Medication

[a35austin]

Good evening everyone,

Just a quick question about medication, my morning meds are, 1, aspirin 2 bisoprolol 3, citalopram 4, lansoprazole 5, ticagrelor 6, isosorbide,

afternoon, isosorbide,

evening, ticagrelor,

late evening, 1, ramipril 2, atorvastatin,

I dont feel too bad in the morning, but later on in the day about three pm I start having pains in the stomach, feel nauseous, suffer chest pains, and generally feel unwell until about bedtime, I just wondered if anyone else suffers the same symptoms or has any advice to give, thanks.

[MichaelJH Heart Star]

What are the timings of your morning medications please?

[Fluffybee in reply to MichaelJH]

Morning MichaelJH

How are you getting on with your recovery ?

[a35austin in reply to MichaelJH]

Good morning MichaelJH, Thanks for your reply, first lot of meds are taken at seven am, hope you have a happy christmas

[Hidden]

Its obvious that you have mild dyspepsia/ stomach gases with morning medicines. Most probably tricegrelor and made worse by evening dose. Acids are highest as day progress. Consultant doctor to reduce or adjust time of tricegrelor. Eat simple food not likely to cause gases / bloating. It will improve with time surely! May God be with you.

[JennyRx in reply to Hidden]

Aspirin and citalopram are definitely culprits too. Combination with Ticagrelor is an issue. Is on a PPI which should help a bit but possible make sure take with food and that aspirin is either dispersible or enteric coated. Need to take Ticagrelor 12 hours apart so tweaking morning dose means tweaking timing on evening dose.

[a35austin in reply to JennyRx]

Good evening JennyRx, and thanks for your reply, I will adjust the timing of my medication and hopefully that will provide some relief, thanks and a merry Christmas too you.

[JennyRx in reply to a35austin]

Take with food is important. And reduce levels of carbs like bread as these are also culprits in acid reflux and nausea.

[Hidden in reply to JennyRx]

From the NHS website -

"Lansoprazole works best if you take it 30 minutes before a meal or snack. That's because food slows down lansoprazole getting into your system.".

I would check with you GP.

[JennyRx in reply to Hidden]

I meant take the Ticagrelor, aspirin and citalopram with food. I should have made that clear. As the stomach needs protection. Which the lansoprazole offers as well.

[a35austin in reply to Hidden]

Good evening Gaz-chops, Thanks for your reply regarding lansoprazole I will try taking it before a snack hopefully that will make a difference, thank you.

[bowls12]

It is most important that you discuss these problems with your GP. Off you are unable to get even a telephone consultation, visit the pharmacy where your medication is dispensed, and discuss with the pharmacist.You are taking a lot of tablets and it is possible that some interactions are occurring. Changing the timings could alleviate the problem, hence the need to discuss with a professional

[a35austin in reply to bowls12]

Good evening bowls12, Thanks for your mail, I think speaking to the pharmacist is a good idea as trying to get hold of my doctor is hard at the moment, thank you.

[scotsrish]

What did you have done as to why you are on these medications? i do know from experience of a heart attack and two stents that i was put on six meds. All had side effects but the ticagrelor and the statin can really have bad side effects but seriously it is a process of elimination. I noticed citalopram which can cause heart palputations and i would check if you should take it now especially combined with ticagrelor.

[a35austin in reply to scotsrish]

Good Morning scotrish, Thanks for your reply, I had a heart attack last August, had two stents fitted, another heart attack in September with another stent fitted, I think I may have narrowed my problems down to taking ticagrelor if taken in the morning with Lansoprazole I only have a slight reaction, but when I take ticagrelor in the afternoon I get a bigger reaction which leaves me feeling really rough this lasts until roughly 10 pm when I slowly start feeling a little better so I think that I will ask the doctor for a medication review and hopefully that will resolve my problem, thank you for taking the time to answer and I wish you a full recovery from your heart problems and a belated happy and healthy new year😀

[scotsrish in reply to a35austin]

I am curious if you have a moment. Once you had the first heart attack did they put you on all the meds then and send you home? Your second heart attack did it feel like the first? How did they discover it?

