Re: A simple question or 2

[Guest guest]

> When I was on Sotalol, I could take the Sotalol and the

Warfarin

> at the same time. Is it OK for me to take the Toprol XL and the

> Warfarin at the same time? I sure hope so, because I just did!

>

> For those of you who take magnesium, CoQ10, fish oils, and

> other " alternative heart healthy supplements " ~~~ how does

that

> affect your PT/INR numbers? Do your cardiologists and EPs

> support the taking of supplements?

>

> I have a Chinese doctor who practices alternative medicine

> (homeopathy, allergies, acupuncture, etc.) but he is also an

M.D.

> He did saliva and urine tests on me (something they never do

in

> the hospitals, I guess) and came up with a diagnosis for me

and

> some vitamin/mineral/enzyme pills and topical creams that he

> says should not affect my PT/INR numbers at all.

>

> But my new EP thinks that I shouldn't be taking them because

> they are " not proven. " If you take supplements (and I've read

> here that many of you do) ~~~ how do you get the approval

from

> your cardiologists or EPs?

>

> (I guess that was more than 2 questions . . . <grin>)

> Elynnx

Ha! I'm replying to my own post, because I thought of yet another

related question.

When I was on Sotalol, I read somewhere that I should not take

anything with magnesium in it unless it was at least 2 hours

before or 2 hours after the Sotalol. Is the same thing true for

Toprol XL? I've tried to research this, but I can't find anything

about it.

Curiouser and Curiouser Elynnx

[Guest guest]

I'd like to know also, since they start at $45.00 for

24 of them, I just checked this at the local

Drugstore, I was shocked at the prices.

--- elynnx1944 wrote:

> When I was on Sotalol, I could take the Sotalol and

> the Warfarin

> at the same time. Is it OK for me to take the

> Toprol XL and the

> Warfarin at the same time? I sure hope so, because

> I just did!

>

> For those of you who take magnesium, CoQ10, fish

> oils, and

> other " alternative heart healthy supplements " ~~~

> how does that

> affect your PT/INR numbers? Do your cardiologists

> and EPs

> support the taking of supplements?

>

> I have a Chinese doctor who practices alternative

> medicine

> (homeopathy, allergies, acupuncture, etc.) but he is

> also an M.D.

> He did saliva and urine tests on me (something they

> never do in

> the hospitals, I guess) and came up with a diagnosis

> for me and

> some vitamin/mineral/enzyme pills and topical creams

> that he

> says should not affect my PT/INR numbers at all.

>

> But my new EP thinks that I shouldn't be taking them

> because

> they are " not proven. " If you take supplements (and

> I've read

> here that many of you do) ~~~ how do you get the

> approval from

> your cardiologists or EPs?

>

> (I guess that was more than 2 questions . . .

> <grin>)

> Elynnx

>

>

>

______________________________________________________

Click here to donate to the Hurricane Katrina relief effort.

http://store.yahoo.com/redcross-donate3/

[Guest guest]

http://www.rxlist.com/cgi/generic/betapaceaf_ad.htm

Sotalol:

No pharmacokinetic interactions were observed

with hydrochlorothiazide or warfarin.

Antacids

Administration of BETAPACE AF within 2 hours of

antacids containing aluminum oxide and magnesium

hydroxide should be avoided because it may result

in a reduction in Cmax and AUC of 26% and 20%,

respectively and consequently in a 25% reduction

in the bradycardic effect at rest. Administration

of the antacid two hours after BETAPACEAF has no

effect on the pharmacoki-netics or

pharmacodynamics of sotalol.

At 2:32 AM +0000 9/8/05, elynnx1944 wrote:

>For those of you who take magnesium, CoQ10, fish oils, and

>other " alternative heart healthy supplements " ~~~ how does that

>affect your PT/INR numbers? Do your cardiologists and EPs

>support the taking of supplements?

[Guest guest]

Go here and dowload the pamplet they offer, read that

part about Precautions & Drug Interactions WOW!!!!

http://www.toprol-xl.com/hcp/home.asp

--- elynnx1944 wrote:

>

> > When I was on Sotalol, I could take the Sotalol

> and the

> Warfarin

> > at the same time. Is it OK for me to take the

> Toprol XL and the

> > Warfarin at the same time? I sure hope so,

> because I just did!

> >

> > For those of you who take magnesium, CoQ10, fish

> oils, and

> > other " alternative heart healthy supplements " ~~~

> how does

> that

> > affect your PT/INR numbers? Do your cardiologists

> and EPs

> > support the taking of supplements?

> >

> > I have a Chinese doctor who practices alternative

> medicine

> > (homeopathy, allergies, acupuncture, etc.) but he

> is also an

> M.D.

