Veteran Member

Date Joined Oct 2009
Total Posts : 5028
   Posted 12/3/2011 5:44 PM (GMT -6)   
Hi Right Lane, welcome to the forum. I don't have any real answers but hope someone will come up with some.

I didn't know at and fen were a problem with A-fib. I'll have to research this since I'm on atenolol to keep my attacks of tach under control. Mine are mostly caused by sensitivity to sulfites, preservatives in lots of foods. I have to do nearly all my own cooking, carry my own lunches.

I get my sciatica helped regularly in a pain clinic - steroid injections in spine, sometimes caudal - see the pain forum! It's helps me be able to exercise a little.

I used to be out of breath because of plaque in my arteries, but have reversed it with a nearly veg diet, just a little Crestor 3 days a week.

My sister has a C-pap machine to help her night breathing, and it helps her daytime energy a lot! Not getting enough sleep makes us crave sweets to give us energy.

Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 12/4/2011 11:34 AM (GMT -6)   
Hello and welcome.  Wondering if you have had an Echo Cardiogram and what your results were ?  It concerns me that your sx seem to be getting worse so may I kindly suggest you see another Cardiologist to discuss the medications as perhaps they are causing you to be symptomatic.
I am not on any of the meds you are taking so I have no personal input, sorry.
Let us hear how you are doing.

Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.

"only as high as I reach can I grow, only as far as I seek can I go, only as deep as I look can I see, only as much as I dream can I be"

Right Lane
New Member

Date Joined Nov 2011
Total Posts : 4
   Posted 12/10/2011 9:08 PM (GMT -6)   
I would dearly love to ditch all the meds but I met with my primary (not my cardiologist) Thursday and was convinced to proceed with the cardioversion - INR-dependent but likely early in January. I'm a lousy patient and the procedure seems to promise very little. However, this would open the door for cardiac ablation. I appreciate the interest and hope that someone will eventually weigh-in on this medication load. I will try to provide a citation on the med / a-fib connection that I mentioned in my first post.

Right Lane
New Member

Date Joined Nov 2011
Total Posts : 4
   Posted 12/10/2011 9:26 PM (GMT -6)   
Here is the atenolol - A-Fib link:
  • Do a search for "atenolol" (there is only one hit in the article)

  • In the second sentence following atenolol is a hyperlink attached to "fibrosis"

I recall something similar connecting A-Fib to another of my meds and I'll see if I can find that too.

Veteran Member

Date Joined Jan 2006
Total Posts : 600
   Posted 1/22/2012 1:17 AM (GMT -6)   
everyone reacts so differently on meds  the one i personally have some experience with is the atenolol, your dose would seem to make you feel tired and the warfarin is another that can be problematic. I would offer you this suggestion. research the net about all four of  your meds and their side effects and see if they tend ti=o all add to some of your present reactions. We must be our own advocates w  ith these meds, i started on 7 and have mine down to three.  good luck  ask lots of questions and hang tuff  Dreamgirl

Chris M.
New Member

Date Joined Jan 2012
Total Posts : 1
   Posted 1/25/2012 6:01 PM (GMT -6)   
You mentioned wanting to go off your meds. Have you ever considered an alternative treatment? I'm not sure about all the conditions you mentioned, but I've been taking an L-arginine product for my high blood pressure and after about a week I was doing much better as my levels were lowering. It's supposed to improve your entire cardiovascular system over time. I have my grandfather taking it as well and he's had 12 stroke's in his lifetime and he's just now eliminating some of his meds due to the L-arginine product.

"Above all else, guard your heart, for everything you do flows from it."


Lady Spitfire
New Member

Date Joined Feb 2012
Total Posts : 1
   Posted 2/10/2012 10:43 PM (GMT -6)   
I have been like a pharmacy with all the meds I have had to take prescribed by my doctors. Got tired of it. Got tired of having to pay for it and figure out where to put it so I don't forget to take it. Found out about a a nutritional boot camp for a heart healthy diet to help me get off as much of the stuff as possible. Lasts 4 weeks. Went to it. Now take less medicine and don't worry so much about drug interactions. Lost a little weight, too. Now feel better and have more energy. As the saying goes, "Don't worry, be happy."

Lady Spitfire

62 years old and going for it!
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