[a35austin in reply to scotsrish]

Good morning scotrish,I had my first attack on the 16 of August and had two stents fitted together with six different meds, I was discharged with a date given for the following October when I was to have another stent fitted, I was home for three weeks when I had severe chest pains very much like my first attack, I attended my local A and e where I had the usual blood tests and monitoring when my blood test returned I was told that I`d had another heart attack, I had another stent fitted the following day and was discharged two days later with the same medication, after that I started the long road to recovery, mostly bad days to start with but slowly getting better days, hope this helps if you need any more info please ask away, good luck and good health.

[scotsrish in reply to a35austin]

Thank you austin for your reply. I live in Canada on an Island and a couple of hours from a hospital that has Cardiology. My Cardiologist which i have only talked to virtually took me off ticagrelor at 9 months because of the side effects. Not sure if it is withdraw symptoms but day 5 and chest is very tight with jabbing stretching pains, stomach upset, headache. I have call in to doctor for advice.

[a35austin in reply to scotsrish]

Sorry to hear about your symptoms scotrish, other than a headache your symptoms are the same as I suffer at the moment whilst taking ticagrelor, have you taken any medication to relieve your upset stomach? don't rely on the second heart attack symptoms being the same as the first the symptoms can vary a lot, if your feeling unwell contact your doctor or a practice nurse if possible, are you keeping a record of your blood pressure throughout the day? as you live on an island how quick is your emergency service response, here's hoping you get over your symptoms soon and start getting some relief, any questions you have, or if you just want to chat ask away, good luck and good health.

[scotsrish in reply to a35austin]

Yes i remember when i first started ticagrelor and it was h..l. I did not think i could handle it but i rode it out for 9 months and the side effects did decrease in their intensity quite a bit. I suspect for any drug that has such horrific side effects from the begining it would not go quietly when stopping. You and i are the same age and similar in first heart attack but i am female and realize we present so differently from male in the Heart Attack and the meds. No worries i have a call in to doctor and the local hospital is 10 min away.

[a35austin in reply to scotsrish]

Good morning scotrish, Glad to hear that your not far from help if the need arises, I agree that it will take a while to get ticagrelorout of your system but the side effects will ease as the days pass so the good news is that you have better days to come and that`s certainly something to look forward to, its 0930 hrs here and I noticed that Canada is about five hours behind the UK I never realized that you have so many time zones in your country, is the island you live on large or small? it certainly sounds like an ideal spot to live, keep safe keep healthy.

[scotsrish]

You can find alot of side effects, reviews and drug interactions at drugs.com or askapatient.com a very Happy Healthy New Year to you also and no more Heart Attacks ok!

[a35austin in reply to scotsrish]

Hello scotrish, Thanks for the update on drugs.com, I`ve just checked it out and found it very informative and helpful, so thanks once again, good luck and good health.

[ajpabc]

Hi a35austin. I have 1 stent and pretty much take the same medication as you. My experience of high acid and severe balls of wind in my chest wasn’t from ticagrelor but from lansoprazole. I was also in the toilet a number of times a day and the wind in my chest was misdiagnosed as angina. It took a while for me to discover lansoprazole as the culprit. My Gp moved me over to omeprazole which has been a much better experience with mostly no acid and wind, and no noticeable angina. However, We all have different experiences with the medications and the same side effects can relate to a few of the things we take.

[a35austin in reply to ajpabc]

Good morning ajpabc, Thanks for your reply, I've experimented with taking ticagrelor at different times of the day and have noticed over a few days a marked difference in how I feel throughout the day, so hopefully, I`ve found a remedy that suits me, only time will tell, thanks again for your help, good luck and good health.