> > He did saliva and urine tests on me (something

> they never do

> in

> > the hospitals, I guess) and came up with a

> diagnosis for me

> and

> > some vitamin/mineral/enzyme pills and topical

> creams that he

> > says should not affect my PT/INR numbers at all.

> >

> > But my new EP thinks that I shouldn't be taking

> them because

> > they are " not proven. " If you take supplements

> (and I've read

> > here that many of you do) ~~~ how do you get the

> approval

> from

> > your cardiologists or EPs?

> >

> > (I guess that was more than 2 questions . . .

> <grin>)

> > Elynnx

>

> Ha! I'm replying to my own post, because I thought

> of yet another

> related question.

>

> When I was on Sotalol, I read somewhere that I

> should not take

> anything with magnesium in it unless it was at least

> 2 hours

> before or 2 hours after the Sotalol. Is the same

> thing true for

> Toprol XL? I've tried to research this, but I can't

> find anything

> about it.

>

> Curiouser and Curiouser Elynnx

>

>

>

______________________________________________________

Click here to donate to the Hurricane Katrina relief effort.

http://store.yahoo.com/redcross-donate3/

[Guest guest]

Please, what is hydrochlorothiazide? Is that Toprol XL?

Elynnx

> http://www.rxlist.com/cgi/generic/betapaceaf_ad.htm

>

> Sotalol:

>

> No pharmacokinetic interactions were observed

> with hydrochlorothiazide or warfarin.

[Guest guest]

I've gone to the web page in question and I've looked at all

three pages ~~~ they all say the same thing. But where do I find

the part about Precautions & Drug Interactions? I can't find it.

(Do I really want to see it?????)

Elynnx

> Go here and dowload the pamplet they offer, read that

> part about Precautions & Drug Interactions WOW!!!!

> http://www.toprol-xl.com/hcp/home.asp

[Guest guest]

> For those of you who take magnesium, CoQ10, fish oils, and

> other " alternative heart healthy supplements " ~~~ how does that

> affect your PT/INR numbers? Do your cardiologists and EPs

> support the taking of supplements?

My cardiologist says he doesn't care what I take or eat in

relationshipo to warfarin as long as I do whatever I do consistently.

He can adjust the dosage of the warfarin for any level of other intake.

That's why we check the INR every few weeks. An adjustment of

warfarin will keep the readings where the cardiologist wants them.

[Guest guest]

>

> > For those of you who take magnesium, CoQ10, fish oils, and

> > other " alternative heart healthy supplements " ~~~ how does

that

> > affect your PT/INR numbers? Do your cardiologists and EPs

> > support the taking of supplements?

>

> My cardiologist says he doesn't care what I take or eat in

> relationshipo to warfarin as long as I do whatever I do

consistently.

> He can adjust the dosage of the warfarin for any level of other

intake.

>

> That's why we check the INR every few weeks. An adjustment

of

> warfarin will keep the readings where the cardiologist wants

them.

That makes sense to me. What doesn't make sense is that my

new EP said that the PT/INR tests only measure the effects of

Coumadin or Warfarin ~~ but that other things that might thin

your blood further (like Vitamin E, fish oils, garlic, or certain

herbs) do not show up on the test, so that your blood may

actually be thinner than what the test numbers show, and you

are at risk for undesired bleeding if you take those things.

That seems strange to me, but maybe it's true. I've read what I

can about Coumadin, Warfarin, and the PT/INR test, but that

particular concept has not been addressed in any of my reading.

Elynnx

[Guest guest]

>

> > For those of you who take magnesium, CoQ10, fish oils, and

> > other " alternative heart healthy supplements " ~~~ how does

that

> > affect your PT/INR numbers? Do your cardiologists and EPs

> > support the taking of supplements?

>

> My cardiologist says he doesn't care what I take or eat in

> relationshipo to warfarin as long as I do whatever I do

consistently.

> He can adjust the dosage of the warfarin for any level of other

intake.

>

> That's why we check the INR every few weeks. An adjustment

of

> warfarin will keep the readings where the cardiologist wants

them.

That makes sense to me. What doesn't make sense is that my

new EP said that the PT/INR tests only measure the effects of

Coumadin or Warfarin ~~ but that other things that might thin

your blood further (like Vitamin E, fish oils, garlic, or certain

herbs) do not show up on the test, so that your blood may

actually be thinner than what the test numbers show, and you

are at risk for undesired bleeding if you take those things.

That seems strange to me, but maybe it's true. I've read what I

can about Coumadin, Warfarin, and the PT/INR test, but that

particular concept has not been addressed in any of my reading.

Elynnx

[Guest guest]

I found this, here:

http://www.rxlist.com/cgi/generic/hctz.htm

Hydrochlorothiazide is a diuretic and

antihypertensive. It is the 3,4-dihydro derivative of

chlorothiazide. Its chemical name is

6-chloro-3,4-dihydro-2H-1,2,4-

benzothiadiazine-7-sulfonamide 1, 1-dioxide. Its

empirical formula is C7H8ClN3O4S2 and its

structural formula is:

--- elynnx1944 wrote:

> Please, what is hydrochlorothiazide? Is that Toprol

> XL?

