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Blood-pressure medications Why they're prescribed: All blood-pressure medications — and there are at least eight categories of them — are used to lower the pressure inside blood vessels, so the heart doesn't have to work as hard to pump blood throughout the body. Top-selling blood-pressure medications include lisinopril ( rinivil, !estril", an A#$ inhibitor% amlodipine (&orvasc", a calcium channel blocker% hydrochlorothia'ide ((#T! and various other brand names", a thia'ide diuretic% furosemide ()asi*", a loop diuretic% and metoprolol ()opressor, Toprol", a beta blocker. How they can cause fatigue: +lood-pressure medications may slow down the pumping action of the heart as well as depress the entire central nervous system, or, in the case of diuretics, deplete vitamins and minerals that your body needs for energy. #heck the safety information that comes with your blood-pressure medications and you may well see ,e*treme tiredness, listed as a side effect. That's an important sign that your fatigue could be druginduced. Alternatives: Talk with your doctor or other health care provider about switching to another type of blood-pressure medication. -or older patients, a ben'othia'epine calcium channel blocker, such as diltia'em (#ardi'em", is often the best choice. An omega-. fish oil supplement may help to lower your blood pressure, too. +ecause omega-. fatty acids are very important in preventing and managing heart disease, adding more fish to your diet and taking a fish oil supplement is almost certainly a good idea. ore good news: /mega-. fatty acids are also thought to be natural fatigue fighters. !. "tatins and fibrates Why they're prescribed: 0tatins and fibrates are used to treat high cholesterol. The top-selling statins are atorvastatin ()ipitor", rosuvastatin (#restor" and simvastatin (!ocor"% the top-selling fibrate is fenofibrate (Tricor". How they can cause fatigue: 0tudies show that statins stop the production of satellite cells in the muscle, stopping muscle growth. 0ome researchers have also suggested that statins interfere with the production of energy at the cellular level in the same way that they interfere with the production of cholesterol. 1uscle weakness and severe muscle aches throughout the body can be symptoms of statin-induced rhabdomyolysis, a rapid breakdown of skeletal muscle that causes muscle fibers to be released into the bloodstream. The fibers are harmful to the kidneys and can result in severe kidney damage and even kidney failure. Alternatives: 2f you're among the many millions of older Americans without known coronary disease who are taking these drugs, ask your doctor or other health care provider about treating your slightly elevated cholesterol with a combination of sublingual (under-the-tongue" vitamin +34 (3,555 mcg daily", folic acid (655 mcg daily" and vitamin +7 (455 mg daily". #. $roton pump inhibitors Why they're prescribed: roton pump inhibitors are used to treat gastroesophageal reflu* disease (8$9:" and other similar disorders. 1ore than 45 million Americans take prescription 2s, including esomepra'ole (&e*ium", lansopra'ole ( revacid", omepra'ole ( rilosec" and pantopra'ole ( rotoni*", some of which are available over the counter.

(2mportant noteC Although 'olpidem (Ambien" is not a ben'odia'epine. eople who take a ben'odia'epine for more than two or three weeks may develop a tolerance to the drug. so it also can cause fatigue. 2f you need to discontinue a 2. you and your doctor may want to consider the use of an (4 blocker such as ranitidine (=< mg every 34 hours" taken as needed. -or all the conditions listed above." How they can cause fatigue: +en'odia'epines can cause sedation and fatigue by dampening activity in key parts of the central nervous system (#&0". lora'epam (Ativan" and tema'epam (9estoril". to 35 mg before bedtime. agitation and muscle spasms. in doses from . sometimes helps to reestablish healthy sleep patterns. which can cause loss of appetite. 1any patients with mild an*iety or insomnia don't need ben'odia'epines at all. +ecause ben'odia'epines have a sedative?hypnotic effect. fatigue and weakness. Alternatives: The -:A has advised doctors and other health care providers to obtain serum magnesium levels before prescribing 2s and then periodically thereafter.nder your doctor's guidance. as serious withdrawal effects can occur. but stopping or reducing the dosage of a ben'odia'epine should always be monitored by a professional. Ben&odia&epines Why they're prescribed: +en'odia'epines. dia'epam (Balium". . there are alternative drugs and nondrug treatments. are used to treat a variety of an*iety disorders. and over time may need to take increasing doses to achieve the same effect. along with melatonin at bedtime. +en'odia'epine withdrawal can also cause fatigue. and to prevent sei'ures. with 35 to 3< days between each taper.How they can cause fatigue: atients who take 2s for as little as three months are at risk of low blood levels of magnesium. commonly known as tran>uili'ers. 2n some people the process takes even longer. until you are completely off the drug. 1elatonin. taken throughout the day. %. you'll gradually drop the dose in 45 mg increments. Antihistamin . Alternatives: Talk with your doctor or other health care provider. 2t's important to remember that it takes older people up to three times longer than younger people to flush these drugs out of their bodies. among other symptoms. you must do it very slowly. #ommonly prescribed ben'odia'epines include alpra'olam (@ana*". only worsening their fatigue. they are sometimes used to treat insomnia and the an*iety component of depression. )ong-term effects also may include muscle weakness. '. it interacts with the same neurotransmitters in the brain and has many of the same pharmacologic characteristics. 2f you still have severe reflu* problems. 0ome of my patients have reported success with the home remedy of apple cider vinegar and honey (one tablespoon of each in a glass of water". clona'epam (Alonopin". The ensuing buildup of the drug in the body puts older people at a much higher risk for e*periencing fatigue and for developing physical or psychological dependence. for instance.

