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The medicine which I have suggested is a combination of three drugs, all of which are used to lower blood pressure (BP). Regarding Lercanidipine, I do not prefer this for two reasons (a bit technical). Because the LV (left ventricular) ejection fraction of your mother is reduced moderately that is 46 %, and drugs belonging to the group in which Lercanidipine lies, are not used because these drugs have detrimental effects on the function of the left ventricle. These drugs reduce BP but reflexly raise the heart rate. Your mother uses Bisoprolol, which decreases the heart rate to protect the heart. If this Bisoprolol is combined with Lercanidipine, it will cancel the rate-reducing effects of Bisoprolol.
To reduce these side effects, I have prescribed Amlodipine, which reduces BP but has no detrimental effects on the function of the left ventricle. Regarding Furosemide, this drug is used to increase urine formation. I have prescribed the combination pill, which also contains a diuretic, that is HCT (Hydrochlorothiazide). 90 % of patients prefer the single pill, so the doctors prescribe multi-drug combination pills for ease of patients and for compliance. I, therefore, prescribed Amlodipine, Valsartan, and HCT combination.
Urine report shows urinary infection. For this infection, I suggest taking tablet Ciprofloxacin 500 mg twice a day for five days. Another thing evident from this report (attachment removed to protect patient identity) is that diabetes is not well controlled. Please keep a check on blood glucose levels, and keep them within range. Fasting levels less than 130, random levels less than 200, and HbA1c (hemoglobin A1c) levels less than eight. Please ensure compliance with medicine and have laboratory tests done, which I prescribed, check daily BP, keep a record of it, and follow up after 10 days.