Question 1

I've been dealing with sinus tachycardia, and my doctor suggested I try met xl 12.5 mg. I've been on it for a few days, and while my resting pulse rate has dropped a bit from 100 to 90 bpm, it still jumps to around 105-110 bpm when I'm doing normal activities. I'm wondering if it's safe to up my dose from 12.5 mg to 25 mg, and how long would be okay to stay on that higher dose?

Accepted Answer

It is not recommended to adjust the dosage of Met XL without consulting your doctor. Increasing the dose from 12.5mg to 25mg should only be done under the supervision of a healthcare professional. They will assess your condition and determine if a dosage adjustment is necessary. Please consult your doctor for proper evaluation and guidance on the dosage adjustment and duration of treatment

Question 2

I'm really worried because my wife's blood pressure was already high at 160100, and she's just started taking Metosartan 50 mg this morning. But now her blood pressure has spiked even higher to 180113. Plus, she's got a headache and chest congestion....

Accepted Answer

It is possible that her body is still adjusting to the new medication. However, these symptoms could also be indicative of a hypertensive crisis. I recommend seeking immediate medical attention to address her elevated blood pressure. Additionally, it is important to monitor her symptoms closely and follow up with her healthcare provider for further evaluation and management.

Question 3

My creatinine level is at 1.3, which I understand is borderline. I'm considering going for coronary angiography but I'm a bit worried. Is it safe to proceed, and if so, what precautions should I be aware of?

Accepted Answer

If creatinine is at the borderline level of 1.3, it is important to assess the overall kidney function before proceeding with coronary angiography. Precautions that should be taken include ensuring adequate hydration before and after the procedure, monitoring kidney function closely, and considering the use of contrast media with lower nephrotoxicity. Additionally, medications such as N-acetylcysteine and sodium bicarbonate may be considered to help protect the kidneys during the procedure.

Question 4

I sometimes feel like there's an extra heartbeat in my chest, especially when I bend down. Could this be related to my mild tricuspid regurgitation? I'm really worried about it.

Accepted Answer

Yes, palpitations can be related to mild tricuspid regurgitation (TR). To help manage your symptoms, you can take a beta-blocker medication such as Metoprolol at a dosage of 25-50mg once daily. This can help regulate your heart rate and reduce the sensation of extra heartbeats. Remember to consult your doctor for proper evaluation and management.

Question 5

I'm Priyanka, and I'm a bit concerned about my health. My TMT test showed inconclusive results regarding ischemia. I'm also looking at my lipid profile, which shows total cholesterol at 172, triglycerides at 172, HDL at 42, and LDL at 95.5. Could you...

Accepted Answer

Hello Priyanka, based on your test results and symptoms, it seems like you may be experiencing some cardiovascular issues. I would recommend starting treatment with a statin medication to help lower your LDL cholesterol levels and reduce the risk of cardiovascular events. You can start taking Atorvastatin 20mg once daily to help improve your lipid profile and reduce the risk of ischaemia. Additionally, you should focus on lifestyle modifications such as a healthy diet, regular exercise, and stress management to further improve your overall cardiovascular health.

Question 6

I'm dealing with blood pressure around 15090 and my heart rate seems higher than normal, sometimes going to 100. Two doctors suggested I start on Nebi 2.5mg twice daily, and while it made me feel really tired at first, that went away after two weeks....

Visit your Physician for evaluation and appropriate management

Last updated on 22 Jan 2025

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Accepted Answer

Visit your Physician for evaluation and appropriate management

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Related Questions

I'm really worried because my wife's blood pressure was already high at 160100, and she's just started taking Metosartan 50 mg this morning. But now her blood pressure has spiked even higher to 180113. Plus, she's got a headache and chest congestion....

My creatinine level is at 1.3, which I understand is borderline. I'm considering going for coronary angiography but I'm a bit worried. Is it safe to proceed, and if so, what precautions should I be aware of?

I sometimes feel like there's an extra heartbeat in my chest, especially when I bend down. Could this be related to my mild tricuspid regurgitation? I'm really worried about it.

I'm Priyanka, and I'm a bit concerned about my health. My TMT test showed inconclusive results regarding ischemia. I'm also looking at my lipid profile, which shows total cholesterol at 172, triglycerides at 172, HDL at 42, and LDL at 95.5. Could you...

I'm dealing with blood pressure around 15090 and my heart rate seems higher than normal, sometimes going to 100. Two doctors suggested I start on Nebi 2.5mg twice daily, and while it made me feel really tired at first, that went away after two weeks....

Cardiology

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