Nausea

I am starting to suspect Clopidogrel and/or Atorvastatin are causing nausea which has crept up on me and recently worsened (it’s a known side effect of both medications) and I would like to know if anyone else has experienced this and what you do to combat it in the moment (I’m already taking Lansoprazole) .

I have a medication review on July 16th with a pharmacist and I would like to know if there are alternatives and what to ask for. Thank you! :hugs:

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You could try travel sickness pills to combat the nausea until you can see your doctor.
Mint or chamomile tea sooth it away in the meantime, if you have any.

You are not taking your medications on an empty stomach are you? That can cause nausea.

Lorraine

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Thank you. I have found peppermint tea good for indigestion in the past, so I’ll make sure I’m stocked up on that. :blush:

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I had adverse side-effects to Atorvastatin and switched to Rosuvastatin. I now take 10mg of Rosuvastatin because my cholesterol levels are fine. Indeed, my cholesterol levels were always okay but anti-platelet and statin meds seem to be the bog standard prescription after ischemic stroke.

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There are many different alternatives yo statins - sinvastatin, rosuvastatin, ezetimbe to name a few. I’m not sure about clopidogrel (other than aspirin) but there is usually an alternative.

I don’t know if it will help but you could try taking them at a different time of day.

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Thank you, I will ask the pharmacist about taking them at a different time of day. :blush:

From what I can gather, the Lanzoprazole is to combat any possible bleeding in the stomach, so that’s why I take it in the morning.

I had a blood test today in preparation for the the medication review so I’ll ask about aspirin too (I was on it for the first 10 days after my stroke and was switched to Clopidogrel when I was transferred to the rehab until on early March)

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That’s what I can’t understand - my cholesterol has always been spot on too. It all feels very ‘bog standard’. :thinking:

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Actually, it’s not 10mg but 5mg I take. I have yearly blood tests and began talking with my GP last year on reducing the statin strength with the aim of going off them altogether. He seems obliged to have me taper off, probably policy related, liability and all that. I like to think I have a fairly decent diet, and high cholesterol is not genetic in my family, so I feel statins for me are a somewhat wasted expense on the NHS.

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I have been having long periods of nausea for at least six months. It’s getting really debilitating and affecting my appetite. I had a medical review by a pharmacist who put me on Lanzoprazole. I told her that I was drinking tonic water to help with cramps, she told me not to have this now. About three weeks ago I asked for a GP appointment to investigate the continuing nausea. I was given another pharmacist review. This pharmacist asked me why i was on it, I told her that the other one had prescribed it. She told me to stop it immediately! I have now requested another GP review and I have a telephone appt on Thursday. I want to see my doctor and not be fobbed off all the time with conflicting advice. I have done what I can to eliminate any digestive intake so the only thing I can think that it is the medication I’m on. I am not medically trained so I accept what the medics tell me. But reading on here what other people experience I just want to be reassured that I am the correct medication. Reading Emerald Eyes suggestion of empty stomach; and taking meds at different times, I have already tried all this. Watch this space! Best wishes Norma

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My Dad takes Lansoprazole half an hour before our evening meal, but there was no such instruction on mine, and I always had it with breakfast in hospital as I can’t take tablets without food.

I did however find out there’s a water soluble version on the day I was discharged! It taste like orange and was much easier to take.

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Hi Rupert - As I understand it from the above, your cholesterol level has never been high but after the stroke you were prescribed cholesterol lowering medication (statins)?

This makes no sense to me. Why would you prescribe medication for a condition you do not have? If you cholesterol is normal to start with what exactly is statin going to do to it? Lower it further?

I ask because I do have high cholesterol and have had it for many years. I took statins when I was first diagnosed, but the reduction was small and so I decided to come off the statins and told the GP I was going to address the issue through a change in lifestyle which essentially meant diet and exercise.

My cholesterol has remained high and more recently it had come down by a very small amount.

The NHS is quite happy prescribing statins - clearly it believes they are nit a wasted expense.
I wonder if there are any studies on this i.e. how effective statins are in preventing strokes and heart disease.

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Seeing this leads me once again to one of my pet subjects - leaflets that come with all medicines. These leaflets cover a number of key points including purpose i.e. what the medication is for, who it for, who should not take it, how much to take, when to take and potential side effects etc.

Medicines work in different ways and so when to take them will vary. Some are taken on an empty stomach, others are taken with a meal, then others are taken after a meal, some before a meal and some at night time etc.

The leaflet will tell you how the manufacturer recommends you take this medication, but the GP might give you different instructions which then pharmacist should then advise the patient by printing this on the label.

One other thing I should mention is the interaction medicines have with other medicines and sometimes foods. So there will be information on what foods not to take the medication with and what conflicts there may be with other medications - this may refer you back to the GP, though of course had the GP been thorough they would have known this when they prescribed the medication.

Taking Medication - Read Manufacturer's Leaflet

Just some thoughts I have which may or may not help you.

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I have quite a few fellow stroke survivor friends who were given the same meds despite having safe cholesterol levels, it seems it falls under the preventive risk modus operandi. Technically, as my stroke was trauma based, Clopidogrel was unnecessarily prescribed for me also, however, a recent MRI has shown that I have lately developed a few “small randomly scattered cerebral white matter” which could be mild small vessel disease, so the Clopidogrel might not be such a bad thing after all.

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I had my EConsult with the Pharmacist this morning and apparently my LDL cholesterol was higher than they like it to be (despite it being perfect when I had my last 'Well Woman check a few years ago, so I don’t know how it could have gone south so rapidly, but that’s a question for my GP) , but it has come down.

Basically the medications are ‘working’ from their point of view, so I have to stay on them (my general wellbeing would beg to differ, so again another conversation to have with the GP).

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