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Is it fine to have the same medicine for years together?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At February 6, 2016
Reviewed AtAugust 11, 2023

Patient's Query

Hi doctor,

I am a 66 years old male. My weight is 154.32 Ibs and my height is 5'4". I had lost around 5 kg over a year. I am allergic to dust and will get sneeze and nose blockages following exposure. I am suffering from diabetes, BP, cholesterol, chronic fissure, constipation, and occasional gastric problem. My diet is as follows. Morning: Green tea, oats. Breakfast: Idli/dosa/roti and a cup of tea with milk and without sugar. Lunch: Fruits like citrus fruits, watermelon, apple, and orange. Rice, curry, and vegetables. Evening: Snacks like biscuits, fried foods like vada (Indian snacks), etc., and tea with milk and without sugar. Dinner: Rice, curry, and vegetables. I am under the following medicines. Gluconorm SR 1-0-0 daily and taking this for more than a year. Corvadil 2.5 mg 0-0-1 daily. I am on this tablet for around 6 years. Fenotorva 10 0-0-1, occasionally. My doubts are, as the blood sugar levels are normal, can I stop taking Gluconorm SR? Or can I switch to any Ayurveda medicine to control it? Are these conditions linked to my weight loss? Is it fine to have the same medicines for years together? Thanks in advance.

Hi,

Welcome to icliniq.com.

I have thoroughly gone through your case and can well understand your genuine health concerns.

The Probable causes

1. Do not stop or think of stopping diabetes medicine as this will lead to dangerous effects on your blood sugar levels. No other medication needed. 2. Ayurveda medicines will not work for you and discontinuing medicine will affect your blood sugar control. 3. Diabetes and blood pressure may cause weight loss. 4. Yes, the tablets are to be taken lifelong. No issues with long-term usage. 5. Please send your investigation reports and fasting lipid profile at the earliest.

Regarding follow up

Revert back with the investigation report to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician

Patient's Query

Hi doctor,

Thank you for the answer.

I had ECG four months back and the interpretation is as follows: Probably MI inferior, minor left axis deviation, R/S inversion is between V1-V2. Probably abnormal ECG. While taking ECG if the patient had taken tension, will it affect the findings? One chest x-ray was taken a year ago and reported as blunting of the left costophrenic angle. What is pleural thickening and minimal effusion? Another x-ray was done before four months which was reported as patchy areas of consolidation in the left lower zone. I have attached the blood reports, ECG and x-rays. I would like to know the outcome of the reports. What further action should I take? Are any further tests required? Can I have sweets as my blood sugar is in control? What medication should I take for the condition mentioned in the x-ray?

Hi,

Welcome back to icliniq.com.

I have thoroughly gone through your case and reports (attachments removed to protect patient identity). I can well understand your genuine health concerns. 

The Probable causes

No, if a person takes tension during EKG (electrocardiogram) then no change that may mimic as abnormal finding, for example MI (myocardial infarction) or heart attack findings. Your EKG shows a probable mild MI on the inferior wall of the heart. But, clinical correlation is needed too. For that you need to consult a cardiologist in-person. Outcome of this EKG needs direct diagnostic evaluation of your heart starting with exercise tolerance test plus angiography if indicated. On chest x-ray there are signs of infection. Pleura is lung covering and that gets thickened in inflammation of this covering that may be a sign of infection. We need a CT scan and clinical correlation needed through physical checkup by a physician in-person to decide how to proceed further. If you keep your body weight in limits to keep the body mass index between 18-25 then your heart will be at low risk for heart disease and your cholesterol will be in range too. In blood reports there is no significant finding to worry about. No, you are not allowed to take added sugars and salts. It is injurious for your health. No matter your sugar levels are normal in range or not.

Regarding follow up

For further information consult a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif
Dr. Muhammad Majid Hanif

Cardiology

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