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Mom & Me
Mom's Medication Schedules: 7/20/03 - 3/16/04
Critical Updates:
    On 8/30/03 I reinstated metformin into her medication regimen at a dose of 500 mgs in the morning, sometimes at noon and night as well. I'm splitting her 1000 mg pills to obtain the correct dosage. I have noted the change in the most recent A.M. and P.M. schedules below but have not created new schedules. I won't do this until I see metformin moving out of occasional usage.

Final Critical Update - 3/17/04:
New medication schedule here

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A.M. Meds by Choice

A.M. Rx'ed Meds (thru 7/20/03)

A.M. Rx'ed Meds (from 7/24/03)

A.M. Rx'ed Meds (from 8/14/03)

Midday Rx'ed Meds (thru 7/20/03)

Midday Rx'ed Meds (from 7/24/03)

Midday Rx'ed Meds (from 8/14/03)

P.M. Rx'ed Meds (thru 7/20/03)

P.M. Rx'ed Meds (from 7/24/03)

P.M. Rx'ed Meds (from 8/14/03)

Flexibly Administered Meds

Speculative Meds

General Med Info

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A.M. MEDS BY CHOICE:
My mother has been a supplement addict since I can remember. These are her current choices.
Supplement
Notes
1 Vitamin E - 400 IU
1 Vitamin C - 1000 mg
*1 Multi-Vitamin for "Mature Adults"
includes potassium and minerals
1 Folic Acid - 400 mcg
1 Garlic tablet - 1,250 mg

* 1 One-A-Day brand Multi-vitamin for Women

Used instead of the multi-vitamin for "mature adults" when we are controlling for potassium. This vitamin contains none.


A.M. Rx'ED MEDS (thru 7/20/03):
Medication
Rx Dose
Adjusted Dose
Notes
65 mg Elemental Iron from 325 mg Ferrous Sulfate
1 tablet

for anemia control

Metformin HCL (Glucophage) 1000 mg
1 tablet
See Metformin (Glucophage) 850 mg under FLEXIBLY ADMINISTERED MEDS
for blood glucose control
Glipizide (Glucotrol) 10 mg
1 tablet
for blood glucose control
Detrol (tolterodine tartrate) 2 mg
1 tablet
for bladder control
Aspirin 81 mg
1 tablet
for stroke prevention
Lisinopril (Zestril) 10 mg
1 tablet
This is adjusted by the doctor and me periodically.
Current dosage:
1/2 tablet
to enhance kidney functions; also lowers blood pressure so must be administered to Mom with care
Albuterol/Iprao mix 3 ml
1 nebulized vial
to enhance breathing; vials refrigerated

A.M. Rx'ED MEDS (from 7/24/03):
Medication
Rx Dose
Adjusted Dose
Notes
65 mg Elemental Iron from 325 mg Ferrous Sulfate
1 tablet

I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I am not at all sure she needs it, anymore.
7/30/03 UPDATE: Temporarily and judiciously back on this medication, at this dose and time.

for anemia control

Metformin HCL (Glucophage) 1000 mg
1 tablet

I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I have observed that the absence of this medication does not affect her blood glucose level, obviously was having no effect on it and I further believe that it was suppressing a variety of other normal functions, behaviors and states.

for blood glucose control
Glipizide (Glucotrol) 10 mg
1 tablet
for blood glucose control
Detrol (tolterodine tartrate) 2 mg
1 tablet
for bladder control
Aspirin 81 mg
1 tablet
for stroke prevention
Lisinopril (Zestril) 10 mg
1 tablet
This is adjusted by the doctor and me periodically.
Current dosage:
1/2 tablet
to enhance kidney functions; also lowers blood pressure so must be administered to Mom with care
Albuterol/Iprao mix 3 ml
1 nebulized vial
to enhance breathing; vials refrigerated

A.M. Rx'ED MEDS (from 8/14/03):
Medication
Rx Dose
Adjusted Dose
Notes
65 mg Elemental Iron from 325 mg Ferrous Sulfate
1 tablet

This dose is the only iron she is taking since 8/14/03
I have taken her off all iron as of 8/24/03. As of 8/26/03 her lips still look as though they branded with lipstick and her complexion continues to look just this side of fuschia. I don't think she needs any iron, for the time being.

