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General Health Care Prison Health Care.. Medical, medications and all that go with it related to health care in the prison system...

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  #1  
Old 10-25-2018, 12:43 PM
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Question New meds perscribed w/o reason

I am very confused as to where to turn for information. My LO is a type 1 diabetic, (recently told that his kidneys are not functioning ideally). Very recently the insulin dosage they were giving him appears to be back on track after a bad patch where they kept lowering the dosage to inadequate levels. Ive now been in contact with someone from their clinic who is supposed to keep me updated, however i am not certain they have a medical background. Now he has been perscribed new medicienes that I was surprised to hear suggested. So was his mother. When he asked about the reasons they gave them to him, he was told he didnt need to know. So I wondered where I could ask about drug interactions and possible dangers if they are attepting to give him something he doesnt need. (I struck out just putting the names of the meds into a search engine) Im sure most of the medical staff is not underhanded or petty but there are some that do not have his best interest at heart so us understading what they are giving him is key.
(new meds Lipitor & Atorvastain)
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Old 10-25-2018, 01:12 PM
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Lipitor is the brand name for atorvastatin. It’s one of the most common medications prescribed to lower cholesterol.

Obviously, being a random poster on a forum, I don’t know his medical history. However, his situation of being a Type 1 diabetic and now in stages of kidney disease [ not sure his GFR so don’t want to assume], higher cholesterol levels are common. Add in the junk found on commissary and I would not doubt there is an elevation.

The other thing Lipitor is prescribed for is a prophylactic for later - onset heart disease. Type 1 diabetes and kidney diseases are typical precursors for this but I highly doubt a prison doctor would think this far into the future. This is the reason why it was prescribed to me.

Unless he is taking medications for HIV, Hep C, another sort of cholesterol medication or anti - fungals, it does not interfere with much. He must avoid grapefruit though.

It’s one of the most commonly prescribed drugs out there and should be absolutely extremely easy to find online. Too bad the prison wasn’t more helpful for really basic information.
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Old 10-25-2018, 01:44 PM
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I was going to say the same thing. Lipitor is atorvastatin. Atorvastatin is the generic name for lipitor and yes re the grapefruit. He also will need to get his blood drawn regularly while taking it about every 3 months to check his kidney and other functions. I've been on lipitor for about 18 years with no ill effects whatsoever, but I am not a diabetic nor have any sort of kidney disease. If it's any consolation though, my mother is a diabetic, and has had a kidney transplant and is on lipitor as well. I have a family genetic disposition to it. That said, my triglycerides are my biggest problem and about 2 years ago I learned that I have a gene (one of my brothers has it as well, and no doubt my mother) that our bodies cannot process sugars, carbs, etc. My doctor put me on a no carb diet. That also included no fruit. Besides losing weight, my triglycerides went down to the lowest levels they've been in years. My cholesterol went down as well, but the lipitor already kept them low. My mom subsequently saw the same Dr, but due to her diabetes she has to have some carbs, so she is allowed to eat different things than I am. So, don't have your LO try this without some sort of supervision since he has the diabetes.

Regardless, lipitor is not really a contraindication with anything, but I'm guessing they put him on it due to elevated cholesterol. He would also be at increased risk for developing pancreatitis with the high cholesterol. So, being on a statin like lipitor, will decrease this risk.
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Old 10-25-2018, 02:02 PM
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Following in rockchalk’s statements :

I’ve been on Lipitor as a dialysis patient [ so, kidney failure ] and Type 1 diabetic. This was done as preventative action for future cardiac reasons. No issues.

As a transplant patient, I still take it because some of the immune - suppressants elevate cholesterol. My cholesterol is low cause I mainly eat grains, fruits and veg — hard to get in prison, I know. Again, no issues, even taking it at the same time as oral anti - fungals . Remain on it for future cardiovascular reasons.

So, the issue may not be the drug itself but rather the convoluted response by prison and lack of information. But perhaps your LO knew this info ?
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Old 10-25-2018, 02:09 PM
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I should add, although I wouldn't recommend it, since Lipitor is one of the most widely prescribed statins there is, that he could always just not take it if he really wanted.

Do you know what does he is on? I actually take a higher dose than both my parents - like I said, I have a familial genetic history, on both sides of my family. So I am stuck with the 40mg, each of my parents I think take 20mg. Again, I've never had any side effects. One of the more common I think, might be joint pain. I'm 50, and the minute I had my twins who are about to turn 18 is when I was put on it. While i was pregnant with them is when I was DX. An alternative to being on it if he doesn't want to take a RX, is fish oil. When I was pregnant, I had to take 12 fish oil pills a day. Yes, fun fun. But, those did help. When we moved back to Chicago, my Dr here wanted me on the lipitor. My Dr where we were living in Iowa was a lipid specialist and probably would've kept me on fish oil, but it is what it is. I've never even thought to ask to go off of it, but now that I see the cardiologist for the carbs, it is probably something I can ask or consider since my numbers are so awesome now with the no carb. However, eating the shit in the vending machines has not helped..I can admit that. 3 more months of that (well, 4 more visits) and then done with that crap. I always complain to the COs that I don't know why they can't have anything healthy in the vending machines. They did finally have some veggies and dip, and cottage cheese but like 2 of each!! That doesn't help!
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Old 10-25-2018, 02:48 PM
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There have apparently been recent medical studies that found statins to be beneficial for health issues not directly tied to high cholesterol, including strokes and by reducing death from heart attacks by 25% in some patients. At least that's what my MD told me when he prescribed them to me last month.

