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too many meds?
Posted by: Dot
Date: March 1, 2002 1:13 AM

My mother-in-law, has been prescribed so many different meds, that we are wondering if it is necessary to take all of them. The cost can be outrageous, let alone dangerous. She is taking: Uniphyl 600 mg., Avelox 400 mg, Altace 2.5 mg, Premarin 0.625 mg, Allegra 60 mg, Glucovance 1.25/250 mg, Prilosec 20 mg, Acebutolol 200 mg, Aingulair 10 mg, Lescol 40 mg. Can these all be necessary and will any interact with the others? None of us in the family have any medical knowledge, and she is 65 years old, and don't want her to be spending extra $ if there is no need.

Edited 2 time(s). Last edit at August 18, 2008 3:57 PM by Dr. Kennedy.

RE: too many meds?
Posted by: Ron Kennedy, M.D.
Date: March 1, 2002 2:13 PM

In medicine we call this "polypharmacy." Obviously from some doctor's point of view, these are necessary since they all require prescription. There are different paradigms for treating illness. From the pharmaceutical paradigm these may all be necessary. A doc who has a different paradigm and approach might be appalled at such a program. I cannot tell you if they are all necessary and if I were able to fully evaluate your MIL, it would be an opinion derived from my own particular approach and point of view (paradigm). If your MIL is dissatisfied with the pharmaceutical approach, the wise thing would be to see an different doc for a second opinion, perhaps someone who practices nutritional medicine and would take a different approach. Ultimately the patient him/herself determines the approach by virtue of his or her own effort to educate him/herself and then choose a physician based on that education. Or course the alternative is to make no effort at self-education and take your chances with the doctor you happen to get. This puts doctor in place of one's own responsibility for self. Perhaps a better arrangement is a partnership between doctor and patient.

Edited 1 time(s). Last edit at August 18, 2008 3:55 PM by Dr. Kennedy.

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