I’ve been tinkering with my meds, since I doubt my GP will play ball, not if he can save a few coppers a pack on my beta-blocker.
First, though, a long-standing problem. Some brands of generic Omeprazole (Losec) contain surfactants and emollients. These are fine in lotions and ointments (and detergents in the case of surfactants), but have no place in ingested meds, because they cause violent diarrhoea, as I know to my cost.
I’ve reported this to the Medicines and Healthcare products Regulatory Agency, who couldn’t give a bugger, ditto my GP. The MHRA’s attitude was that as long as the correct drug is present in the specified quantity, they don’t much care what else is in there (I covered this in detail a couple of years ago), and, frankly, that’s an attitude that could get people killed. My GP doesn’t give a shit because they’re cheap.
Anyway, it finally occurred to me that taking a drug which can potentially cause diarrhoea at the same time as one that causes constipation (2 x 30/500 Co-codamol), they might cancel out each other’s problems and, indeed, that seems to be the case. Or, at least, it did before everything gastro-intestinal went to hell in a handbasket at Christmas – how much of that is diet linked I don’t know for sure any longer, as it’s become clear that the higher dose of Nebivolol, see below, is largely responsible for the vomiting and diarrhoea over the past month. I’m also thinking it’s triggered my IBS.
The problem is the shape of the 5mg tablets. If they were disc-shaped, like aspirin, they’d cut cleanly, but they’re lenticular (think Smarties), and, as a result, they’re prone to shattering when cut, so there is quite a bit of wastage. So I need to hassle him for 2.5mg tablets that I can easily quarter, but at least I have a fallback position if he won’t co-operate.
I’ve figured out that with the application of sufficient violence, they will usually cut cleanly, even into eighths, though there is still some wastage, which probably offsets any savings from this half-arsed idea.
I can offer my GP a deal, if he’s obdurate. I have an inhaler, Atrovent, which, because I’m so inactive, I really don’t need now, so I’ll offer to give up that in exchange for 2.5mg Nebivolol. There should be no problem as the saving is much greater.
If he won’t play ball, though, it’s time for a complaint to the FPC** – I’m getting sick of this useless arsewipe, and I’m not having my health, maybe even my life, put at risk so he can save a few coppers.
**Assuming it still exists.