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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Shoulder Pain And Sleeplessness

I feel like I am chasing a rabbit with my 92-year old mother s drugs. She has just come to live with us, and has only been here 48 hours. The drugs she has been prescribed are crazy. Four meds (Propranolol, Amlodipine, Losartan and Aspirin) for hypertension , but her blood pressure has been as low as 80/40. Tonight it s 113/73. Atorvastatin for cholesterol. But the real problems are Tramadol, Citalapram, and Alprazalam, that she says help her sleep, and relieve her back and shoulder pain. But when you read about those drugs, it seems that each pill can cause the effects that the other pills are trying to remedy - anxiety, panic, pain, sleeplessness, depression. At first, she was so doped up, she couldn t even move her feet. Now after two days of tightly controlled, but not cold-turkey control, she can walk, but complains she would rather be a zombie than have the pain and not be able to sleep. I have an appointment for Monday to evaluate all this, but what do I do for the next 36 hours?
Mon, 29 Oct 2018
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General Surgeon 's  Response
Hi,

Noted the history about the medications your Mother is taking and the symptoms that she has. With old age some medications like Tramadol and Alprazolam should be given with caution.

She has low blood pressure and taking Propranolol, Amlodepine, and Losartan and one medication can be stopped after consulting her Doctor to have normal blood pressure. Aspirin should be continued.

Out of these medications you can certainly hold on Alprazolam or Tramadol and give only if required. Surely, you have to consult the Doctor before altering any medications.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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Suggest Treatment For Severe Shoulder Pain And Sleeplessness

Hi, Noted the history about the medications your Mother is taking and the symptoms that she has. With old age some medications like Tramadol and Alprazolam should be given with caution. She has low blood pressure and taking Propranolol, Amlodepine, and Losartan and one medication can be stopped after consulting her Doctor to have normal blood pressure. Aspirin should be continued. Out of these medications you can certainly hold on Alprazolam or Tramadol and give only if required. Surely, you have to consult the Doctor before altering any medications. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon