question-icon

Hi. I'm on Simvistatin, Ramipril and Clopidogrel 5 years after

default
Posted on Fri, 28 Dec 2018
Question: Hi. I'm on Simvistatin, Ramipril and Clopidogrel 5 years after a mild stroke with Quick and almost complete recovery. I am 71 years old, active and a few pounds overweight. As an ex Royal Navy Submariner my life for the last 55 years or so has included alcohol to quite a degree. I have cut back since being on these drugs, but on 2 occasions in the last 2 years In have had very bad reactions and am worried. I am at the point of giving up completely but am very depressed at the prospect, my life would change completely. I have heard that Hemp Oil can replace the drugs I'm on in some cases. I would like to know if that woulod be possible before taking my case to my GP
Thanks
Russ

doctor
Answered by Dr. Arnab Banerjee (2 hours later)
Brief Answer:
Hemp oil can certainly be tried additionally, but it cannot replace them...

Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service...
I've gone through your query in details...
I can understand your concerns...

Yes, I concur with you regarding the benefits of hemp oil. However, please note that hemp oil, being alternative and supplemental therapy doesn't really have a lot of clinical trials with respect to these conventional medications, hence can't be replaced like that.

It can certainly be tried as additionally along with the other medications and response can be checked afterwards during the follow-ups.

It's good that you've cut back on the alcohol, but please try to stop it altogether...

Now, coming to your current regimen of medication, the Clopidogrel is an essential medication. Although 5years is a long time period, considering you've almost recovered, I'd recommend getting a check MRI done in the first place, based on the reports, a decision can be taken to completely stop it or replace with a simple baby-aspirin perhaps.

Ramipril can be behind most of those reactions, and can certainly be replaced with other antihypertensives like ARBs (eg. Losartan, Olmesartan etc.)...But before that, a serial blood pressure monitoring along with a few necessary investigations (LFT, KFT, electrolytes, lipid profile, 12 lead ECG) should be done...Similarly, Simvastatin can also be replaced with other medications (eg. Rosuvastatin, Pravastatin) or at least it's dose can be modified based on the check-up...

Please discuss with your GP regarding all these and proceed accordingly...

Let me know if I can assist you further...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Arnab Banerjee (25 minutes later)
Brief Answer:
Gald to be of service...

Detailed Answer:
You're most welcome...

Yes, please do so...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Arnab Banerjee (0 minute later)
Thank you.

Pretty much how I saw it myself. Thanks for the in-depth insight into my drugs, will now consult with my GP about the way forward.

Russ
Answered by
Dr.
Dr. Arnab Banerjee

Critical Care Specialist

Practicing since :2012

Answered : 1324 Questions

premium_optimized

The User accepted the expert's answer

Share on
Hi. I'm on Simvistatin, Ramipril and Clopidogrel 5 years after

Brief Answer: Hemp oil can certainly be tried additionally, but it cannot replace them... Detailed Answer: Hello and Welcome to 'Ask A Doctor' service... I've gone through your query in details... I can understand your concerns... Yes, I concur with you regarding the benefits of hemp oil. However, please note that hemp oil, being alternative and supplemental therapy doesn't really have a lot of clinical trials with respect to these conventional medications, hence can't be replaced like that. It can certainly be tried as additionally along with the other medications and response can be checked afterwards during the follow-ups. It's good that you've cut back on the alcohol, but please try to stop it altogether... Now, coming to your current regimen of medication, the Clopidogrel is an essential medication. Although 5years is a long time period, considering you've almost recovered, I'd recommend getting a check MRI done in the first place, based on the reports, a decision can be taken to completely stop it or replace with a simple baby-aspirin perhaps. Ramipril can be behind most of those reactions, and can certainly be replaced with other antihypertensives like ARBs (eg. Losartan, Olmesartan etc.)...But before that, a serial blood pressure monitoring along with a few necessary investigations (LFT, KFT, electrolytes, lipid profile, 12 lead ECG) should be done...Similarly, Simvastatin can also be replaced with other medications (eg. Rosuvastatin, Pravastatin) or at least it's dose can be modified based on the check-up... Please discuss with your GP regarding all these and proceed accordingly... Let me know if I can assist you further... Take Care Kind Regards