Cardiac Surgery Complications
Medical Management Manual

Nik Nikam, MD, FACC

 

Name	Dosage	indications	Commetns
Acid Pump Inhibitors
Rabeprazole (Aciphex)	20 60 mg qd	GERD, PUD	Headache
Fluvastatin (Lescol)	TC=00% ↓   LDL=00% ↓ HDL=00%↑TRG= 00% ↓	20 to 80 mg qd	Myalgia Monitor LFTs
Atrovastatin (Lipitor)	TC=00% ↓   LDL=00% ↓ HDL=00%↑ TRG= 00%↓	10 to 80 mg qd	Myalgia Monitor LFTs
Lovastatin (Mevacor)	TC=00% ↓   LDL=00% ↓ HDL=00%↑ TRG= 00%↓	10 to 80 mg qd	Myalgia Monitor LFTs
Pravastatin (Pravchol)	TC=00% ↓   LDL=00% ↓ HDL=00%↑ TRG= 00%↓	10 to 40 mg qd	Myalgia Monitor LFTs
Simvastatin (Zocor)	TC=00% ↓   LDL=00% ↓ HDL=00%↑ TRG= 00%↓	10 to 80 mg qd	Myalgia Monitor LFTs
	TC=00% ↓   LDL=00% ↓ HDL=00%↑ TRG= 00%↓
	TC=00% ↓   LDL=00% ↓ HDL=00%↑ TRG= 00%↓
H2 Blockers
Nizatidine (Axid)	150 to300 mg bid	GERD,  PUDG	CAnemia dizziness
Cholestyramine (Questran)	TC=00% ↓   LDL=00% ↓ HDL=00%↑ TRG= 00%↓	2 to 4 packets or scoops mixed with liquids	Constipation. Vitamin A, D, K, or Folic acid difficiency
Antacids
Aluminum Hydroxide (Amphogel)	300 to 600mg in 4-6does per day. Max 3.6g	Gastritis, PUD	C
Fenofibrate (Tricor)	TC=00% ↓   LDL=00% ↓ HDL=00%↑ TRG= 00%↓	67, 134, or 200 mg with meals	combining with statins (myopathy)
Anticholinergic agents
Dicylcomine (Bentyl)	20to 40 qid	5Irritable bowel synsdrome	when used with statins
Fiber, OTC, nutritional suppliments and others
Metamucil fiber	TC=00% ↓   LDL=00% ↓ HDL=00%↑ TRG= 00%↓	1 tablesppon once or twice daily	Distension, cramps .
Antioxidants		one tab twice dialy	Prevent oxidation of LDL
Red Wine		1 to 2 glasses per day	Rich in antioxidants
Dried raisins			Rich in antioxidants
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