for anemia control

Metformin HCL (Glucophage) 1000 mg
tablet

I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I have observed that the absence of this medication does not affect her blood glucose level, obviously was having no effect on it and I further believe that it was suppressing a variety of other normal functions, behaviors and states. AS OF 8/29/03: I'm administering this judiciously and with circumspection, again. Whether I continue and on what schedule will depend on daily blood glucose readings. Look for updates on How Sweet It Is.
Since this medication specifies that it should be taken with food, I give this to her 30 minutes after her glipizide, at the start of her meal.

for blood glucose control
Glipizide (Glucotrol) 10 mg
1 tablet
I discovered last week, roaming around the web, that, for the best effect, Glucotrol should be taken 30 minutes before the meal, so I'm doing this now. I'm surprised I was never told this by Mom's PCP, the pharmacist or that it was not written on the Rx bottle.
for blood glucose control
Aspirin 81 mg
1 tablet
for stroke prevention
Lisinopril (Zestril) 10 mg
tablet
to enhance kidney functions; also lowers blood pressure so must be administered to Mom with care
Albuterol/Iprao mix 3 ml
1 nebulized vial
to enhance breathing; vials refrigerated

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MIDDAY Rx'ED MEDS (thru 7/20/03):
Medication
Rx Dose
Adjusted Dose
Notes
65 mg Elemental Iron from 325 mg Ferrous Sulfate
1 tablet
If Mom eats only two meals a day (which often happens when it's a sleep day), this dose is skipped, unless she is looking extraordinarily pale; then I insist she eat "a little something" and take an iron pill.

for anemia control

Albuterol/Iprao mix 3 ml
1 nebulized vial
Rarely agrees to this dose, unless she is experiencing pleural distress (usually excessive coughing or breathlessness) and I insist.
to enhance breathing; vials refrigerated

MIDDAY Rx'ED MEDS (from 7/24/03):
Medication
Rx Dose
Adjusted Dose
Notes
65 mg Elemental Iron from 325 mg Ferrous Sulfate
1 tablet
If Mom eats only two meals a day (which often happens when it's a sleep day), this dose is skipped, unless she is looking extraordinarily pale; then I insist she eat "a little something" and take an iron pill.
I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I am not at all sure she needs it, anymore.

for anemia control

Albuterol/Iprao mix 3 ml
1 nebulized vial
Rarely agrees to this dose, unless she is experiencing pleural distress (usually excessive coughing or breathlessness) and I insist.
to enhance breathing; vials refrigerated

MIDDAY Rx'ED MEDS (from 8/14/03):
Medication
Rx Dose
Adjusted Dose
Notes
65 mg Elemental Iron from 325 mg Ferrous Sulfate
1 tablet
If Mom eats only two meals a day (which often happens when it's a sleep day), this dose is skipped, unless she is looking extraordinarily pale; then I insist she eat "a little something" and take an iron pill.
I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I am not at all sure she needs it, anymore.

for anemia control

Albuterol/Iprao mix 3 ml
1 nebulized vial
Rarely agrees to this dose, unless she is experiencing pleural distress (usually excessive coughing or breathlessness) and I insist.
to enhance breathing; vials refrigerated

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P.M. Rx'ED MEDS (thru 7/20/03):
Medication
Rx Dose
Adjusted Dose
Notes
65 mg Elemental Iron from 325 mg Ferrous Sulfate
1 tablet

for anemia control

Metformin HCL (Glucophage) 1000 mg
1 tablet
See Metformin (Glucophage) 850 mg under FLEXIBLY ADMINISTERED MEDS
for blood glucose control
Glipizide (Glucotrol) 10 mg
1 tablet
for blood glucose control
Albuterol/Iprao mix 3 ml
1 nebulized vial
Rarely agrees to this dose, unless she is experiencing pleural distress (usually excessive coughing or breathlessness) and I insist.
to enhance breathing; vials refrigerated

P.M. Rx'ED MEDS (from 7/24/03):
Medication
Rx Dose
Adjusted Dose
Notes
65 mg Elemental Iron from 325 mg Ferrous Sulfate
1 tablet

