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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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CHF, Pacer Defib. Implanted-stents, Overweight, Stage 3 Kidney Failure, Hep C & Acid Reflux. Taking Amaryl. Suggest

Dr. My Dr. recently changed my Glucotrol 10 mg for Amaryl 4mg 2X/daily. I have CHF,Have a pacer defib. implanted-stents,am overweight,have stage 3 Kidney Failure, 58 yrs. old, have been hypoglycemic in my 20's-rheumatoid arthritis, osteoarthritis,& Gout. Female. Also have Hep C & acid reflux. I don't think this drug is for me & am afraid to take it. Any suggestions?
posted on Sat, 18 May 2013
Twitter Sat, 18 May 2013 Answered on
Twitter Mon, 20 May 2013 Last reviewed on
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Internal Medicine Specialist,  's  Response
hello

As you have said that you are a patient of
Chf
defib implanted/stents
diabetes
kidney failure stage three
gout
ostheoarhtritis
rhumatoid
hep c

amryl is glimipride and does causes recurrent hypoglycemia in kidney failure patients

i would suggest following

either decrease the dose of amryl to 2mg daily, as you are taking high dose that is 8 mg, and main excretion of amryl is through kidneys and you have kidney failure

amryl becomes almost 24 mg in your case inside your body causing hypoglycemia

OR the best drug in your case will be insulin as insulin as so many benefits over any anti diabetic drug

take care
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CHF, Pacer Defib. Implanted-stents, Overweight, Stage 3 Kidney Failure, Hep C & Acid Reflux. Taking Amaryl. Suggest

hello As you have said that you are a patient of Chf defib implanted/stents diabetes kidney failure stage three gout ostheoarhtritis rhumatoid hep c amryl is glimipride and does causes recurrent hypoglycemia in kidney failure patients i would suggest following either decrease the dose of amryl to 2mg daily, as you are taking high dose that is 8 mg, and main excretion of amryl is through kidneys and you have kidney failure amryl becomes almost 24 mg in your case inside your body causing hypoglycemia OR the best drug in your case will be insulin as insulin as so many benefits over any anti diabetic drug take care