Question 1

I'm 36, and my blood pressure is pretty high at 142 over 94. I'm worried that if I start taking blood pressure meds, it might lead to erectile dysfunction or affect my sex life somehow. I'm getting married in four months, so this is really on my mind, especially since I haven't had morning erections for the past five months. I already walk about 2 km every day, but can I manage this with lifestyle changes alone? What's the best way forward?

Accepted Answer

Starting blood pressure medication is important to manage your blood pressure and reduce the risk of complications. Some blood pressure medications, such as beta-blockers and diuretics, may have side effects like erectile dysfunction. However, there are other options like calcium channel blockers or ACE inhibitors that are less likely to cause this issue. Lifestyle changes such as maintaining a healthy diet, regular exercise, limiting alcohol intake, and managing stress can also help control blood pressure and improve erectile function. I recommend discussing with your doctor about starting a blood pressure medication that is less likely to cause erectile dysfunction, such as a calcium channel blocker like Amlodipine 5mg once daily. Additionally, continue with your daily walks and consider incorporating other healthy habits to improve your overall health and sexual function.

Question 2

I'm a bit worried because I've been taking Rosukem A1075 after getting diagnosed with T2DM in September 2018. The cardiac doctor I visited then suggested this medication for a normal ECG and echo. But I've just got my annual health checkup reports, and both the ECG and TMT turned out fine. Now I'm unsure if I should keep taking this tablet. My diabetologist says I should continue with Rosuvas 5. Could you help me figure out what to do?

Accepted Answer

Since you were advised Rosukem A1075 by the cardiologist, it is important to follow their recommendation for your heart health. Rosukem A1075 contains Rosuvastatin 10mg and Aspirin 75mg, which helps in managing cholesterol levels and reducing the risk of cardiovascular events. As for your diabetologist's advice to continue Rosuvas 5, it contains Rosuvastatin 5mg which also helps in lowering cholesterol. It is important to follow both specialists' advice for optimal management of your conditions. So, you can continue taking Rosukem A1075 as advised by the cardiologist and Rosuvas 5 as advised by the diabetologist for your overall health."

Question 3

I'm 22 and dealing with some heart-related issues. I had my heart checked, and they found mild MVP. I was put on a beta blocker, but it hasn't really helped with the intense chest pain Ive been experiencing. They've now suggested Flavedon MR for the pain. Do you think that's the right route, or should I be considering other medication options? I'm just not sure what to do next.

Accepted Answer

For your chest pain related to mild MVP, Flavedon MR can be a suitable medication to try. It contains Trimetazidine and helps in improving blood flow to the heart muscle. The usual dosage is 35 mg twice daily. However, if you do not find relief with Flavedon MR, you can discuss with your doctor about alternative medications such as Ranolazine or Ivabradine which may be more effective for your chest pain associated with MVP.

I'm feeling a pulse in the right side of my neck, especially noticeable when I'm lying down. Is this something I should be worried about? Could it be a sign of something serious? Just want to know if there's anything suspicious going on.

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

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