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Other names: Nimodipine
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GENERAL ADVICE ABOUT MEDICATIONS OFTEN PRESCRIBED FOR PATIENTS WITH HEART DISEASE
Many heart patients take five, six, or even more medications every day for a variety of reasons. The most common of these medications are listed above. Although it may seem “unnatural” and frustrating to have to take this many medications, each of them has proven benefits in prolonging life or improving well-being. Patients who require multiple medications are not necessarily “sicker” than those who require fewer medications, and you should look at medications as your friends rather than your enemies.
Despite their being a nuisance to take, inconvenient and expensive, there is absolutely no advantage to not taking medications recommended by your doctors. Many patients adopt the attitude that they are not really “pill takers” and try to “tough it out” with respect to their symptoms. In the case of heart disease (unlike in many other chronic conditions, such as arthritis), most of the medications doctors prescribe are truly life-prolonging, and protect you in a way that diet, exercise and other nondrug treatments cannot. This does not mean that drug therapy cannot be supplemented by changes in diet and exercise; rather, it means that the two need to be allowed to work together. For example, a low-salt, low-fat diet, as well as exercise, can lower blood pressure. It is rare, however, that these measures alone can restore normal levels in a patient with high blood pressure, although they work extremely well in concert with a regimen of medications. The same can be said of cholesterol-lowering therapy; even very strict low-fat, low-cholesterol diets decrease cholesterol only modestly, and in very many patients these need to be supplemented by drugs that lower cholesterol.
Getting the most from your medications requires that you take them exactly as prescribed. Surprisingly, as many as half of patients do not follow this advice, for many reasons, including forgetful-ness, the cost of their medications, and, perhaps most important, the failure of doctors and caregivers to emphasize that medications must be taken exactly as directed. There is some evidence that patients who understand why they are taking their medications and understand the nature of their illness and the benefit of medications, can be faithful to their medication regimen.
There are a number of things you can do to make sure you follow instructions for taking your medication. First, be sure that you understand precisely why you are taking each medication and try, if possible, to remember its name. Second, make taking your medications habitual; for example, take them just before breakfast, just before bedtime, or at other times of day when you have a predictable schedule. If your medicine bottle is close to your toothbrush, you will be more likely to remember to take your pills every time you brush your teeth. There are some very helpful aids available in pharmacies (o help you remember to take your medications, including special pillboxes where all the medications you need for a particular day or even a week are placed in small compartments. If you miss a dose, you will then be able to see immediately which dose you missed, and what you need to take at the next dose interval. Electronic gadgets, such as automatic timers and alarms, can be useful for the more mechanically inclined. If you miss a dose of medication, it is generally not a serious thing; for most pills you should simply take the next dose as scheduled, but do not pile the skipped dose on top of your next scheduled dose.
You should carry with you, at all times, a list of the pills you are taking, including the chemical names, and the dosages. This is extraordinarily important to have whenever you visit your doctor, so that your dose regimen can be properly recorded, but is also important to have with you in case of emergency.
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