Question 1

My mom's blood pressure is reading 10090, and the doctor told her to take Losar 50. Should she take it in the morning or at night? A couple of months ago, she was on Amlodipine 5, but she'd stop when her blood pressure looked normal. Is that okay, or should she stick with the medication even if she feels better?

Accepted Answer

Unwanted 72 is an emergency contraceptive pill.

_Frequency of Use_

1. _Not recommended for frequent use_: Unwanted 72 is designed for emergency situations, not regular contraception.
2. _Maximum frequency_: Not more than 2-3 times in a year, as frequent use can lead to hormonal imbalances.

_Twice in a Month_

1. _Not recommended_: Taking Unwanted 72 twice in a month can disrupt your menstrual cycle and hormonal balance.
2. _Potential problems_:
    - Irregular periods
    - Heavy or prolonged bleeding
    - Mood swings
    - Breast tenderness
    - Nausea and vomiting
    - Headaches

_Long-term Consequences_

1. _Hormonal imbalance_: Frequent use can lead to hormonal imbalances, affecting fertility and menstrual regularity.
2. _Impact on fertility_: Repeated use may affect ovulation and fertility.

_Alternative Contraception Methods_

1. _Consult a gynecologist_: Discuss long-term contraception options, such as oral contraceptives, IUDs, or condoms.
2. _Regular contraception_: Switch to a regular contraception method to avoid frequent use of emergency contraceptive pills.

Question 2

I'm really worried because I started with heart pain, and then the next day, I got this really bad pain in my left upper abdomen. I had an ECG done, and they didn't find anything unusual, and my stomach scan was clear too. But I keep getting these chest pains, mostly at night, and sometimes there's this pain in my shoulder blade that only lasts a few minutes. I'm too scared to tell my parents about all this. Can you tell me what's going on?

Accepted Answer

based on your symptoms of chest pain, left upper abdominal pain, and shoulder blade pain, along with normal ECG and abdominal scan results, it is important to consider the possibility of acid reflux or gastroesophageal reflux disease (GERD) as a potential cause of your symptoms. I recommend taking a proton pump inhibitor such as Esomeprazole (brand name Nexium) 40mg once daily before breakfast for at least 2 weeks to see if it helps alleviate your symptoms. Additionally, you can take antacids like Tums as needed for immediate relief of chest pain. It is also important to avoid spicy, fatty, and acidic foods, as well as eating at least 2-3 hours before bedtime to help reduce acid reflux symptoms. If your symptoms persist or worsen, please follow up with a doctor for further evaluation and management.

Question 3

I'm feeling a bit unsure about this medication Prolomet R 25 that my cardiologist prescribed. They said not to worry after some tests, but I found out it's a beta blocker, and I'm concerned because I don't have any blood pressure issues. Could you please guide me on if and how I should stop taking it?

Accepted Answer

Prolomet R 25, a beta-blocker, is often prescribed for heart-related issues such as palpitations, anxiety, or to improve heart function, even if you do not have high blood pressure. If you have concerns about this medication, do not stop taking it abruptly, as this can lead to withdrawal symptoms or exacerbation of your condition. Instead, consult your cardiologist to discuss your concerns and to determine whether you need to continue the medication or if it can be gradually tapered off under medical supervision. Your doctor can provide a safe plan for discontinuing the medication if it is deemed appropriate.

I'm a 67-year-old who's been taking Revelol XL 50, but my blood pressure numbers always seem to hang around 15090. I've decided to switch to Concor 5 in hopes of getting them down to 12080. Is this a good move, and could you explain what I might expect during this transition?

Yes u can shift to concor 5 mg orally for reduction of BP..

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