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FunDad62

Hi....my name is FunDad and I take a crap load of meds.

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FunDad62

Ok joking aside....I've got a huge concern I've never told many people.  I take a lot of medicine.  And I hate that fact.  It's embarrassing.  So I wondered how I compare to others.  My health issues started when I was right at 40.  That's when I was diagnosed with T2 (I was told by a doctor when I was 20 that I was borderline).  At 42 I came as close to having a heart attack as you can without actually having one.  Had symptoms for a month until they discovered blockage and put two stents in me.  That was 10+ years ago and everything's been fine ever since.  Even better it made me finally quit smoking so I've got 10 years of being tobacco free.

 

17 pills a day plus an injection.  About $3,000/year.  I told my endo a couple of weeks ago I want to start coming off some of this crap since I'm exercising regularly and lost weight.  He agreed but one med at a time.  For now it's the Zetia.  Once I finish what I have next week I'm done with that one.

 

Mornings

  Actoplus/Metformin 1000mg (1)

  Januvia

  Aspirin 80mg

  Prilosec

  Lovaaza (fish oil)

 

Evenings

  Actoplus/Metformin 1000mg (2)

  Atenelol (beta blocker)

  Crestor (cholesterol)

  Zetia

  Hydrochlorithiazide (BP)

  Amlodipine Besylate (BP) 

  Jardiance (replaced Invokana)

  Clomiphene Citrate (testosterone)

  Tricor 

  Vitamin D pill

  Lantus (currently 20 units)

 

 

 

 

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Java

no meds, currently, for the D

 

i take T-3 for my thyroid once per day ~ we are trying to get the dosage figured out as the dose i'd been on for years is now too much

 

i take cymbalta once per day

 

and i take a crap load of supplements ~ i don't even wanna know  how much $$ i'm spendin on those

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Orlando

As your weight drops so will your BP med dosages, until you may be able to drop some . Its true, I did it. Do LCHF and you will be able to drop that Statin. I just did.The aspirin is for life, no big deal. FYI, I

 

had a heart attack way back in 1989 and quadruple by pass surgery in 2002. I can assure that its all possible. Just remember what your young marines used to say in WW2, "we can do anything possible,

 

the impossible takes a little longer". Good luck and best wishes .

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Ela

I'm on Metformin 500x2 a day, Ramipril once a day, that's all except Xanax when I can't sleep or stressed (very low doze, which I usually cut in half anyway).  Some supplements sometimes, but I actually didn't take any for a few months, just started back on some.

 

I wonder why you're taking Januvia AND Jardiance when you are already injecting insulin?  Seems like overkill to me.  All those oral drugs are for people who do NOT inject insulin.  And then it's very likely you can just take Metformin and insulin and have a good control. 

Also, what's with Actoplus anyway?  The first site I get looking for it http://www.drugs.com/actoplus_met.html says:  "Actoplus Met is used in patients with type 2 diabetes who do not use daily insulin injections." So its seems like another overkill.

 

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macksvicky

I'm with Angie, I take quite a few supplements too and no I do not want to know how much I'm spending on them!

 

I agree with Orlando, keep a close eye on you BP meds. When your weight drops you may find your BP meds decrease as well. I was able to cut mine in half. 

 

Also, Januvia....I was on 100mg a day for years, got worried about the side effects so I just quit taking it and it didn't make any difference at all. All that money on those things and it obviously wasn't doing anything or I would have had higher numbers when I stopped taking them. Just saying, you might try that yourself and see how you do. 

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FunDad62

This new endo wants to get me off Lantus completely.  I used to take 100 units, then got down to only needing 16 at the peak of my weight loss but have gone back up to 20 now since I'm not as diligent with my diet.  I haven't gained any weight back and it's been a year since I started.

 

I think it's just that the different docs over the years have continually added meds and we all no 99% of doctors NEVER want to take you OFF a medicine.  I was pleasantly surprised when my endo agreed to try it.

 

I ran out of Januvia once and didn't take it for a week and a half and did not notice any difference in my readings.  I mentioned that to the endo and he said "Oh you will."  I wonder... I like your idea Vicky.  Might be time for some non-doctor decisions on some of this stuff.  For instance the Atenelol.  The cardiologist put me on that several years ago because my resting heart rate was too high.  Now it's consistently in the 60's, sometimes 50's.  So I wonder if I need that one anymore.

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dowling gram

What is your diet like? Eating a low carb diet and dropping the excess weight will speed up dropping most of those meds. I did both those things. I didn't have all your health problems but the results were good never-the-less. I lost 40 pounds without even trying by going low carb and increasing my good fats . Even though my blood pressure wasn't considered high it dropped from 130/80 to 114/60. My triglicerides improved and my HDL went up.

 

As your weight drops keep an eye on your BP and BG

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Ela

It sounds that you can drop Atenelol easily. 

 

But what's your doctor's plan?  To take you off insulin, but keep on all those medications? 

