Lipitor – Page 2 – Peter Tan – The Digital Awakening

Lipitor 40mg

My good friend Cynthia presented me with a supply of Lipitor that is going to last me a long long time, sixteen months to be exact. She even gave me a tablet cutter to split the 40mg tablets into quarters since I am only taking 10mg daily.

Lipitor 40mg and a tablet cutter from Cynthia. Thanks!
Photo taken with the Samsung Galaxy S II.

Lipitor comes in dosages of 10mg, 20mg, 40mg and 80mg. The price difference between each succeeding dosage is minimal. This medicine has to be taken long-term. Buying a higher dosage and splitting it into the smaller recommended dosage makes economic sense.

Some medicine, like the Detrusitol capsules that I am taking cannot be split. Likewise other tablets that have a coating that releases the medicine slowly. However, Cynthia the pharmacist assured me that Lipitor tablets can be safely split without it losing its efficacy.

The difference in shape and size between Lipitor 40mg and 20mg manufactured in different regions

The difference in shape and size between Lipitor 40mg and 20mg.
Photo taken with the Samsung Galaxy S II.

There is a difference between the 40mg tablets that Cynthia gave me and the 20mg tablets that I recently bought from the University of Malaya Medical Centre (UMMC) Community Pharmacy. The former are round which makes splitting them into quarters easier. The latter are elongated and I had to get only the 20mg tablets to be able to split them evenly. Both tablets are manufactured for different regions.

Thank you Cynthia! My cardiovascular system thank you too!

Blood Test Results For February 2012

The results for the blood tests done on February 20 showed marked improvement in my cholesterol levels. At the same time, I do not seem to be suffering any side effect of Lipitor as evident from the renal and liver profiles. This is good news indeed. I am to continue with the 10mg daily dosage. The doctors scheduled another blood test in June just to be sure.

Since I started on the cholesterol-reducing medicine, I have cut down dramatically on pork in my diet and replaced that with fish, either salmon or threadfin. Additionally, it is supplemented with folic acid, Vitamin B complex, cordyceps, Omega-3 fish oil and CoenzymeQ10.

It may appear like I am taking too many pills and turning into a supplement junkie. Anything to keep my frail kidneys at it current functional levels. Besides, these supplements do not seem to be doing any damage to my health apart from making a big dent in my bank account.

Renal profile for February 20, 2012

Sodium 140 (139) mmol/L
Potassium 4.8 (4.8) mmol/L
Chloride 106 (105) mmol/L
Total CO2 25.6 (26.0) mmol/L
Anion Gap 13 (13) mmol/L
Urea 7.5 (7.8) mmol/L
Creatinine 273 (272) umol/L

Liver profile for February 20, 2012

Total Protein 78 (76) g/L
Albumin 39 (38) g/L
Globulin 39 (37) g/L
Total Bilirubin 7 (8) umol/L
Conjugated Bilirubin 2 (2) umol/L
Alk Phosphatase 78 (86) IU/L
ALT (GPT) 18 (17) IU/L
AST (GOT) 10 (15) IU/L
Gamma GT 13 (12) IU/L

Lipid profile for February 20, 2012

Triglyceride 1.0 (1.4) mmol/L
Total cholesterol 3.1 (4.7) mmol/L
HDL 1.01 (0.97) mmol/L
LDL 1.64 (3.09) mmol/L

Festive Guilt

Braised pig trotter with fatt choy, New She Lai Ton Restaurant, Ipoh.
Photo taken with the Samsung Galaxy S II.

With the festive celebrations over and done with, I can finally breathe a sigh of relief. It has been an especially difficult time for me. I had a hard time resisting all the good food that came with the ocassion. In fact, I worry that I may have over-indulged.

I need to seriously go back to the basics of my dietary requirements of low-everything; low-protein, low-sodium, low-purine, low-phosphorous, and now, low-cholesterol. Anything to preserve whatever renal function left in my kidneys.

Another blood test is due in two weeks. The doctors ordered it to check if Lipitor has any adverse effect on my liver and especially my kidneys. The most serious being rhabdomyolysis. This is the breakdown of muscle tissues that leads to the release of a huge amount of myoglobin into the blood stream and causes kidney failure.

The only side effect that I experienced so far was the first few days after I began taking the medicine. My philtrum and upper lips twitched incessantly. The twitchings stopped a week or so later. The blood tests shall reveal whether I suffered other subclinical effects.