Potential and Actual Medication Related to Disease of Mr MR

This document discusses the potential and actual medications for the diseases of Mr MR, including hypertension, hyperlipidemia, hypothyroidism, heartburn, and epilepsy. It provides solutions for fatigue, heartburn, constipation, weight gain, hypertension, and hyperlipidemia. Recommendations are also given for the patient's GP.

PHARMACY

TABLE OF CONTENTS
PART 2............................................................................................................................................1
Potential and actual medication related to disease of Mr MR................................................1
PART 3............................................................................................................................................2
A letter outlining findings and recommendations to the patient’s GP...................................2
REFERENCES................................................................................................................................5

PART 2
Potential and actual medication related to disease of Mr MR
From the Mr. MR case study it has been analysed that is feeling fatigue and several other
problems related to this also identified. Some problems from which he is suffering include:
weight gain, constipation, feeling cold, loss concentration and fatigue. After that he was
diagnosed for hypertension, hyperlipidemia, hypothyroidism, heartburn and epilepsy.
From hypertension diagnosis it was identified that his Bp was normal, tests of lipids also
shows that it were fine as per to his general profession. But in the context of heartburn which he
diagnosed it is identified that he often face this problem especially after having meals and that is
why he reduced consumption of food (Hobbacher, 2016). From his medical history it is also
identified that he was taking some medicines which includes Renitec, Tegretol, Cavstat,
Gaviscon and Cool liquid. After identifying and evaluating all problems, diseases and previous
medical history, now some potential and actual medications can be suggested and prescribed to
the patient related to his all problems such as:
Fatigue: There are several medications are available for fatigue but as per the history of Mr MR,
some best medications which can suggested include:
Bupropion, sertraline and modafinil off label are some medications. Ferro grad C can also be
suggested which patient was taking already as it consists of vitamin and Iron and it is also
identified that patients was not facing problem in having this medicine (Yadollahi and Shamsaei,
2017).
Heart burn: It is one of the main problems from which patient is suffering from and needs to
solve in a timely manner. It is identified that it increases after having meal or food. Antacids is
one of the potential medication which can help this patient from heart burn or neutralize stomach
acid which can relief pain and burn.
In addition, lansoprazol can also be suggested to the patient which is proton pump inhibitors. It
can also help this patient in reducing stomach acid and making him relief from heart burn (Ekinci
and et.al., 2019). Gaviscon Cool liquid can also be suggested as patient needs to take this after
having meal.
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Constipation: It is one of the main problems which patient stated and it is related to heart burn
as well. Some natural remedies can be suggested to the patient like drinking a lot of water,
focusing on exercising, eating fibre enriched food and drinking coffee.
polyethylene glycol is one of the best and effective laxative solution which can help Mr MR in
solving problem of constipation by increasing amount of water in the intestinal tract.
Weight gain: There are some drugs are available which can help patient in reducing weight as
his weight is 102 Kg which can create several other problems. So, for reducing weight, it can be
suggested that patient should focus on exercising, having food with lower fat. Orlistat and
lorcaserin medicines can also help in reducing weight.
Hypertension: It is stated that BP is normal but patient was diagnosed this before 12 years and
from all other problems it is important to suggest some medications related to hypertension. For
this thiazide diuretic can be suggested because there is no present or current signs of
hypertension.
Hyperlipidemia: this problem was diagnosed 6 years ago. According to the GP his last tests for
lipids were fine. For this, he was taking Cavstat 10mg (rosuvastatin) medicine but used to
occasionally miss it. This occasionally missing of medicine can result in in increasing cholesterol
which can further result in weight gain (Verma, 2016). In addition to this he was overweight and
used to drink on weekends and have takeout means which can be one of the main reason because
of which his cholesterol can be increased and increase chances of heartburn or weight gain or
constipation. It is recommended to either change his medicine or review dose taken by him and
educate him of not missing any of the dose of this medicine. Working upon Hyperlipidemia
condition can reduce changes of constipation, weight gain, heartburn, high cholesterol fatigue.
PART 3
A letter outlining findings and recommendations to the patient’s GP
Dear Doctor GP,
Mr MR who is a 62 years Asian male who is one of your patients presented to the
pharmacy today. He is one of my regular customers. He presented his prescription of thyroxin
