How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Phil, MD Your Own Question

Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 54156
Experience:  GP in the United States
55099014
Type Your Medical Question Here...
Dr. Phil, MD is online now

Hi Have an elderly mother with heart failure and on various

Resolved Question:

Hi
Have an elderly mother with heart failure and on various medications including diuretics , warfarin, carvedilol and micardis. Last few weeks has been taking Allopurinol.She seems not as well, not sick but no energy or interest much and tires very quickly more than usual.

Can there be an interaction with this latest drug and the others ?

cheers

Dennis
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 3 years ago.

Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

please enter chat mode

Customer:

hello DR Phil

Dr. Phil, MD :

Hi Dennis.

Dr. Phil, MD :

I checked for interactions

Dr. Phil, MD :

allopurinol and warfarin does interact

Dr. Phil, MD :

But what I can tell you is that might not be the problem

Dr. Phil, MD :

allopurinol can cause kidney failure

Customer:

yes i understand that

Dr. Phil, MD :

Also, mental status changes and weakness are often a result of a UTI

Dr. Phil, MD :

I suspect a urinary tract infection

Dr. Phil, MD :

If I had to bet, that is where I would put my money

Customer:

ok

Customer:

she has been urinating morel than normal even for her with those water pills

Customer:

and

Dr. Phil, MD :

there you go

Dr. Phil, MD :

That is a sign of a UTI

Customer:

i am her carer

Dr. Phil, MD :

okay. I think she needs to be seen today and urine and blood work done

Customer:

i noticed a stainor discahrge in her pants asa weel, could that be the answe

Dr. Phil, MD :

yes

Dr. Phil, MD :

absolutely

Customer:

alright off to the doctor then

Customer:

antibiotics ?

Dr. Phil, MD :

yes most likely

Dr. Phil, MD :

that will fix it

Customer:

can that also affect her blood pressure she has very low to start with

Customer:

taking all that fluid out

Dr. Phil, MD :

oh yes it can

Dr. Phil, MD :

serious infections can cause low blood pressure

Dr. Phil, MD :

her kidneys might be affected

Customer:

ok

Customer:

thank you

Dr. Phil, MD :

you're welcome :)

Dr. Phil, MD :

any more questions?

Customer:

no thank you

Dr. Phil, MD :

did I do excellent work for you?

Customer:

would we be better at the hospital or just to the surgery

Customer:

?

Dr. Phil, MD :

hospital

Customer:

ok thanks again

Dr. Phil, MD :

you're welcome

Dr. Phil, MD :

please don't forget an excellent rating. I appreciate it

Dr. Phil, MD :

just click the excellent face to close the chat

Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 54156
Experience: GP in the United States
Dr. Phil, MD and 3 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions