apollo
  • Male
  • 44 Years
  • 22/01/2025

I'm considering switching from Teleact 40 manufactured by Ranbaxy to Telmikind 40 by Mankind because the latter is more affordable. Do you think it's okay to make this change? I'm curious if there's any difference between the two in terms of effectiveness or potential side effects. Could you shed some light on this for me?

Doctor 1

Answered by 1 Apollo Doctors

composition is same in both the medications, .

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a bit concerned because my heart rate is around 60 to 55 when I'm lying down. Is this something I should worry about? I've been having mild pain on both sides of my chest, which feels like muscle pain, and it comes and goes. I had an ECG in May, and it was normal, and I just had a Chest CT scan, which also came back normal. Do you have any advice on what might be causing this, or should I look into it further?

It's good that your ECG and Chest CT scan results are normal. Your heart rate of 55-60 while lying down is within the normal range for adults. The mild chest pain you are experiencing could be musculoskeletal in nature. You can try taking over-the-counter pain relievers like Acetaminophen 500mg as needed for the chest pain. Additionally, you can apply a topical pain relief gel like Volini gel on the affected areas. Make sure to practice good posture and avoid activities that worsen the pain. If the pain persists or worsens, it's advisable to follow up with your healthcare provider for further evaluation.

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Doctor 1Doctor 2

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I've just gotten some test results back and I'm a bit concerned. Most things seem to be in the normal range except for my Vitamin D 25 hydroxy and lipid profile. My Vitamin D 25 hydroxy level is at 32. For my lipid profile, my cholesterol is 206, triglycerides are 337, HDL is 35, LDL is 103.5, and VLDL is 67.5. Should I be consulting a physician or maybe even a cardiologist about this? I'm also curious about what precautions or medications I should consider to help lower my lipid profile and increase my Vitamin D 25 hydroxy levels.

Your vitamin D 25 hydroxy levels are lower than the normal range, and your lipid profile, specifically cholesterol and triglycerides, are elevated. To address these issues, you can take the following steps: 1. For Vitamin D deficiency (25 hydroxy level of 32): - You can take Vitamin D supplements such as "Calcirol" 60,000 IU once a week for 8 weeks, followed by maintenance therapy of "Uprise D3" 60,000 IU once a month. - Spend more time in sunlight as it helps in natural synthesis of Vitamin D. 2. For high lipid profile: - To lower cholesterol, you can take statin medications such as "Atorvastatin" 20mg once daily. - To lower triglycerides, you can take medications like "Fenofibrate" 160mg once daily. - Additionally, focus on a healthy diet low in saturated fats, cholesterol, and simple sugars. - Regular exercise and weight management can also help improve lipid levels. It is advisable to follow up with a physician for further evaluation and monitoring of your lipid profile and vitamin D levels.

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Doctor 1Doctor 2

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I'm having trouble getting my Telpres LN 40 prescription for my blood pressure because my doctor is unreachable and the local pharmacy doesn't have it. Could you recommend a good alternative? I'm a bit worried about not having my medication.

refer to cardiologist

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.