CARVEDILOL vs DIGOXIN

I have been on Valsartan 80MG once a day Carvedilol 6mg twice a day I started back in late may. And OMG I’ve felt out of reality. I’m clumsy now. I can’t focus. I’m sluggish. I’m always tired. People talk to me and I have to force my self to focus. I am not myself no more. I used to be aware. Sh

Hi! I'm a 41 y.o. woman who's had high blood pressure since I was 20. Although I am genetically predisposed to the condition from both parents, I also spent many years being very unhealthy and sedentary. After my weight increased to around 320 pounds and I was diagnosed with sleep apnea, I finally d

I have hypertension since I’m a kid, it came with my kidney disease which became end stage kidney disease before I turned 16. I had periods after started dialysis when I didn’t needed BP meds but in the last 6 moths it was horrible, 195/120 in the morning many times. I took 10 mg Amlodipine and 5 mg

Hello everyone! I just got home from a doctor's appointment due to some back pain. Like always, whenever I'm in the clinic, my heart cant stop beating and I'm very anxious and nervous for no reason. When the doctor took my BP, I told her that I'm feeling nervous. She told me to relax and I tried. Th

So last year I managed to hit 220/120 with a panic attack. In the hospital, I seemed to hover around 180/100 when I was discharged. Heavy drinker, eating terrible, very overweight, and under-medicated. 8 months have gone by and I've lost 60 pounds, been far more aware of my salt intake, cut out alc

It has a huge heatwave in my country, my 135/80 BP skyrocketed to 207. I didn’t go to the ER. I solved it with doubleing all of my medications. I take 5 mg Amlodipine, 12,5 mg Carvedilol and 5 mg Ramipril. I took yesterday night 10 mg Amlodipin, 25 mg Carvedilol and 10 mg of Ramipril. It solved it,

ME: I agree with you. I'm really trying to make strides in the weight and exercise routines. It's just when it gets high at times like that, I tend to freak. and anxiety sets in. Do you have any suggestions as to what I should do in those circumstances? Hopefully, they are, and will continue to les

I wasn’t feeling fabulous yesterday(dizzy, tired, and had a headache). I checked my BP and it was 161/133 which is the highest I’ve ever had. Which terrified me. I went to the ER because I was very concerned regarding that. Once at the ER, they did bloodwork, urine sample, and monitored my vitals. M

Hey all, hospital pharmacist here. I work at a large hospital (level 1 trauma center/stroke center etc) that is part of a nationwide health system. We’re the second largest hospital of close to 100 hospitals, and most of the others are small community hospitals. Our health system is transitioning to

I'm a new pharmacist (and manager) at a critical access hospital. We had a frail 84 year old patient, weighed 48 kg, CrCl 30 (at best!!!). She had CHF and aFib. Dr. ordered digoxin 500 mcg IV push. I recommended giving half the dose as a 30 min infusion, then 25% in 4-8 hours, and remaining 25% in 4

Regardless of how cynical or optimistic you are, I think we can all agree that the profession of pharmacy is definitely in the "valley" portion of the employment cycle right now. Saturation is real, the major employers are abusing their employees, reimbursement is declining - things aren't looking

Is the 30 - 50% dose reduction of digoxin only necessary when the patient has already been on prior therapy/stabilized with digoxin and then initiated amiodarone? An input into Lexi-comp indicated that the "sequence" was important. There was a patient in the pharmacy (~60 years old; male) that was