medication which is majorly used for hypothyroidism. He was feeling some fatigue and because
of which he asked for some vitamin’s products. When the conversation was carried out, he
complaint that the he was having fatigued, constipation, feeling cold, weight gain despite
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decrease appetites, and loss concentration. In order to reduce fatigue, he was using self-
prescribed iron products but still his condition was not improving.
On further conversation about his condition, I analysed his reports and measured few
things myself, following results were identified:
Issue Diagnosed Comments and results
Hypertension Diagnosed 12 years ago His last BP was notmal
however his BP that was
measured at pharmacy was
140/84.
Hyperlipidemia Diagnosed 6 years ago As per your report his last test
for lipids was fine
Epilepsy Diagnosed 1 year ago On asking he said his
condition is under control
Hashimoto disease
(hypothyroidism)
diagnosed 2 years ago. On asking he said it is notmal
and had no issue with it
Heartburn Many times, get heart burn On asking he said it happened
especially after takeaways
meals.
From these findings I had analysed my findings and identified that as per his current age
and high his weight is quite high and due to his increasing weight it can become dangerous for
him. I had identified that his consumption of Ferro-grad C (iron and vitamin C) dose should be
reduced. I think daily one dose of Ferro-grad C consumed is quite high because of which he is
facing issues like heartburn and constipation. It is because constipation and heartburn these are
two most common side effects of overdose of iron products. Other than this, from my assessment
I have also identified that he quite frequently forgets to take his Cavstat 10mg (rosuvastatin)
which is used for reduction of cholesterol. It is another factor because of which he might be
suffering from such issues. This is majorly because he said every weekend, he has takeaway
meals and have 1-2 beers in the nights every weekends. Occasionally missing dose of Cavstat
10mg with takeaway means every weekend with 1-2 beers in the nights on weekends can result
in increasing cholesterol. Due to which he is suffering from weight gain, constipation and heart
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burn. Missing some of the doses of Cavstat with every weekend takeaway means and beer can
result in cholesterol is one of the main reasons of his increasing weight gain and loosing
concentration. It is my assessment that his fatigue is also because of his increasing weight.
My recommendation for Mr MR’s current condition and medicine is that I think her
medicines are required to be reviewed again with appropriate number of doses. His
Hyperlipidemia with lipids test is required to be done again as I think that her cholesterol is
increasing which can be result her weight is increasing, is having constipation and suffer from
heartburn. It is my recommendation that testing these conditions and reviewing her medicines
will help in identifying main reason because of which his weight is increasing. Cause of weight
gain and working on it will help you in reducing constipation, fatigue situation. Which will also
help in eliminating requirement of taking Ferro-grad C (iron & vitamin C) medicine. Reviewing
Hyperlipidemia and its medicines can also help in reducing issues faced by Mr. MR such as heart
burn. This will also help in reducing her number of medicines that are taken by him at least his
iron products and heart burn medicine use can be reduced.
In order to increase results of effective treatment I think it is important to continuously
monitor his condition and a regular follow up should be done in which his current condition,
medicines he mis to take, additional medicines without prescription that he takes should be
reviewed by time to time. Other than this here are few recommendations that can be used to
bring improvement within condition and reduce issues faced by them: first is to educate Mr. MR
all the medicines that have been prescribed to him and what can happen it he misses any dose or
overdose any medicine. He should also be educated about which medicine should be taken by
him empty stomach and which should not be taken empty stomach and what can happen if he
does not follow this guideline. Please review all the combination of medicines prescribed and
taken by himself as it might be useful to understand reason because of which such issues are
faced by him. There is a recommendation that please review his doses that are taken by him and
when it is taken.
These are few suggestions from my side that can be focused upon and I will be happy to
discuss his condition if it is required in future.
Yours Sincerely,
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REFERENCES
Books & Journal
Ekinci, I. And et.al., 2019. Anaphylaxis After the First Dose of Lansoprazole: A Case Report/Ilk
Doz Lansoprazol Kullanimi Sonrasi Gelisen Anafilaksi: Olgu Sunumu. Meandros
Medical and Dental Journal. 20(2). pp.179-182.
Hobbacher, A., 2016. Recommendations for fatigue design of welded joints and
components (Vol. 47). Cham: Springer International Publishing.
Verma, N., 2016. Introduction to hyperlipidemia and its treatment: A review. Int J Curr Pharm
Res. 9(1). pp.6-14.
Yadollahi, A. and Shamsaei, N., 2017. Additive manufacturing of fatigue resistant materials:
Challenges and opportunities. International Journal of Fatigue. 98. pp.14-31.
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