Question 1

I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he was on Brilinta, but they told him to stop because his platelet count dropped to 58,000. He's having chest pain now, and I'm wondering what we should be doing here? Is his health in serious risk? What steps should we take to manage this situation?

Accepted Answer

Given the patient's history of angioplasty, a 70% arterial blockage, elevated creatinine level of 3.2, and low platelet count of 58,000, the current chest pain is concerning and requires immediate medical attention. The discontinuation of Brilinta due to low platelet counts increases the risk of clot formation. The patient should be evaluated urgently by a cardiologist and a nephrologist to manage both the cardiac and renal issues. Alternative anti-platelet strategies may be needed, and continuous cardiac monitoring, possibly including a coronary angiogram, should be performed. A multidisciplinary approach involving cardiologists, nephrologists, and hematologists is essential to address the complexities of his condition

Question 2

I'm really worried about my mom. She's been dealing with hypertension for the past 8 years, and now she's caught a cold and has a cough. The doctor recommended she take Azithromycin 500 for five days. My question is, is it okay for her to mix this antibiotic with her blood pressure meds? I'm not sure if there's any interaction or something that we should be concerned about.

Accepted Answer

yes u can continue taking the tab for your cough..

Question 3

I'm kind of worried about stopping Aspirin because I've been dealing with some stomach issues, and the doctor told me it might be gastritis. They said I should stop taking Aspirin and just stick with clopidogrel. I'm also a bit concerned because my platelet count came back at 110,000. Should I be thinking about a lower dose of Aspirin, like 50 or 25 mg, instead of stopping it altogether? Does that sound safer for someone with my heart condition?

Accepted Answer

Given your medical history and current condition, it is important to follow your doctor's advice to discontinue Aspirin and continue with Clopidogrel only. Aspirin is known to increase the risk of gastrointestinal issues, such as gastritis, which you experienced recently. Clopidogrel is a suitable alternative antiplatelet medication that can be used in place of Aspirin to prevent blood clots after procedures like PTCA. It is effective in reducing the risk of heart attack and stroke. Therefore, it is safe to discontinue Aspirin and rely on Clopidogrel for your cardiac health. It is not recommended to switch to a lower dose of Aspirin in your case.

composition is same in both the medications, .

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