 

If it were me, I'd just stick to the Met (without any octopuses ;)), maybe increase the dose as 1000 is pretty low, add insulin and eat low carb diet and then see - maybe you can eventually drop insulin too.   

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Kit

I take Met twice a day, a daily multivitamin, and Black Cohosh once a day to fight those lovely hot flashes.  Sometimes I think I'd rather be male so I could just buy a sports car and get a young girlfriend.  ;)

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Kit

Bah, I am Post button happy.

 

Yes, I have also noticed that doctors love to add medications but only want to seem to take you off the ones that are actual useful.  My doctor keeps wanting to take me off metformin and searches around for other drugs to put me on that I don't need, especially all their side effects.  SSRI for hot flashes.  Yeesh!  I'd rather suffer the hot flashes.  SSRIs can be great for those who really need them, but the side effects can be really nasty.  And I say that from experience.

 

Now, I am not a doctor or an expert in any of these areas, so take anything I say with a grain of salt.

 

I remember reading somewhere that the daily aspirin doesn't really do anything.  I can't remember where I read it though so I wouldn't trust me unless you can find my reference.  :)

 

I might say something shocking here.  The 1 case where statin use has actual proved to be effective is for middle aged men who have already suffered a heart attack.  I would consider that one carefully before dropping it.  However, it looks like you might be taking 4 different medications just to deal with cholesterol.  I would want to reconsider on how many of those are actually necessary.

 

As for blood pressure meds, how is your blood pressure.  It looks like you've got three for that.  I'd try dropping one and monitoring your blood pressure for a while and see what happens.  If everything stays good, you should be able to drop one or two of those I would think.

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Ela

I take Met twice a day, a daily multivitamin, and Black Cohosh once a day to fight those lovely hot flashes.  Sometimes I think I'd rather be male so I could just buy a sports car and get a young girlfriend.  ;)

 

But then you'd need to take Viagra....

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FunDad62

What is your diet like? Eating a low carb diet and dropping the excess weight will speed up dropping most of those meds. I did both those things. I didn't have all your health problems but the results were good never-the-less. I lost 40 pounds without even trying by going low carb and increasing my good fats . Even though my blood pressure wasn't considered high it dropped from 130/80 to 114/60. My triglicerides improved and my HDL went up.

 

As your weight drops keep an eye on your BP and BG

 

I started winging it with LC/HF last April and walking every day and it worked.  I dropped 35 pounds by October but haven't lost any since then.  Partly a plateau and partly me slacking up a little on eating habits.  My triglycerides are normal now for the first time in forever.  My BP was 146/84 yesterday but that's on the machine at work and no pre-rest 5 minutes.  I think it reads a tad high.  Whenever I go to the doc's office it's perfect.

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FunDad62

It sounds that you can drop Atenelol easily. 

 

But what's your doctor's plan?  To take you off insulin, but keep on all those medications? 

 

If it were me, I'd just stick to the Met (without any octopuses ;)), maybe increase the dose as 1000 is pretty low, add insulin and eat low carb diet and then see - maybe you can eventually drop insulin too.   

 

Yeah I need to try stopping the Atenelol and see.  My yearly cardio doc appointment is May 2nd.  I take 1000 Met in the morning but 2000 at night btw.

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Bamagal

In the past I took Lovaaza and also Tricor to bring down my triglycerides. Neither one of them worked and they were pretty expensive so I quit taking them. My tri's finally came down when I went on a lo carb diet.

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TX_Clint

IMHO you need a new doctor. Those meds are crazy. You are even taking more than the recomended max dosage of actoplus met, plus januvia and jardiance, and then lantus. Two drugs for cholesterol not counting the zetia and two for bp. I wish you luck on trimming the drug list down. I would push that Endo real hard to straighten the mess out.

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Hammer

Let's see, this is what I take, even though some of them aren't listed in my signature.(I need to update that.)

 

With breakfast:

 

1 D-3 supplement

1 Omega-3 supplement

1 potassium supplement

1 Centrum multi-vitamin supplement

1 milk thistle capsule supplement

 

11 am:

 

one Losartan HCTZ blood pressure pill

one Amlodipine blood pressure pill

 

4 pm:

 

one citalopram pill (for anxiety)

one milk thistle capsule supplement

 

11 pm:

 

41 units of Lantus (down from 156 units)

one Losartan HCTZ pill

6 Welchol tablets for cholesterol, glucose lowering and controlling IBS

one milk thistle capsule supplement

 

There is also Novolog insulin, but I take that before eating, depending on what I'm going to eat, so the times and amounts vary.

 

I haven't figured in the supplements, but just the medications come to about $22,000 a year, although my insurance pays for most of that. I pay about $975 of that $22,000.  Oh, and my test strips are fully covered by my insurance, as are all of my CPAP machine supplies, so I don't have to pay for them.

