The current dosage for adults is 5 to 10 mg orally

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The current dosage for adults is 5 to 10 mg orally daily in the morning. The starting dose is 5 mg orally every day in the morning. Dapagliflozin works by helping the kidneys get rid of glucose from your bloodstream. Adding on a second oral medication is appropriate to help decrease blood sugar before moving to insulin. The fifth medication ordered is atorvastatin 40 mg tablets orally daily. Atorvastatin is in a group of drugs called HMG CoA reductase inhibitors, or "statins." Atorvastatin reduces levels of "bad" cholesterol (low-density lipoprotein, or LDL) and triglycerides in the blood, while increasing levels of "good" cholesterol (high-density lipoprotein, or HDL). According to Sadeghi, Asadpour-Piranfar, Asadollahi, Taherkhani, & Baseri, (2014), the dosage for adults is 10 to 80 mg daily, in patients with more than 45 % LDL reduction goal the starting dose is 40 mg tablets orally once a day (Sadeghi, et al., 2014). The last medication is levothyroxine 50 mcg tablets orally once a day; this should be taken on an empty stomach. Levothyroxine is used to treat hypothyroidism. According to Edmunds and Mayhew 2014, adults younger than age 65 without coronary artery disease may begin with 50 to 100 mcg per day. We are starting the patient on 50 mcg and will continue to monitor the values of TSH, T3 and T4. This medication can be increased as needed.
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11 Vitamins and Herbal Supplements For high cholesterol there are a few natural supplements and vitamins that can help reduce cholesterol, LDL, and increase HDL. Supplements such as niacin, psyllium, soy, ginger, and flaxseed are recommended. Some of these can be taken in conjunction with medications as well under care of a healthcare provider. Other ways to decrease cholesterol and LDL is by eating healthy. Niacin is known to increase the level of good cholesterol and reducing triglycerides. Psyllium is a fiber that can not only help reduce cholesterol, but blood sugar levels as well. Ginger in two separate studies showed that one it can decrease cholesterol and triglycerides. The other shoed that it can decrease LDL and increase HDL. Lastly, flaxseed helps boot HDL levels (Carey, 2017). Due to some possible interactions these should not be taken before talking to a healthcare provider. Niacin can increase toxic affects of atorvastatin. Some supplements known to help with diabetes type 2 include: cinnamon, chromium, vitamin B 1, alpha-lipoic acid, bitter melon, green tea, resveratrol, and magnesium (“Herbs and supplements for type 2 diabetes treatment,” 2016). Alpha-lipoic acid can cause hypoglycemia especially in conjunction with metformin and dapagliflozin. Selenium, Zinc, and Vitamin A have been helpful with hypothyroid (Roland, 2019). These should not be taken in conjunction with medications such as levothyroxine due to contraindications. All supplements should be discussed with a provider before taking them. Even though they are supplements and vitamins they can interact with medications, and cause harm to the patient.
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  • Fall '19
  • Blood sugar, Atorvastatin, Losartan

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