Managing Anemia and Cholesterol: Do I Need to Take My Medications?

Q: Managing Anemia and Cholesterol: Do I Need to Take My Medications?

Hello Tina： Your cholesterol and uric acid levels are slightly elevated. <br>You can manage this through dietary control and may not necessarily need medication.

Please help me with my medication concerns! Thank you?

Hello Doctor: I am a housewife and I rarely exercise! I often feel dizzy.
Last July and August, I went to a public hospital for an examination, and the doctor prescribed me an iron supplement for anemia, which is Cyanocobalamin/Liver Desiccated 20mg/3.6mg, and I took it for a while! I also have blood tests every three months, and it was found that I have high cholesterol and triglycerides.
The blood test report from January 15, 2008, showed the following results: Total Cholesterol 203 mg/dL, Triglycerides 158 mg/dL, Uric Acid 8.6 mg/dL (the previous test was 6.0 mg/dL).
This test was done twice, while other tests have been done three times.
The results were: Creatinine (Blood) 0.78 mg/dL, GOT 18 IU/L, GPT 23 IU/L.
Therefore, the doctor prescribed me the following medications: 1.
Cyanocobalamin/Liver Desiccated for anemia, one tablet daily; 2.
Fenofibrate for lowering lipids, one tablet daily before meals; 3.
Chiphone (Benzbromarone) for lowering uric acid, 100 mg.
Among these three medications, I only took the one for anemia because I am concerned about harming my liver and kidneys, so I did not take the others! I would like to ask the doctor if I need to take these medications? Thank you very much for taking the time to answer my questions! Also, should I take the uric acid-lowering medication, or should I wait until the next check-up to decide?

Tina, 40~49 year old female. Ask Date: 2008/02/19

Dr. Chen Qingbin reply Internal Medicine

Hello Tina: Your cholesterol and uric acid levels are slightly elevated.
You can manage this through dietary control and may not necessarily need medication.

Reply Date: 2008/02/19

More Info

Managing anemia and cholesterol levels is crucial for overall health, especially when you have been diagnosed with conditions that require medication. Based on your situation, it is essential to understand the role of each medication prescribed to you and the potential consequences of not taking them.

1. Cyanocobalamin/Liver Desiccated: This medication is primarily used to treat anemia, particularly when it is caused by a deficiency in vitamin B12 or iron. Cyanocobalamin is a synthetic form of vitamin B12, which is vital for red blood cell production and neurological function. Liver desiccated provides additional nutrients that may help in improving your overall health. Given that you have experienced symptoms like dizziness, which can be associated with anemia, it is important to continue taking this medication as prescribed. Stopping it could lead to worsening anemia, which may exacerbate your symptoms.

2. Fenofibrate: This medication is used to lower cholesterol and triglyceride levels in the blood. Elevated cholesterol can lead to cardiovascular diseases, including heart attacks and strokes. Your recent blood test indicated that your total cholesterol and triglycerides are above the recommended levels. While it is understandable to be concerned about potential side effects on your liver and kidneys, Fenofibrate is generally well-tolerated. It is important to monitor your liver function through regular blood tests while on this medication. If you have concerns about liver health, discuss them with your doctor, who can provide guidance on the safety of continuing this medication.

3. Chiphone (Benzbromarone): This medication is used to lower uric acid levels, which can help prevent gout attacks. If your uric acid levels are elevated, as indicated by your blood tests, it may be beneficial to take this medication to prevent future complications. However, if you are unsure about starting this medication, it is reasonable to wait until your next check-up to discuss it with your doctor. They can provide personalized advice based on your current health status and lab results.

In summary, it is crucial to adhere to your prescribed medications for anemia and cholesterol management. Not taking them could lead to worsening health issues, including increased symptoms of anemia and higher risks associated with elevated cholesterol levels. If you have concerns about side effects or the impact on your liver and kidneys, it is best to discuss these with your healthcare provider. They can help you weigh the benefits and risks of each medication and may adjust your treatment plan as necessary.

Additionally, lifestyle changes such as a balanced diet, regular exercise, and weight management can significantly impact your cholesterol levels and overall health. Incorporating more fruits, vegetables, whole grains, and lean proteins while reducing saturated fats and sugars can help improve your lipid profile. Regular physical activity can also aid in managing both cholesterol and uric acid levels.

Lastly, always communicate openly with your healthcare provider about any side effects you experience or concerns you have regarding your medications. They are there to help you navigate your health journey and ensure you receive the best possible care.

Similar Q&A

Do I Need Medication for High Cholesterol Levels? A Cardiovascular Perspective

My total cholesterol is 235, with high-density lipoprotein (HDL) at 95 and low-density lipoprotein (LDL) at 122. Do I need to take medication to manage this? Thank you.

Dr. Wu Xueming reply Cardiology
If you do not have other risk factors for heart disease, such as hypertension or diabetes, you can first manage your cholesterol levels through diet and exercise for three months before re-evaluating your cholesterol levels. If they still cannot be brought down to the normal rang...

Managing Headaches: Understanding Anemia and Cholesterol Issues

The health check report shows an anemia index of over 11, elevated triglycerides, and high-density lipoprotein (HDL) cholesterol levels. Is it safe to take -Toren?

Dr. Wu Xueming reply Cardiology
The treatment for high blood lipids should be determined based on the patient's values and the risk of cardiovascular disease. Please consult with a physician in the outpatient clinic for further discussion.

Managing Diabetes and Cholesterol: Key Questions and Insights

Hello Dr. Hsiao, Six months ago during my health check-up, my fasting blood glucose was 123 mg/dL and my hemoglobin A1c was 8.3%. The doctor advised me to take medication for control and to focus on weight loss. After four months of effort, I have lost 25 kg (currently experien...

Dr. Xiao Yongxun reply Internal Medicine
Dear Mr. Justin: 1. If weight loss is achieved gradually, and normal weight is maintained with good dietary control and regular exercise, it is possible to discontinue medication. However, this is contingent upon lifestyle changes and maintenance. Rapid weight loss can lead to r...

Managing Iron Deficiency Anemia: Key Questions for Your Follow-Up

Dear Doctor, I was diagnosed with iron deficiency anemia in April and have been taking a long-term prescription (Ferrous Sulfate 150mg, twice a day) for three months. I was originally scheduled for a blood test next week and a follow-up appointment the week after, but considering...

Dr. Chen Yunfang reply Oncology
Hello: 1. No. 2. Yes. Generally, as long as the hemoglobin levels return to normal, the medication will be discontinued; it is not taken for a lifetime.