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Uff Da

I see no problem with taking more than one blood pressure pill if you need it. I'm taking three BP medications, though two of them are combined into one pill. And I'm taking very low doses of each. There are times that taking three different meds might be of concern because it might increase the possibility of side effects. In my case and I'm sure with others who do this, by being able to take just small doses of different meds, one can reduce the degree of unwanted side effects and keep things under better control.

 

Beware, however, of dropping any of your blood pressure meds cold turkey. Beta blockers, of which atenolol is included, are particularly known for causing problems in dropping suddenly. Doing so could trigger chest pain, irregular heart rhythms or even a heart attack. But I've read that the same might be true of other categories of BP meds, as well. I'd definitely check with your doctor or pharmacist about the details, but the usual recommendation is to gradually reduce the dose on many of these meds rather than suddenly stopping them.

 

I'm wondering why you are taking hydrochlorithiazide in the evening instead of in the morning. Usually it is taken in the morning to avoid so many trips to the bathroom during the night. I've found that I seem to need to make one trip to the bathroom during the night no matter when I take it most of the time. But one or two nights a week I might sleep through the night if I take it in the morning instead. You might have a specific reason for taking it at night.

 

I haven't noticed that changes in my weight made a difference in how much BP medication I needed, but I certainly found it was affected by the exercise I get. The previous two summers I needed to reduce my dose due to the amount of yard work I did, often two hours a day. In 2014 I cut my dose of all pills in half. Otherwise I was getting readings as low as 88/47. During the summer of 2015 I cut one dose in half but left the other the same, probably largely due to the fact that I started drinking diet soda whenever my BP got too low. And one soda typically increases my systolic BP by 20 points temporarily to get me over the BP lows. Just a few things to think about as you examine your own BP levels and possible medication changes.

 

 

 

 

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samuraiguy

I take a GERDS med which I am trying to drop hopefully after a scope and possible surgery in April. I also take 5 mg of Lisinopril per day just to stick to my clinic's "diabetics need BP meds" protocol--I asked if I could drop it after I had one office reading of 107/62 and was told it has other benefits for diabetics besides just lowering BP, lol.

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FunDad62

This conglomeration has happened over the past 16 years by 3 or 4 different doctor's.  I'll wait until I go see the cardiologist for my yearly appointment in 6 weeks and ask about the Atenelol.

 

Thanks for all the feedback folks!

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Moonpie

I would definitely ask for a medication review, from whichever Doc, you feel is the most competent or have the best relationship with.

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jwags

Right now I tske Metformin 3x850 a day, Lisinopril 5 mg at night and a boatload of supplements. I am trying to figure out which supplements I really need and which I can ditch. I take CoQ10, melatonin, Occuvite, biotin, vit D, calcium, Vit K, magnesium, tumeric and chromium. Since you have heart problems I would not ditch any BP meds or statins without your cardiologist approval.

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georgepds

I take Met twice a day, a daily multivitamin, and Black Cohosh once a day to fight those lovely hot flashes. Sometimes I think I'd rather be male so I could just buy a sports car and get a young girlfriend. ;)

Kind of expensive ...you would not believe the mainteance costs

 

 

I,d stick to cars....

 

G

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Fraser

Hey fun dad

Minimal meds here which works for me, but......

There is nothing bad about taking meds if you need them.

I forgot my allergy pill today, headache at my meeting

Allergy=headache, controlling T2 it is a balance. Just relax and enjoy the ocean ; - )

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BigMouithXXX

 

Mornings

  Actoplus/Metformin 1000mg (1)

  Januvia

  Aspirin 80mg

  Prilosec

  Lovaaza (fish oil)

 

Evenings

  Actoplus/Metformin 1000mg (2)

  Atenelol (beta blocker)

  Crestor (cholesterol)

  Zetia

  Hydrochlorithiazide (BP)

  Amlodipine Besylate (BP) 

  Jardiance (replaced Invokana)

  Clomiphene Citrate (testosterone)

  Tricor 

  Vitamin D pill

  Lantus (currently 20 units)

I actually take a few more but we take mostly the same drugs.  I also question taking both drugs that will make you pee at night.  These are usually taken in the morning.  I pee every hour all morning.  I wouldn't want to be doing that at night.

 

I also question the beta blocker.  That is a third best BP med for a diabetic.  ACE inhibitors are best then ARBs last are beta blocker as a diabetic BP med.  The first 2 can make you cough but the ARB has less effect than the ACE.  For these you only take one since they pretty much accomplish the same thing.  The calcium channel blocker is behind the beta blocker.  More BP meds are considered better for you than one with a higher dose.  Low doses don't trigger bad side effects but do trigger good side effects.  These good side effect have a diminished return as you raise the dose.  The number of BP meds is fine but I question the calcium channel blocker.  That is fine if you cough on the ARB.  I would still explore 25 mg of an ARB.  If you have troubles with that you can cross those off your list.

 

I assume the prilosec is taken because you take aspirin?  Probably you had some gastric problems and even a small dose of aspirin will make that worse if taken every day.    Even though it has its own associated risk it is considered a good move to take prilosec.

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