> Elynnx

>

>

>

> >

> http://www.rxlist.com/cgi/generic/betapaceaf_ad.htm

> >

> > Sotalol:

> >

> > No pharmacokinetic interactions were observed

> > with hydrochlorothiazide or warfarin.

>

>

>

>

>

__________________________________________________

[Guest guest]

I found this, here:

http://www.rxlist.com/cgi/generic/hctz.htm

Hydrochlorothiazide is a diuretic and

antihypertensive. It is the 3,4-dihydro derivative of

chlorothiazide. Its chemical name is

6-chloro-3,4-dihydro-2H-1,2,4-

benzothiadiazine-7-sulfonamide 1, 1-dioxide. Its

empirical formula is C7H8ClN3O4S2 and its

structural formula is:

--- elynnx1944 wrote:

> Please, what is hydrochlorothiazide? Is that Toprol

> XL?

> Elynnx

>

>

>

> >

> http://www.rxlist.com/cgi/generic/betapaceaf_ad.htm

> >

> > Sotalol:

> >

> > No pharmacokinetic interactions were observed

> > with hydrochlorothiazide or warfarin.

>

>

>

>

>

__________________________________________________

[Guest guest]

I found this, here:

http://www.rxlist.com/cgi/generic/hctz.htm

Hydrochlorothiazide is a diuretic and

antihypertensive. It is the 3,4-dihydro derivative of

chlorothiazide. Its chemical name is

6-chloro-3,4-dihydro-2H-1,2,4-

benzothiadiazine-7-sulfonamide 1, 1-dioxide. Its

empirical formula is C7H8ClN3O4S2 and its

structural formula is:

--- elynnx1944 wrote:

> Please, what is hydrochlorothiazide? Is that Toprol

> XL?

> Elynnx

>

>

>

> >

> http://www.rxlist.com/cgi/generic/betapaceaf_ad.htm

> >

> > Sotalol:

> >

> > No pharmacokinetic interactions were observed

> > with hydrochlorothiazide or warfarin.

>

>

>

>

>

__________________________________________________

[Guest guest]

This should do it for you, ifs a PDF adn adobe will

open it once you down load it, I read the onlky tow

parts I seem to want information about. Precaustions

and Interactions. If that does not help let me know,

I have a lot of Medical books here.

http://www.astrazeneca-us.com/cgi-bin/az_pi.cgi?product=toprol & country=us & popup=\

no

--- elynnx1944 wrote:

> I've gone to the web page in question and

> I've looked at all

> three pages ~~~ they all say the same thing. But

> where do I find

> the part about Precautions & Drug Interactions? I

> can't find it.

>

> (Do I really want to see it?????)

>

> Elynnx

>

>

> > Go here and dowload the pamplet they offer, read

> that

> > part about Precautions & Drug Interactions

> WOW!!!!

> > http://www.toprol-xl.com/hcp/home.asp

>

>

>

>

__________________________________________________

[Guest guest]

This should do it for you, ifs a PDF adn adobe will

open it once you down load it, I read the onlky tow

parts I seem to want information about. Precaustions

and Interactions. If that does not help let me know,

I have a lot of Medical books here.

http://www.astrazeneca-us.com/cgi-bin/az_pi.cgi?product=toprol & country=us & popup=\

no

--- elynnx1944 wrote:

> I've gone to the web page in question and

> I've looked at all

> three pages ~~~ they all say the same thing. But

> where do I find

> the part about Precautions & Drug Interactions? I

> can't find it.

>

> (Do I really want to see it?????)

>

> Elynnx

>

>

> > Go here and dowload the pamplet they offer, read

> that

> > part about Precautions & Drug Interactions

> WOW!!!!

> > http://www.toprol-xl.com/hcp/home.asp

>

>

>

>

__________________________________________________

[Guest guest]

This should do it for you, ifs a PDF adn adobe will

open it once you down load it, I read the onlky tow

parts I seem to want information about. Precaustions

and Interactions. If that does not help let me know,

I have a lot of Medical books here.

http://www.astrazeneca-us.com/cgi-bin/az_pi.cgi?product=toprol & country=us & popup=\

no

--- elynnx1944 wrote:

> I've gone to the web page in question and

> I've looked at all

> three pages ~~~ they all say the same thing. But

> where do I find

> the part about Precautions & Drug Interactions? I

> can't find it.

>

> (Do I really want to see it?????)

>

> Elynnx

>

>

> > Go here and dowload the pamplet they offer, read

> that

> > part about Precautions & Drug Interactions

> WOW!!!!