A 2013 report from the "American College of Cardiology/American Heart Association Task Force on Practice Guidelines" is here:

https://www.ahajournals.org/doi/pdf/...37738.63853.7a
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Old 10-26-2018, 05:03 PM
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Quote:
Originally Posted by rockchalk1 View Post
I was going to say the same thing. Lipitor is atorvastatin. Atorvastatin is the generic name for lipitor and yes re the grapefruit. He also will need to get his blood drawn regularly while taking it about every 3 months to check his kidney and other functions. I've been on lipitor for about 18 years with no ill effects whatsoever, but I am not a diabetic nor have any sort of kidney disease. If it's any consolation though, my mother is a diabetic, and has had a kidney transplant and is on lipitor as well. I have a family genetic disposition to it. That said, my triglycerides are my biggest problem and about 2 years ago I learned that I have a gene (one of my brothers has it as well, and no doubt my mother) that our bodies cannot process sugars, carbs, etc. My doctor put me on a no carb diet. That also included no fruit. Besides losing weight, my triglycerides went down to the lowest levels they've been in years. My cholesterol went down as well, but the lipitor already kept them low. My mom subsequently saw the same Dr, but due to her diabetes she has to have some carbs, so she is allowed to eat different things than I am. So, don't have your LO try this without some sort of supervision since he has the diabetes.

Regardless, lipitor is not really a contraindication with anything, but I'm guessing they put him on it due to elevated cholesterol. He would also be at increased risk for developing pancreatitis with the high cholesterol. So, being on a statin like lipitor, will decrease this risk.

He actually got in to see the actual doctor yesterday so now things are a bit less confusing today. I was shocked to hear high cholesteral with him not being overweight. I wondered how common that was. I guess it isnt that strange. The woman assigned to be my contact person for issues, I guess is supposed to get inmates concerned family members, to shut up and leave everyone there alone. The first time I spoke to them (seemed very nice) she said he was on an SSRI, which is totally different, right? Used for depression mostly. Then the next day I asked about the ssri and thats when she listed 4 (i thought different) medicenes thathe was taking, including atrovastatin. Just when one might thing things are looking up a llitle, another incident of the guards using handcuffs and throwing him to the ground during a seizure. I guess my high stress level (his too probably) is going to be hanging around a bit longer!
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Old 10-26-2018, 11:27 PM
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Quote:
Originally Posted by LuvmyCandyCaneman View Post
He actually got in to see the actual doctor yesterday so now things are a bit less confusing today. I was shocked to hear high cholesteral with him not being overweight. I wondered how common that was. I guess it isnt that strange. The woman assigned to be my contact person for issues, I guess is supposed to get inmates concerned family members, to shut up and leave everyone there alone. The first time I spoke to them (seemed very nice) she said he was on an SSRI, which is totally different, right? Used for depression mostly. Then the next day I asked about the ssri and thats when she listed 4 (i thought different) medicenes thathe was taking, including atrovastatin. Just when one might thing things are looking up a llitle, another incident of the guards using handcuffs and throwing him to the ground during a seizure. I guess my high stress level (his too probably) is going to be hanging around a bit longer!
Definitely don't have to be overweight to be on a statin (Lipitor), as many people have high cholesterol regardless of their weight. My daughter's have a friend who was when she was 5 as having high cholesterol and was definitely not overweight. Again, genetic disposition to it. In my case, regardless of what my weight is, my cholesterol is high. When I've been higher or lower weight, it is high and my dr is never taking me off of it - again, due to the genetic component of it. My brother is not overweight and same deal, the genetic component. All 4 of my kids it has been suggested should be watched, including the 3 that are stick thin. So, while we would think it is often only related to weight, it isn't.

Yes, the SSRI is for depression. I'm surprised they would throw him on so many new meds so quickly. It can take up to 6 weeks for anti-depressants to work. Some of them also can cause eating habits to change as well as weight gain or weight loss depending what he's on. The one thing we have been really lucky with in regards to my husband is for a 59 year old guy, he hasn't had any major medical issues, and the medical issues he had that have to be watched, so far have not been an issue at all during prison, thank god. That was our biggest worry. He only takes vitamins and ibuprofen as needed. And to top it off, he lost almost 50lbs in prison, so he was fairly healthy when he went in, I can't imagine what some of his numbers are going to be when he gets out, since already they weren't an issue.
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Old 10-28-2018, 01:28 PM
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Question How long

Quote:
Originally Posted by Ne Plach’ View Post
Following in rockchalk’s statements :

I’ve been on Lipitor as a dialysis patient [ so, kidney failure ] and Type 1 diabetic. This was done as preventative action for future cardiac reasons. No issues.

As a transplant patient, I still take it because some of the immune - suppressants elevate cholesterol. My cholesterol is low cause I mainly eat grains, fruits and veg — hard to get in prison, I know. Again, no issues, even taking it at the same time as oral anti - fungals . Remain on it for future cardiovascular reasons.

So, the issue may not be the drug itself but rather the convoluted response by prison and lack of information. But perhaps your LO knew this info ?

How long were you on the transplant list? My LO is on the list and obviously every person has different circumstances. But I'm just curious
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Old 10-28-2018, 05:52 PM
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Quote:
Originally Posted by JustLilOlMe1012 View Post
How long were you on the transplant list? My LO is on the list and obviously every person has different circumstances. But I'm just curious
Hi, it was under a week. I had accrued points on dialysis, A blood type, 0% antibodies and youth on my side. I was very fortunate.

I was told the average wait is 2 yrs for us but yes, others typically wait longer. I get saddened to hear when others wait 6 - 10 уеаrs in other places.

Good luck to your loved one and may they get called soon. If you have any questions, you can PM me.
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