Week 7 Discussion Pharmacotherapy for Hepatobiliary Disorders Review of Patient’s Medical/Health history Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: • Synthroid 100 mcg daily • Nifedipine 30 mg daily • Prednisone 10 mg daily History of Present Illness and Medical History The symptoms presented by the patient include of diarrhea, nausea, and vomiting. Based on his medical history and the regime of his medication (Synthroid 100 mg daily, Nifedipine 30mg daily, and prednisone 10mg daily) , one may conclude that HL might have some possible chronic health conditions. HL is stated to have had a history of drug abuse and possible Hepatitis C that could have possibly started years ago or more recently. Synthroid which is a hormone replacement t is used to treat hypothyroidism, thyroid cancer, and goiter (Drugs.com, 2017). It is believed to have some adverse effects if not taken as directed or when abused. One common side effect of Synthroid is known to be diarrhea but nausea and vomiting along with appetite changes are a severe/adverse side effect of Synthroid and when present in a patient taking Synthroid, the health practitioner must be notified immediately (Drugs.com, 2017). In a healthy adult age 50 years or less with a weight of 70kg or more; it is recommended that the initial dose of 100-125 mcg/day be taken for a few months. In elderly patients, the starting dose should be 25-50mcg day and gradual increase or decrease of dose many be needed. It is recommended that Thyroid be examined once every 6-8 weeks (Drugs.com, 2017). It is critical to take special precaution when a patient is believed to have had any history of heart disease, coronary artery disease or blood clots. Assuming this patient is under 50 years old, the current dosage is appropriate, it is appropriate to have a regular lab work in order to have a knowledge of the thyroid- stimulating hormone (TSH) levels to determine whether it is within normal therapeutic levels. Nifedipine is a calcium channel blocker that is used to treat hypertension and chest pain (angina). The initial dose is 30-60mg orally once a day for the extended release and 10mg for the immediate release tablets. Vomiting, nausea, and diarrhea are not common side effects for this drug (Drugs.com, 2017). Nifedipine has also been linked to several instances of clinically apparent acute liver injury. Prednisone is a corticosteroid that prevents the release of substances in the body that causes inflammation it also suppresses the immune system (Drugs.com.2017). Prednisone treats many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders.
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- Fall '13
- Hepatitis C, 6521 Week 7 Discussion