The following Case study will be used for the question below:
HG is a 71-year-old female with a history of Sjögren’s syndrome. She presents with complaints of dry eyes and dry mouth.
At the time the patient was on aspirin 150 mg daily, dipyridamole 25 mg tds, glimepiride 1 mg daily and atenolol 100 mg daily. Recently hypothyroidism was diagnosed and she was started on thyroxine 50 g daily. During a recent follow up, her diabetologist added metformin 500 mg daily because her blood glucose level was 13.8 mmol/l. She was also started on simvastatin 10 mg nocte.
Her ESR is 109 mm/h and she has a positive rheumatoid factor. Methylcellulose eye drops to be used as required are recommended to HG.
How should HG take her medications based on the recent changes?
- Take thyroxine in the morning.
- Take metformin with food.
- Take dipyridamole before food.
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