 Re: Heart rate
I'm not surprised he's suffering with reflux if he's on 800 mg ibuprofen TID and aspirin 325mg daily! I am also surprised that he hasn't bled to death yet with all that on top of 5mg warfarin a day! And I hope his digoxin levels are being properly monitored as both amiodarone and spironolactone will increase digoxin plasma levels, and he is at greater risk from its cardiac toxicity as he is also on furosemide...
metoprolol + lisinopril: enhanced hypotensive effect;
metoprolol + digoxin: increased risk of AV block and bradycardia;
metoprolol + imdur: enhanced hypotensive effect too...
And the list goes on!
If my Dad was prescribed this cocktail, I would go loopy at whoever prescribed this, as well as at whoever dispensed it without a second thought!
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