Male 66 y/o with history of COPD and angina presents with burning feet
syndrome of 18 months duration. Occasional remission but for only short
periods < 2hours. Worse at night. Non smoker. Significant history - when he
was 35 y/o working with Glaxo manufacturing penicillin, he received
compensation for lung damage from over-exposure to sulphuric acid fumes.
Current medication regime:
Terbutaline Sulphate Nebuliser; Ipratropium Bromide Nebuliser; Risedronate
Sodium Tabs; Atorvastatin; Prednisolone; Candesartan Cilexetil; Nitrazepam;
Nortriptyline; Salmeterol Xinafoate Dry Powder Inhaler; Furosemide; Co-
codamol; Uniphyllin Continus; Salbutamol Inhaler; Amlodipine
Besilate;Isosorbide Mononitrate.
The only way this gentleman is able to sleep is by building a dose of
nortriptyline and nitrazepam up during the evening. Even then, because of
his feet, he is only able to sleep for 2-3 hours at a time. Any suggestions?
Mark Russell
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