I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I am not at all sure she needs it, anymore.
7/30/03 UPDATE: Temporarily and judiciously back on this medication, at this dose and time.

for anemia control

Metformin HCL (Glucophage) 1000 mg
1 tablet

I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I have observed that the absence of this medication does not affect her blood glucose level, obviously was having no effect on it and I further believe that it was suppressing a variety of other normal functions, behaviors and states.

for blood glucose control
Glipizide (Glucotrol) 10 mg
1 tablet
for blood glucose control
Detrol (tolterodine tartrate) 2 mg
1 tablet

UPDATE 8/11/03: For a few days, now, I've been giving her a tablet at night, to get a little control over night water shed. I'm hoping that, as we bring her blood glucose levels under better control, we'll be able to drop this medication at night, again, but, for now, the little bit that it helps is appreciated. Unfortunately, it also tends to increase her dehydration quotient during the day, but I keep an eye on her and ply her with lots of water (much to her annoyance).

for bladder control
Albuterol/Iprao mix 3 ml
1 nebulized vial
Rarely agrees to this dose, unless she is experiencing pleural distress (usually excessive coughing or breathlessness) and I insist.
to enhance breathing; vials refrigerated

P.M. Rx'ED MEDS (from 8/14/03):
Medication
Rx Dose
Adjusted Dose
Notes
Glipizide (Glucotrol) 10 mg
1 tablet
given 30 minutes prior to meal
for blood glucose control
Metformin HCL (Glucophage) 1000 mg
tablet

I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I have observed that the absence of this medication does not affect her blood glucose level, obviously was having no effect on it and I further believe that it was suppressing a variety of other normal functions, behaviors and states.
AS OF 8/29/03: I'm administering this judiciously and with circumspection, again. Whether I continue and on what schedule will depend on daily blood glucose readings. Look for updates on How Sweet It Is.
Since this medication specifies that it should be taken with food, I give this to her 30 minutes after her glipizide, at the start of her meal.

for blood glucose control
Detrol (tolterodine tartrate) 2 mg
1 tablet

This evening dose is the only dose I am giving her, now.

for bladder control
Albuterol/Iprao mix 3 ml
1 nebulized vial
Rarely agrees to this dose, unless she is experiencing pleural distress (usually excessive coughing or breathlessness) and I insist.
to enhance breathing; vials refrigerated

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FLEXIBLY ADMINISTERED MEDS:
Medication
Rx Dose
Adjusted Dose
Notes
Concentrated oxygen
Concentration 2 liters; canulized from a concentrator or tanks 24/7
Only recently got her to use it every night and almost every nap time; still having aesthetic trouble with her using the portable tanks. Both her doctor and I think that she'll find reason to get used to the portables in Prescott, and will, thus, begin using oxygen when she is awake.

for COPD

Metformin HCL (Glucophage) 850 mg
1 tablet
Administered instead of 1000 mg dose if her blood sugar begins to slip below 100, per doctor's orders. Her blood glucose level zig-zags throughout the day, depending on how much she's eating and moving. If lethargy leads you to believe that it's getting too low, it is always safe, for Mom, to err on the side of less, rather than more.
UPDATE 7/24/03: I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I have observed that the absence of this medication does not affect her blood glucose level, obviously was having no effect on it and I further believe that it was suppressing a variety of other normal functions, behaviors and states.
for blood glucose control
Furosemide (Lasix) 40 mg
1/4 tablet/day
This one is tricky and must be administered with care. If, through observation, you detect slight swelling in her feet and/or belly and/or face, first try a vigorous foot and calf rub. If that doesn't alleviate the condition within 6 hours (or overnight), administer 5 mgs (at present, this is 1/4 tablet). Harsh water shedding leads to blood pressure crashes in Mom. As well, she tends to "run" a little underhydrated, so it's easy for her to slip into severe dehydration. Always monitor her liquid intake and get her to consume them any way you can.
for edema control
Albuterol/Iprao mix 3 ml
1 nebulized vial 3/day
Rarely agrees to this dose, unless she is experiencing pleural distress (usually excessive coughing or breathlessness) and I insist.
to enhance breathing; vials refrigerated
KLOR-CON M (Potassium) 20 MEQ
1 tablet
When she is on Furosemide
See notes on the importance of potassium
Levaquin 500 mg
As physician prescribed
Doctor stopped her intake at half the prescription and cautioned us to keep the remaining 5 pills "just in case".
Prescribed when she was having trouble breathing and her doctor was concerned about plueral infection.
Guaifenex DM (Humibid DM)
As physician prescribed
Used only twice, for very short periods.
On hand in case she experiences severe lung congestion. Can cause dehydration.
Albuterol Sulfate 0.083%
1 nebulized vial
as physician directed
for severe, acute respiratory distress
Cranberry Extract
1 tablet every meal
given w/1 glass water in addition to whatever other liquids Mom is consuming
Used when her kidney functions went slightly out of whack, as per blood work
Albuterol Inhaler - 17 g
as physician prescribed
Only used twice because she has trouble understanding them mechanics of it's usage.
If she needs it, we more often use Nebulized dose of Albuterol
Philips Milk of Magnesia liquid
As directed for strong laxative effect
usually at my discretion
doctor recommended; works especially well on patients taking iron supplements; may provoke a fecal accident or two so be prepared; do not use as an antacid
Tums or generic equivalent
 
