Five years ago, I went to see a different cardiologist, who gave me an ECG and a stress test. He stopped the digoxin and put me on a prescription of flecainide acetate (Tambocor) – 50 mg in the morning and 100 mg at night – together with 3.5 mg/day of warfarin (a blood-thinner).

All my troubles seem to have started from then. My skin is very dry and inclined to break out in rashes. I had a dreadful fungal rash on my feet, which took a long time to clear up. My skin and nerves are very sensitive to heat or cold, and even touch.

I am also getting white rings around my irises; my hair is not in good condition, and my scalp is itchy.

All my joints and muscles are so painful that I find it difficult to walk even short distances. My weight has increased by four stones and it seems almost impossible to keep it under control, let alone lose any.

I am desperately tired all the time and keep having short naps during the day, yet I am not sleeping well at night.

All in all, I feel the quality of my life is not good. The phlebotomist whom I see regularly for blood checks will not admit that any of my problems are due to the drugs I’m taking, and tends to write me off as neurotic.

My doctor has also sent me to a rheumatologist for blood tests, X-rays and a bone-density scan, but nothing much has shown up. I just feel that nobody is listening to me. – DW, Ruislip, Middlesex

This is a drug that should be prescribed with great care. Its serious side-effects include seizures, bronchospasms, new or worsening ventricular arrhythmias, and an increased risk of death among patients with cardiac arrhythmias that were not previously life-threatening.

But it also comes with a range of lesser side-effects, some of which you have. For example, its common side-effects include both fatigue and insomnia, which explains your disturbed sleeping patterns, and skin rash and other disorders affecting the skin, which could be the cause of your distressing fungal rash, and swollen feet, ankles and legs.

The website http://www.wholehealthmd.com contains the warning that swollen feet, or shaking and trembling in the lower extremities, are serious enough side-effects for you to call your doctor immediately.

Although it seems clear that Tambocor is the cause of most of your debilitating symptoms (other than the sudden weight gain), you should not stop treatment without first consulting your doctor. Nevertheless, your story is yet another example of where doctors either don’t read the drug reference books, or ignore the warnings in them if they do.

There’s a whole range of treatments available from the pharmacy, and it’s very important to be specific about the type of infection you have.

If it is a wet, soggy type, then the preparation will be quite different from that used to treat the dry kind. Similarly, if the infection is cracked, you need to be more careful about the type of application you use.

For wet, soggy infection, preparations that include aluminum acetate can help, as can those that contain aluminum chloride, although note that this latter chemical can cause irritation, and is toxic by mouth and when inhaled.

Skin irritation and hypersensitivity reactions can occur with any of the preparations; diabetics in particular should avoid any treatments that include salicyclic and benzoic acid as these can trigger circulatory problems.

One simple solution, suggested by several readers, was Vicks VapoRub, while another mentioned Citricidal by Higher Nature. It’s made from grapefruit seed, and one drop on the nail twice a day for several weeks should do the trick.

It could be a symptom of Candida, so it’s worth getting it checked out. Calendula ointment was another suggestion, while another thinks it should grow out by itself provided you keep socks and shoes treated with fungal powder.

One reader treated his fungal infection successfully with glyconutrients, although it took five months before it had any effect. Tea tree oil was mentioned by several readers, or you could also try lemon essential oil, or castor oil, which should be applied topically. Cider vinegar may also help. Best of all, go on holiday to somewhere warm and put your feet in the salty ocean water.

Other nail fungus treatment options include using products like zetaclear, there are a good number of reviews posted for the product.

The virus is carried in body fluids such as semen, vaginal secretions, breast milk and blood (including menstrual blood). More than half of the women in the U.S. who get AIDS do so through heterosexual sex. In fact, women in the U.S. are 10 times more likely to get AIDS from men than vice versa. This may be because semen contains more of the virus than does vaginal fluid. Semen can also remain in the vagina for days which raises the risk for contracting the virus. Certain activities are likely to promote contracting the AIDS virus.
High-risk activities include:

• Unprotected* anal, oral and/or vaginal sex except in a monogamous relationship in which neither partner is infected with HIV. Particularly high risk situations are having sex:
  
  
  
  • When drunk or high.
    
  • With multiple or casual sex partners.
    
  • With a partner who has had multiple or casual sex partners.
    
  • With a partner who has used drugs by injection or is bisexual.
    
  • When you or your partner has signs and symptoms of a genital tract infection.
    
  • Sharing needles and/or “the works” when injecting any kind of drugs.
    
  • Pregnancy and delivery if the mother is infected with HIV. This can put the child at risk.
    
  • Having had blood transfusions, especially before 1985, unless tested negative for HIV.
    
  
  

* Unprotected means without using latex condoms alone or with other latex or polyurethane barriers. When used correctly, every time and for every sex act these provide protection from HIV. Though not 100% effective, they will reduce the risk. Male condoms with a spermicidal gel is preferred. The Reality female condom also offers protection, especially when used with a male condom.

There is some concern about the risk of getting AIDS from an infected doctor, dentist or patient. There are almost no cases of health professionals passing HIV to a patient. Patient to health professional transmission has been more noted. Measures are being proposed and required by medical and dental associations to decrease these possible risks, even though they are extremely low.

Blood screening tests are also done on donated blood which makes it highly unlikely that you’d get AIDS from current blood transfusions. You cannot get AIDS from:

• Donating blood.
  
• Casual contact such as touching, holding hands or hugging.
  
