Q. Should I compulsorily take Atorvas, Starpress and Nitrofix for angina?

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by iCliniq medical review team.
Published on Dec 11, 2018

Hello doctor,

I am 65 years old, 173 cm height, 84 kg suffering CAD, HTN and DM type 2. Having three stents and still PLV 90 % blockage. On tablet Atorvas 20, Starpress XL 50, Nitrofix SR 30, Telma 40, Dianorm-M and injection Lantus 24 u. But due to angina or short breathing, tablet Flavedon MR also started for three weeks. Now I am feeling well. Whether all three tablets are necessary for angina? Please guide.

Dr. Sagar Ramesh Makode

Cardiology General Medicine Internal Medicine


Welcome to icliniq.com.

Yes, you will need all tablets, as they have an additive effect. Other two antianginal like Starpress (Metoprolol), has many beneficial effects other than this, and decrease mortality. So it needs to be continued. Also, Nitrofix (Isosorbide mononitrate) is also important and needs to be continued, otherwise angina will recur. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly and BP should not be persistently more than 140/90 mmHg. Regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol, if any.

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