+eberapa antihistamin Duga digunakan untuk mencegah mabuk. sakit kronis. menggoda keluar penyebab seringkali sulit. berhenti merokok dan beberapa gangguan hormon-mediated. Aarena antidepresan Duga dapat memperburuk kelelahan yang disebabkan oleh kondisi lain. risperidone (9isperdal" dan 'iprasidone (8eodon". Bagaimana mere(a dapat menyebab(an (elelahan: Aelelahan adalah efek samping yang umum dari obat antidepresan. muntah dan pusing.off label. terutama Dika Anda lebih tua dan mengambil salah satu antidepresan trisiklik.ditemukan dalam bantuan tidur dengan nama berakhiran . haloperidol ((aldol". termasuk antidepresan trisiklik. paro*etine ( a*il".8angguan dalam sekresi tubuh dari hormon stres kortisol. antara lain. Antidepresan Duga dapat menurunkan kadar kalium (hipokalemia". 1. telah terkait erat dengan geDala kelelahan.karena efek obat penenang yang kuat. dan untuk mengobati kecemasan atau insomnia. Aebanyakan daftar kelelahan dan kantuk antara potensi efek samping. mual. Anda mungkin Duga ingin menDelaDahi obat switching. terutama selama minggu-minggu awal pengobatan. *. olan'apine (!ypre*a". misalnya.engapa mere(a diresep(an: Antihistamin digunakan untuk meringankan atau mencegah geDala gangguan alergi (seperti demam" atau pilek biasa. . inhibitor monoamine o*idase (1A/2s". yang pada gilirannya dapat menyebabkan kelemahan otot. selektif serotonin re-uptake inhibitor (0092". /rang tua umumnya tidak harus menggunakan obat ini karena sistem ginDal mereka tidak dapat efisien Delas itu. mereka Duga sering diresepkan untuk gangguan kecemasan. untuk mengobati agitasi dan depresi. dan venlafa*ine ($ffe*or". gangguan makan. Alternatif: antihistamin generasi baru seperti loratadine (#laritin" dan cetiri'ine (!yrtec" yang lebih baik ditoleransi oleh pasien yang lebih tua dan menimbulkan risiko yang lebih rendah untuk kelelahan. antara lain. gangguan obsesif kompulsif. yang memungkinkan obat untuk membangun di dalam tubuh. fluo*etine ( ro'ac". Aelelahan Duga merupakan efek samping terdaftar fe*ofenadine (Allegra". Ada berbagai Denis antidepresan. gangguan bipolar dan kondisi keDiwaan serius lainnya. Alternatif: +icarakan dengan dokter Anda atau penyedia perawatan kesehatan lainnya tentang menyesuaikan dosis antidepresan Anda (efek samping sering berhubungan dengan dosis" atau apakah nondrug terapi mungkin bekerDa sama dengan baik atau lebih baik bagi Anda daripada obat. Bagaimana mere(a dapat menyebab(an (elelahan: Antihistamin adalah depresan 00 .dan hormon. Antidepresan engapa mere(a diresep(an: 0ementara antidepresan biasanya digunakan untuk mengobati depresi.terutama serotonin dan norepinefrin . . Antipsikotik umumnya diresepkan termasuk aripipra'ole (Abilify". sertraline (!oloft". yang secara dramatis meningkatkan risiko Datuh dan patah tulang. Antipsi(oti( engapa mere(a diresep(an: Antipsikotik digunakan untuk mengobati ski'ofrenia. antihistamin lain yang populer. ara peneliti telah menyarankan bahwa antidepresan dapat menyebabkan kelelahan melalui efeknya pada kimia otak yang disebut neurotransmiter . yang dianggap sebagai obat yang berpotensi tidak patut untuk orang tua. Antipsikotik Duga sering diresepkan . /rang tua umumnya tidak harus menggunakan diphenhydramine (+enadryl" . beberapa daftar pusing dan lemas. ). antagonis dopamin dan lithium. Antidepresan umumnya diresepkan termasuk dulo*etine (#ymbalta". seperti kram menstruasi yang parah.

