DOI: 10.36347/sjmcr.2014.v02i01.013

Pages: 34-35

A 67 years old female suffering from shortness of breath and swelling of both legs since three days.Upon investigation, the patient diagnosed to have suspected anaemia. Shewas admitted in the female medicine department and treated with a loading dose of 240 mg deriphylline IV, furosemide 40 mg, Pantoprazole 40 mg, B-Complex and Iron folic acid. On day 2, no fresh complaints, elevated blood pressure up to 150/90 mm Hg, Hemoglobin was in normal range and treated with Aten 50 mg, amlodipine 10 mg along with same treatment. Past medication history reveals that she is on medication with diclofenac, amoxicillin and pantoprazole for joint pains and fever. Systematically analyzing the ADR report, the pedal edema suspected to have been cause by diclofenac. The elderly are at higher risk because of interaction of prevalent medical problems, multiple drug therapies, and reduced renal hemodynamics.