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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Medication Do You Suggest For Cardiac Arrest And Osteo Arthritis?

I am 76 yrs old and have AF . I am alergic to morphine....cardiac arrest. I am taking the new blood thinner, Pradaxa 110mg., Metoprolol Tart 50mg(1/2 night and am), Lanoxin-PG 62.5 1pm/1am, Frusemide 20mg per day, Micardis Plus 80/12.5, Panadol Osteo 665mg 6 per day plus Caltrate, Glucosmine Have Osteo Arthritis, serious low back (*but can t operate). Had Knee surgery 8 weeks ago. GP now finds my Liver has been failing over the last 12 months. Had a bad fall on my cocktis. Took Pannadol as well. Following knee surgery bled internally and very painfull. (wrong advise given about when I should have stopped taking this drug before op. Suffering pain for the last 12 months I took Panadol when needed as well as Panadol Osteo. More after surgery. Standfs to reason that this could have damaged my liver, but I am worried about Pradaxa or other drugs I am taking. Thinking of going back onto the Warfaran. Please advise. Maxine Johnston
Wed, 5 Feb 2014
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Cardiologist, Interventional 's  Response
hello
-i have gone through your medical history and find the problems of-hypertension, atrial fibrillation, osteoporosis, post knee replacement, cardiac arrest survivor, liver problem
-pradaxa- can cause abnormal liver function test in 2-3% cases, but they are of milder nature. the problem with warfarin is the frequent INR monitoring, and dose related toxicities like blood clotting when there is less dose and bleeding with excess dose. pradaxa solves many of these problems. there is no need for INR monitoring.
-what is your ejection fraction of heart?
-your drugs appear to be alright
please get back to us if have any questions
thank you
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What Medication Do You Suggest For Cardiac Arrest And Osteo Arthritis?

hello -i have gone through your medical history and find the problems of-hypertension, atrial fibrillation, osteoporosis, post knee replacement, cardiac arrest survivor, liver problem -pradaxa- can cause abnormal liver function test in 2-3% cases, but they are of milder nature. the problem with warfarin is the frequent INR monitoring, and dose related toxicities like blood clotting when there is less dose and bleeding with excess dose. pradaxa solves many of these problems. there is no need for INR monitoring. -what is your ejection fraction of heart? -your drugs appear to be alright please get back to us if have any questions thank you