> > http://www.toprol-xl.com/hcp/home.asp

>

>

>

>

__________________________________________________

[Guest guest]

HCTZ is a diuretic. It is not potassium-sparing, that is, it can also make you

excrete potassium along with excess liquid, so one needs care when taking it.

--Steve

At 3:58 AM +0000 9/8/05, elynnx1944 wrote:

>Please, what is hydrochlorothiazide? Is that Toprol XL?

[Guest guest]

HCTZ is a diuretic. It is not potassium-sparing, that is, it can also make you

excrete potassium along with excess liquid, so one needs care when taking it.

--Steve

At 3:58 AM +0000 9/8/05, elynnx1944 wrote:

>Please, what is hydrochlorothiazide? Is that Toprol XL?

[Guest guest]

HCTZ is a diuretic. It is not potassium-sparing, that is, it can also make you

excrete potassium along with excess liquid, so one needs care when taking it.

--Steve

At 3:58 AM +0000 9/8/05, elynnx1944 wrote:

>Please, what is hydrochlorothiazide? Is that Toprol XL?

[Guest guest]

Thanks for the added info, Chris. I found it, but I have no idea

what I read. It's too much scientific jargon for this retired art

teacher!

Elynnx

> > > Go here and dowload the pamplet they offer, read

> > that

> > > part about Precautions & Drug Interactions

> > WOW!!!!

> > > http://www.toprol-xl.com/hcp/home.asp

> >

> >

> >

> >

>

>

>

__________________________________________________

>

[Guest guest]

Thanks for the added info, Chris. I found it, but I have no idea

what I read. It's too much scientific jargon for this retired art

teacher!

Elynnx

> > > Go here and dowload the pamplet they offer, read

> > that

> > > part about Precautions & Drug Interactions

> > WOW!!!!

> > > http://www.toprol-xl.com/hcp/home.asp

> >

> >

> >

> >

>

>

>

__________________________________________________

>

[Guest guest]

Thanks for the added info, Chris. I found it, but I have no idea

what I read. It's too much scientific jargon for this retired art

teacher!

Elynnx

> > > Go here and dowload the pamplet they offer, read

> > that

> > > part about Precautions & Drug Interactions

> > WOW!!!!

> > > http://www.toprol-xl.com/hcp/home.asp

> >

> >

> >

> >

>

>

>

__________________________________________________

>

[Guest guest]

Hi Steve,

I'm confused. In my orginal post, I mentioned that I took Sotalol

with Warfarin (at the same time) and asked whether it would be

OK for me to take the newly Rx-ed Toprol with Warfarin at the

same time. I don't understand why you answered my question

by bringing up a diuretic that was not Rx-ed for me and that I've

never even heard of. Is it something that I should be taking? No

one has ever mentioned it to me before.

Elynnx

> >Please, what is hydrochlorothiazide? Is that Toprol XL?

[Guest guest]

Hi Steve,

I'm confused. In my orginal post, I mentioned that I took Sotalol

with Warfarin (at the same time) and asked whether it would be

OK for me to take the newly Rx-ed Toprol with Warfarin at the

same time. I don't understand why you answered my question

by bringing up a diuretic that was not Rx-ed for me and that I've

never even heard of. Is it something that I should be taking? No

one has ever mentioned it to me before.

Elynnx

> >Please, what is hydrochlorothiazide? Is that Toprol XL?

[Guest guest]

Hi Steve,

I'm confused. In my orginal post, I mentioned that I took Sotalol

with Warfarin (at the same time) and asked whether it would be

OK for me to take the newly Rx-ed Toprol with Warfarin at the

same time. I don't understand why you answered my question

by bringing up a diuretic that was not Rx-ed for me and that I've

never even heard of. Is it something that I should be taking? No

one has ever mentioned it to me before.

Elynnx

> >Please, what is hydrochlorothiazide? Is that Toprol XL?

[Guest guest]

What doesn't make sense is that my

> new EP said that the PT/INR tests only measure the effects of

> Coumadin or Warfarin ~~ but that other things that might thin

> your blood further (like Vitamin E, fish oils, garlic, or certain

> herbs) do not show up on the test, so that your blood may

> actually be thinner than what the test numbers show, and you

> are at risk for undesired bleeding if you take those things.

My undertanding is that those things work in different ways and are

independent of each other. For example, warfarin does not dissolve

blood clots and does not really make the blood thinner. It reduces

the blood's ability to form clots. Aspirin does something different

in that it smooths the blood cells so they are not as likely to

stick to the artery walls. Other things operate in different ways

and I've had no warnings against them, only questions as to if I'm

taking enough to be therapeutic.

I too would be interested in knowing if their is any practical

limitation on fish oils, garlic and other " blood thinning "

supplements. I seem to only hear of the positive benefits of them.

Also, if their effect on the blood can be measured.

Gordon