71-year-old female with kidney disease, heart condition, and hypertension experiencing severe fatigue and abdominal pain on multiple medications - #10374
Patient age: 71 years Sex: Female Medical history: Hypertension Type 2 diabetes Chronic kidney disease Current symptoms: Severe fatigue and weakness Dry mouth and dehydration Persistent abdominal pain General exhaustion with minimal physical effort Recent laboratory results: HbA1c: 7.5% Serum creatinine: 13.79 mg/L (elevated) Current medications: Vastarel 35 mg Moxonidine Rosuvastatin 40 mg Aspirin (Acetylsalicylic acid) 100 mg Metformin 850 mg Dapagliflozin Co-Aradex 300/12.5 Bisoprolol Furosemide 40 mg Concern: The patient started experiencing worsening fatigue, dry mouth, and abdominal pain after taking these medications together. Despite visiting a local doctor, no changes were made to the treatment, and the symptoms persist. Question: Could these symptoms be related to medication side effects or drug interactions, especially considering her age and kidney disease? Which medications should be reviewed, adjusted, or discontinued for safety?
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