• A cough, sneeze, tears or sweat.
  
• An animal or insect bite.
  
• A toilet seat.
  
• Using a hot tub or swimming.
  

Screening tests for AIDS are available through doctors’ offices, clinics and health departments. A small sample of your blood is tested for antibodies to the HIV virus. If these antibodies are present, you test positive for and are considered infected with HIV. It could take as long as six months from exposure to the virus for these antibodies to show up. The most common reason for a false negative test is when a person gets tested before HIV antibodies have formed. If you test positive for HIV, a second type of blood test is done to confirm it. HIV/AIDS symptoms may not show up for as long as eight to eleven years after a person is infected with the virus.

Symptoms of HIV/AIDS in women can differ from those in men. These may include:

• Chronic vaginal yeast infections. (See page 66).
  
• Abnormal pap smear.
  
• Cervical cancer. (See page 13).
  
• Pelvic inflammatory disease (PID). (See page 50).
  

Some sexually transmitted diseases such as the human papilloma virus (HPV) and certain genital warts. [Note: The above conditions can be present without HIV. The only way to confirm the presence of HIV is to be tested.]

Symptoms that may come before full-blown AIDS:

• Fatigue.
  
• Loss of appetite.
  
• Chronic diarrhea.
  
• Weight loss.
  
• Persistent dry cough.
  
• Fever.
  
• Night sweats.
  
• Swollen lymph nodes.
  

Persons with full blown AIDS fall prey to many diseases such as skin infections, fungal infections, tuberculosis, pneumonia and cancer. These “opportunistic” infections are what lead to death in an AIDS victim, not the AIDS virus itself. When the virus invades the brain cells, it leads to forgetfulness, impaired speech, trembling and seizures.

Treatment

At present, there is no cure for AIDS. A person infected with AIDS has it for life.
Current treatment for AIDS include:

• The drugs AZT, DDI and DDC. These are approved for use in the United States to treat AIDS. They slow the virus, but do not destroy it. They may delay the onset and slow the progress of AIDS, but may have only short term effects.
  
• Taking measures to reduce the risk of getting infections and diseases. Get adequate rest, proper nutrition and take vitamin supplements as suggested by your doctor.
  
• Emotional Support.
  
• Treating the “opportunistic” infections that occur, for example:
  
• Antibiotics such as Bactrim or Septra for pneumonia.
  
• Chemotherapy drugs for cancer, such as lymphoma or Kaposi’s Sarcoma, a rare form of skin cancer which is identified by purplish sores on the skin.
  
• Radiation therapy and surgery have been used in the treatment of some patients.
  

AIDS is under intensive study and research. Better forms of treatment and a vaccine are being researched worldwide. A single vaccine to protect against AIDS is not very likely, though, because the HIV virus quickly creates new strains of the virus.

Have you tested positive for HIV?
Do you have: A sexually transmitted disease (STD)? A persistent yeast infections in the mouth (thrush) or vagina?
Have you been told that a present or past sexual partner with whom you have had sexual relations without using condoms has AIDS or the AIDS virus?
Do you engage in high risk activities for getting infected with HIV? either; Sex without latex condoms or with multiple partners or with a partner who is a drug user and/or has had multiple partners, and/or when drinking alcohol except in a monogamous relationship in which neither you or your sex partner are HIV positive? or; Sharing needles and/or “the works” when injecting any kind of drug?

Someday, a cure for AIDS may exist. For now, prevention is the only protection. Take these steps to avoid contracting the AIDS virus:

• Unless you are in a monogamous relationship in which you and your partner are HIV free, use latex condoms and/or Reality female condoms during sexual intercourse, treated with or along with a spermicide containing Nonoxynol-9. Studies suggest this spermicide may inactivate the AIDS virus. (You may need to avoid spermicide if it causes irritation).
  
• Don’t have sex with people who are at high risk for contracting AIDS. These have been noted to be:
  
  
  
  • Homosexual or bisexual men especially with multiple sex partners.
    
  • Persons who use illegal intravenous drugs.
    
  • Heterosexual partners of persons infected or exposed to HIV.
    
  • Persons who have had multiple blood transfusions, especially before 1985, unless tested negative for HIV.
    
  • Persons who have sex with more than one partner.
    
  
  
• Ask specific questions about your partner’s sexual past, i.e., have they had many partners or unprotected (no condom) sex? Do not be afraid to ask if they have been tested for HIV and if the results were positive or negative. Be aware, though, that the response may not be an honest one. You need to protect yourself! Take charge. Get tested for HIV. Ask your partner to get tested, too. Use prevention measures or avoid sex until you get tested for HIV if you have been exposed to it.
  
• Don’t have sex with anyone who you know or suspect has had multiple partners. If you’ve had sex with someone you suspect is HIV positive, see your doctor.
  
• Don’t share needles and/or “the works” with anyone. This includes not only illegal drugs such as heroin, but steroids, insulin, etc.
  
• Don’t share personal items that have blood on them such as razors.
  
• Plan ahead for safe sex.
  
• Decide what you’ll say and be willing to do ahead of time with a potential sex partner.
  
• Keep a supply of condoms handy, i.e., in your purse, by the bed, in your pocket, etc. Know the correct way to use them.
• Putting the condom on your partner can be a part of foreplay.
  
• Don’t have sex while under the influence of drugs or alcohol.
  
• Avoid sex if either partner has signs and symptoms of a genital tract infection.