Recently Answered Questions
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How to overcome the side effects on increasing the dose of Amlodipine?
Query: Hello doctor, I am currently taking Amlopin-M at night and Omnitan-H in the morning. My blood pressure taken at home is consistently in the range 140-150/85-90. Last time my doctor increased the medicine dose suddenly and it did not suit me and caused palpitations, dizziness, and weakness. Please s... Read Full »
Answer: Hi, Welcome to icliniq.com. Blood pressure (BP) is controlled with lifestyle modifications and dietary modifications. Following are the measures to control BP: 1. Avoid smoking and other addictions. 2. Reduce salt intake in the diet. 3. Reduce fatty foods, junk foods, saturated fats (Mediterra... Read Full »
I am on Atorvastatin and Losartan and have a hangover every morning when I wake up. Why so?
Query: Hello doctor, I wake up in the morning with the feeling of a hangover. I am on Atorvastatin 10 mg and Losartan 100 mg. Recently I had my cholesterol checked, which was 8.3 mmol/L, triglyceride 9.5 mmol/L. Kindly help. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello,Welcome to icliniq.com.Thank you for your query.I understand your concern. Your blood pressure should be checked as per mentioned history. Hypotension can sometimes lead to such problems. Second, Atorvastatin can lead to muscle pain so tiredness might lead to such problems. If this is only one... Read Full »
Kindly evaluate the cardiac drugs of my father for heart attack.
Query: Hello doctor, My father recently had a heart attack and a stroke. Then had two heart valves repaired and they want to put a stent in. His list of medications does not seem to make sense and although he loves his cardiologist. I do not think he is paying enough attention. I am in the medical field a... Read Full »
Answer: Hi, Welcome to icliniq.com. Let us evaluate all medications your father is receiving. Diagnosis: Valvotomy, CAD with MI (coronary artery disease with myocardial infarction) and CVA (cerebrovascular accident) (recovered). Tablet Metoprolol is essential in patients with heart attacks as it slows the h... Read Full »
How to reduce the levels of iron and ferritin?
Query: Hello doctor, I am a 61 year old male. For many years, I was treated for hemochromatosis. Then, about 12 years ago, I had a genetic test. The results prompted the hematologist to abruptly stop the recurring phlebotomies. I do not recall the test result and apparently, it cannot be located. But, I r... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your iron saturation and serum ferritin is high and these are suggestive of iron overload or hereditary hemochromatosis (HH). You talked about a test that was done and then the hematologist stopped the phlebotomy. I think, probably he mus... Read Full »
Is there any BP medicine without side effect?
Query: Hi doctor, I am a cardiac patient since 16 years after a massive MI followed by an angioplasty. Thereafter, I was taking medication to control high BP along with Aspirin as well as for cholesterol. Recently, I have another mild attack and did my second angioplasty. My BP is fluctuating between 150/9... Read Full »
Answer: Hi, Welcome to icliniq.com. Nebistar - Nebivolol is a beta blocker and is associated with dizziness and erectile dysfunction. I would suggest you shift from Nebistar 5 mg to Carvedilol 6.25 mg twice daily for two weeks and thereafter increasing the dosage to 12.5 mg twice daily optimum ... Read Full »
Why have my blood pressure and triglyceride levels increased even after taking medications?
Query: Hello doctor, I had a myocardial infarction at the age of 40. Stents were placed at the age of 60. Now, I am 72 years old. I am using the medicines tablets Metoprolol Succinate 50, Losartan 50, and Ecosprin 150. My blood pressure and other parameters would be within normal limits. However, in the l... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concern. You have uncontrolled hypertension, which could cause heart attacks and other complications like stroke. Also, the triglycerides are high, which can increase the risk of cardiovascular complications. The target blood pressure level is 140/... Read Full »
I have hot flushes and anxiety at 4 pm every day. Please help.
Query: Hello doctor, I recently was referred to a renal specialist for low sodium levels by my primary care physician. After a complete kidney workup, he said that they were functioning well. But, he changed my hypertension medicine from Lisinopril to Losartan and discontinued my diuretics. As a result, my... Read Full »
Answer: Hello, Welcome to icliniq.com. I am not sure why he was reluctant to put you back on Lisinopril when you had no real issues with it in the first place. Both Lisinopril and Losartan are sister medications but from two different groups that works pretty much in the same way. If your kidneys are tol... Read Full »
Can I take Amlodipine to control my BP?
Query: Hi doctor, I am 39 years old and my weight is 70. My blood pressure is 130/80 mmHg. I am on Seloken XL 50 once daily. Can I use non-selective beta blocker instead of beta blockers? Please advise if Amlodipine is good. Read Full »
Answer: Hi, Welcome to icliniq.com. Your question is a hypothetical one. The reason being every drug is good and bad and has its own pros and cons. Metoprolol is a wonderful drug to slow down the heart rate without side effects on other organs. Metoprolol is a cardioselective beta blocke. Having said th... Read Full »
I have been taking the medications but I still have high BP. What to do?
Query: Hi doctor,I am in my late forties, with a height of 185 cm and a weight of 95 kg.I have a diabetic family history form both sides. Currently, I am taking the following medicines:1, For BP - The tablet Concor 5 mg, one tablet daily at night for the past eleven years.2, For Cholesterol - The tablet Li... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the query and I can understand your concern. According to your statement, you have been suffering from uncontrolled hypertension or high blood pressure despite taking the antihypertensive drug, the tablet Concor (Bisoprolol) 5 mg. You can take antihypertensi... Read Full »
Can people with heart problem practice yoga?
Query: Hello doctor, I have a question regarding my bicuspid aortic valve. I have mild aortic insufficiency, and my left ventricle was dilated. I am taking tablet Losartan 50 mg daily and practicing yoga (plough pose and the front bend). Does bending the body inward increase pressure on my heart? And does ... Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear about your health issues. Bending inwards does not affect your health condition. I only advise that you do exercises moderately and stop if you have any shortness of breath or dizziness during any workout. Best regards. Read Full »