at Mom's discretion
antacid effect

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SPECULATIVE MEDS:
Mom has had adverse reactions to these medications, but I've kept them on hand in case we ever want these reactions.
Medication
Rx Dose
Reactions
Notes
Prednizone
See Rx bottle
First time: alleviated swelling too quickly when taken in combination with Furosemide.
Second time: increased, instead of alleviated, swelling in Mom; common allergic reaction to Prednizone.
for alleviation of edema
Naproxen Sodium
Any dose, any method
She swells when she takes it and becomes more lethargic than usual.
anti-inflammatory for arthritis
Furosemide (Lasix)
Doses above 5 mg
Dehydrates her all at once, causing her to sweat and leak uncomfortably, and exhausts her.
See Adjusted Dose for Furosemide under FLEXIBLY ADMINISTERED MEDS
65 mg Elemental Iron from 325 mg Ferrous Sulfate
1 tablet x3

I am no longer giving her this medication, since her bowel cleansing prior to her colonoscopy, as I am not at all sure she needs it, anymore.

Metformin HCL (Glucophage) any mg dosage
1 tablet x2

Since Mom's bowel cleansing prior to her colonoscopy I have observed that the absence of this medication does not affect her blood glucose level, obviously was having no effect on it and I further believe that it was suppressing a variety of other normal functions, behaviors and states.

I am no longer giving my mother this medication and keeping her under close observation for indications that other medications might need to be substituted for this. I am hoping that lifestyle may take care of the need for any blood glucose control medication except for Glucotrol.

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GENERAL MED INFO:
Subject
Information/Explanation
How medications are listed in above grids
Whichever name is not in parentheses is the form in which we obtain each medication. We use generic exclusively unless it is not available.
Doctor cooperation
Her attending physician (primary care provider) is as interested in observation as he is in prescribing treatment. He is interested in the caretaker's observations and suggestions and has often agreed with my advice and treatment determinations.
Lisinopril (Zestril)
She originally took 10 mg/day but this dropped her blood pressure too low. Since she isn't taking it for Congestive Heart Failure, the dose was cut back. The reason this medication is given to promote kidney health as well as CHF is that it affects (opens up) the artery that leads directly from the heart to the kidneys.
Recent edemic episodes have caused both her doctor and me to observe and treat her more closely for signs of developing CHF, but, so far, this is not critical.
Emergency Prescribing
Be very vigilant of medications prescribed by all doctors under emergent and hospitalized situations. Every time Mom has had an opposite or "bad" reaction to a medication, it has been administered under emergent situations. Do not be afraid to question and refuse any doctor's prescriptions at any time, including prescriptions for tests, procedures and therapies, if you have any doubts.
Mom's hostility to medication
Worry if she ever too easily and readily accepts medication.
Mom's current medication profile
Overall, my mother is, at this time, on the low end of the medication scale for people her age in her physical condition. She does not enjoy adding medications to her list, questions any additions rigorously and we joke frequently about the number of pills she does take. I am pleased that this is true, as I think it is a good sign that she resists medication and would prefer less than more.


mandmtestsandmeds@mindspring.com