Medication has a doctor any sugestions .I am told that I am on max medication .?

Question

My clinical history is as follows
1982 Triple by pass of coronary arteries.
1996 Triple by pass ( same ones that were blocked again )
1997 AAA repair . The last by pass opp was to get my heart in better shape to withstand the AAA.
2001 Diagnose Diabetes type 2.
MY medication is as follows.
Telmisarten 120mg per day.
Carvedilol 50mg per day
Nicorandil 40mg per day
Diltiazem 240mg per day.
Fruzimide 160mg per day
Cloidogrel 75mg per day
Diaformin 3 per day
Glimepiride 1mg per day.
Pariet for reflux 20mg per day
Piroxicam for arthritis 20mg per day.
Symtoms . I funtion satisfactory most of the time but suffer from constant fatigue , lack of energy , and sleepyness. I sometimes get angina mildly if I get up during night to toilet .spmetimes if I exert my self in the evening like wheeling out garbage bins or early morn. The angina responds to the nitro spray. At the time of my by pass grafts I was told that I was not suitable for stents or balloon angioplasty.

I am 72 yrs male

I hate taking all those pills and would dearly love to cut down, as it is I divide them up over the day. My last echo cardio showed no pulmonary hypertension.

Thank you Jeremy , I already know all that you said , I have an exelent grasp of my condition and what the various meds are for , I see a cardiologist who just prescribes more pills ! When I told him how many pills I swallow per day his comment was " how gross "

I also have left heart bundle block, had that for years. EF is 55%. I had small heart attack in 1981 with no visible muscle damage .

Answer 1

At the risk of suggesting yet another pill, there is a new class of antianginal on the market and the medication has the tradename Ranexa. I have used it with great success in 2 patients, and my partners (who jump on new meds more readily than I do) have had many patients do extremely well on it. The reason I suggest it is that it may allow you to cut down on some other medications, but it is very costly. Ask your cardiologist is he is familiar with it.

Answer 2

I'm sorry . I don't understand a question if there was one placed. A lot of the medications eg: Telmisarten (Micardis) is for your Hypertension or to keep BP low. Frusemide is also known as Lasix which helps you go to the toilet.

What is happening is the Dr has placed you on these tablets to restrict the amount of fluid in your bdy. The more fluid you have, the harder your heart needs to work to pump the blood (increased blood volume) around. This can make your heart muscle thicken and become a more serious problem.

I am not a GP, but given that you have a lot of heart problems and different medications, I suggest going for a Review with your Dr and cardiac surgeon.

Good Luck and get well soon!