Pancreatitis from meds
- From: plutu <plutu@xxxxxxxxxxxxxxx>
- Date: Wed, 07 Mar 2007 13:36:36 +0100
Good day,
my granny (98 yo) suffers from pancreatitis episodes, she already went to hospital 3 times and she always risked to die.
The pancreatitises are supposed to be from gallstones origin, however these are inoperable because of her age etc. But she always had them, while the pancreatitis episodes are relatively recent.
I noticed that two meds she has taken recently (and continues to take) can cause sporadic pancreatitis episodes under cronic assumption: enalapril maleate and furosemide. There is quite a lot of literature on Pubmed on this, and for both meds. I understand that the gallstones probably do a good part of the job, but inflamations IMHO are additive.
I noticed that among ace-inhibitors almost all are reported to have caused some episodes of pancreatitis in literature except Fosinopril (and Imidapril but that is not sold in my country).
What do you think about an enalapril to fosinopril replacement? I am not a doctor.
If you think it's reasonable I would like to try to convince our doctor to prescribe fosinopril (that won't be easy knowing our doctor so at least I would like to know your opinion before).
The other one is furosemide. This I believe is even more difficult to replace: almost all the other diuretics are reported to cause sporadic pancreatitis episodes. The only class which does not have this problem I think is anti-aldosterone. I know nothing of anti-aldosterones... can they replace furosemide in an old woman with some hearth problems (chronic atrial fibrillation, some degree of cardiac insufficiency).
Thanks in advance
.
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