I sympathise T.Y.
Given drug advice the wrong way round at The Heart Failure Clinic ,given a lrflet about Entresto( Sacubitril Valsarstan) with lots of confusing advice etc.
Given a letter which I thought was for me ,with new meds on it.
To increase Ramipril to 2.5 .
However the leaflet said to stop Ramipril 48 hours before taking any
Entresto !
So I phoned the hospital and spoke to the same Nurse, again not very clear.She asked had I taken the letter to my GP——- well I assumed that would be done electronically and this hard copy was mine with the complicated instructions .,but no it was for the GP.so I took it down and handed it to a receptionist ,since when it has disappeared !
After a lot of phoning etc a copy has been sent electronically and the receptionist gave me clearer verbal instructions.
Then a leaflet with info regarding Forxiga ( Dapaglifozin) ) came and seemingly that is the one to start immediately with a doubling of Ramipril!
Then after my next appointment is when I stop Ramipril and start on the
Entresto!!!
But wouldn’t it be reasonable to assume the prescription you had got would be the first drug to be used not the second one for which you had no prescription —— just a leaflet which did not have anything to do with a drug meant to be used at this time , the prescription was for a drug to be started in a couple of months after using one that I had no prescription for,and only after further tests ECG and Echo scan.
It beggars belief , I will go tomorrow but usually they are closed on Tuesdays ,I can phone in the morning .
The Pharmacist at the Health Centre stopped Spironolactone,a diuretic, why I don’t know ,not after I had seen a Dr either -
So swollen ankles etc now.
I must write it all down , or will only ask half the questions I need to ask .
Washing dry I think but so cold hard to tell.
When the ironing from this morning is fully aired after heating has been on this evening I can put this lot on the maiden.
Hope all are well, look after yourselves.
Viktoria.
