Medication Induced Fatigue – Medication List Review
Fatigue is a common complaint from patients. It can certainly be due to a variety of reasons, but never underestimate the possibility of medication induced fatigue especially when it comes to polypharmacy. Here’s the medication list, and factors I would consider in trying to assess medication induced fatigue:
- Plavix 75 mg daily
- Amlodipine 5 mg daily
- Warfarin 2.5 mg daily
- Prevacid 15 mg daily
- Acetaminophen as needed
- Sumatriptan 100 mg as needed
- Amiodarone 200 mg twice daily
- Inderal 80 mg as needed
- Colace 100 mg daily
- Vitamin C 500 mg daily
- FESO4 325 mg daily
- One thing I would consider doing is making sure that the possibility of anemia is assessed. We have a patient on both Plavix and warfarin, as well as iron supplementation. Anemia is a common cause of fatigue, and would be a place to start in this situation.
- Another big question is what would propranolol’s indication be. Beta-blockers are a notorious cause of fatigue. Timing of initiation, indication, and if the patient is actually using it would be things that I would investigate.
- My last point with this medication list would be to make sure that TSH has been assessed. Amiodarone is well known for causing hypothyroidism and could potentially be a factor in thyroid function.
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