Reginald Whitlach, a 46-year-old female with a history of hypertension and high lipids, presented to the ED with several months of chest pain and shortness of breath. Pain improved with SL NTG and the initial ECG was unchanged from baseline with old TWI in V5-6, 1, AVL. Labs were negative for TNI x2 and she was started on heparin. Cardiac catheterization on 10/20 revealed 40% LAD lesion but no intervention was necessary. She was discharged on DIAZEPAM 10 MG PO QAM Starting Today March, LOPRESSOR (METOPROLOL TARTRATE) 25 MG PO BID, PAXIL (PAROXETINE) 20 MG PO QD, ZOCOR (SIMVASTATIN) 40 MG PO QHS, LISINOPRIL 10 MG PO QD, ACETYLSALICYLIC ACID 81 MG PO QOD, lopressor, zocor, ASA and d/c'd HCTZ. There was a potentially serious interaction between POTASSIUM CHLORIDE & LISINOPRIL and chest pain was not thought to be ischemic in origin. She was given instructions to take medications consistently with meals or on empty stomach and to avoid grapefruit unless MD instructs otherwise. Follow up appointment with Dr. Shanberg was scheduled for 1-2 weeks.
Has the patient ever been on lopressor
lopressor, zocor, ASA and d/c'd HCTZ. There was a potentially serious interaction between POTASSIUM CHLORIDE & LISINOPRIL and chest pain was not thought to be ischemic in origin.