Armon B. Antibiotics Why they're prescribed: Antibiotics are used to treat health conditions caused by bacteria. e*ercising more and limiting your fluid intake. meningitis and other serious illnesses. listed as a potential side effect. Any a#%ice or in!ormation "ro%i#e# shoul# not be !ollowe# in lieu o! a "ersonal consultation with a traine# me#ical "ro!essional. which was "ublishe# last year by Atria Books. How they can cause fatigue: 9esearchers have long known that some people who take antibiotics e*perience feelings of tiredness and e*treme fatigue. . but it's still not clear e*actly why. and you'll see . They're also used to treat or prevent infections that can complicate surgery or other medical procedures. that antibiotics are grossly overprescribed. including e*treme fatigue. ask your physician if an antibiotic is really needed and if a natural alternative might the trick." +. a'ithromycin (!ithroma*". pneumonia. Neel Jr. Alternatives: 2 believe. fights bacterial infections and helps to prevent the spread of pathogens. muscle weakness and achy Doints. !artan" lists fatigue as a potential side effect. as garlic can interfere with blood thinners. -iuretics Why they're prescribed: :iuretics (sometimes called water pills" are used to treat high blood pressure. food poisoning. as do many doctors and other health care professionals. the package insert for cephale*in (Aefle*. How they can cause fatigue: :iuretics can interfere with the balance of electrolytes — the maDor ones being sodium. $lectrolyte imbalances can cause serious health problems. ani*ine. an# be better health care consumers. :an Dika Anda telah diresepkan antipsikotik untuk membantu Anda tidur atau untuk beberapa penggunaan off-label lain. (1isalnya. for e*ample. pada pasien yang lebih tua. . Alternatives: Talk with your doctor or other health care provider about cutting back on your use of salt. 9ead the safety and prescribing information for sulfametho*a'ole?trimethroprim (+actrim :0". 0imilarly.Bagaimana mere(a dapat menyebab(an (elelahan: The antipsikotik yang kuat 00 depresan. 0tudies show that garlic. 2f you have a minor bacterial infection. Alternatif: +icarakan dengan dokter Anda atau penyedia perawatan kesehatan lainnya tentang kemungkinan mengurangi dosis atau beralih ke obat antipsikotik lain. lesu dan lemah.. ciproflo*acin (#ipro" and levoflo*acin ()eva>uin". Anda akan baik-disarankan untuk mencari tahu lebih lanDut terbukti. PharmD. obat ini meningkatkan risiko gagal Dantung. +iocef. yang dapat menyebabkan mengantuk dan mengantuk Duga. +anyak obat ini Duga menurunkan tingkat dopamine. is inten#e# to hel" in#i%i#uals an# their !amilies become more in!orme# about me#ication usage an# interactions. glaucoma. khususnya.unusual tiredness or weakness. CGP. +ut consultation with a health professional is essential.. hey are coauthors o! Are Eour rescriptions Ailling EouF. Ask the Pharmacist is written by Armon B. pengobatan lebih aman untuk geDala Anda. #ommonly prescribed antibiotics include amo*icillin (various brand names". for e*ample. $n!ormation containe# in the Ask the Pharmacist column by Dr. including ear and skin infections. potassium and chloride — in your body. edema and other conditions. bones and muscles (along with many other symptoms not related to fatigue". :alam studi. Neel Jr. urinary tract infections. efek samping termasuk kelelahan. Aeftabs. nonsteroidal anti-inflammatory drugs (&0A2:s" and other medications. in collaboration with journalist Bill Hogan.

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