Apr. 22nd, 2016

pameladean: chalk-fronted corporal dragonfly (Libellula julia)
So I had a doctor's appointment last Wednesday, with a new doctor, who frowned at the computer screen and said, "You've been taking omeprazole since 2013? We don't really recommend it for long-term use. It can lower your calcium levels."

My patient-information sheet says that multiple daily doses, which I am not taking, can do that; but apparently they are getting more cautious because there is more information.

I accordingly stopped taking the omeprazole this morning and took a Zantac pill instead.

Urgh. Two hours of nausea. No actual barfing, but still, urgh. When that abated, I went out somewhat belatedly to take a bus over to [livejournal.com profile] arkuat's place to look after his cat. As I arrived at the bus stop, I felt so weird that I thought, "I'm going to have to go home again. I can't get on a bus like this." I found myself hanging onto the bench as if I might fall if I let go. Vertigo? Dizziness? No, actually. I could stand up perfectly well on my own. Things were not describing slow repeating arcs across my vision. Everything was fine and stable. Only something felt extremely weird in my head, and my brain kept deciding it was dizziness. "Woogly" is the term that I use for this feeling; it sometimes precedes a migraine. However, I had no other symptoms.

I did get on the bus, and bus and walk to Eric's, and hang out with a very loudly purring elderly orange cat, and walk a bit more and take two buses home again without untoward incident. I had a late lunch and a small dinner without incident. I even made some banana bread later in the evening. The woogliness persisted in a mild form and finally went away about an hour before I had to take my evening dose.

I had suspected that the nausea wasn't just caused by the new drug, but by my having taken it with all of my blood pressure medication, most of which also wants to be taken with food, without increasing the amount of food that I provided. I don't like eating in the morning. I took the evening dose 45 minutes ago on its own, with a substantial snack, and am not having nearly the same kind of problem. So I'll have to have a larger breakfast; or, since that's generally unpleasant, maybe take the Zantac first with some food, and follow up half an hour or so later with all the BP stuff and some more food. This makes for a more cumbersome morning, but there's no relation between the ranitidine and the BP meds, so I don't have to bolt them all at once. It's supposed to be so very healthy to eat a good breakfast, but this isn't the way I'd have chosen to do that. I also suspect that it's healthy enough for the people who like doing it but am dubious about the rest of us.

Has anybody else had this kind of experience with ranitidine? If so, how did it work out in the end?

It does seem to be controlling the acid reflux all right, but I'm not sure that I care for the trade-off if the morning effects persist.

It was a glorious spring day: forsythia and magnolia are on their way out, but flowering plum and cherry are in; tulips are in colorful bud, or blooming in warm places; there are purple and white violets in the grass. The maples are blooming so hard that they look as if they have come out in leaves. Lilac and spirea and honeysuckle really have come out in leaves. Raphael saw a juvenile yellow-bellied sapsucker in the neighbors' yard. So this medication nonsense needs to settle itself.

Pamela

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