Question 1

My grandmother has been taking Montek LC for about three months now because she started having a mild cough after her cardiac surgery, due to pleural effusion. I'm just a bit worried about whether there might be any side effects from using this medication for such a long period. Also, can it affect her kidneys in any way?

Accepted Answer

Montek LC, which combines montelukast and levocetirizine, is generally safe for long-term use, but prolonged use can sometimes cause mild side effects like dry mouth, drowsiness, or dizziness. It is not typically harsh on the kidneys, but it's important to monitor kidney function, especially in older adults, during extended use. Regular follow-ups with her doctor would be helpful.

Question 2

I'm trying to figure out how much rosuvastatin I should be taking. I'm a diabetic and my blood sugar is managed with medication. I also have hypertension that's under control with medication. I'm not taking aspirin. Could you help me understand how many milligrams I need? Also, between rosuvastatin and atorvastatin, which one would be better for me?

Accepted Answer

Based on your lipid profile and medical history, it is recommended to start with rosuvastatin. The usual starting dose for rosuvastatin in your case would be 10 mg once daily. It is important to monitor your lipid levels regularly and adjust the dose as needed to achieve the target levels. Atorvastatin can also be effective, but based on current guidelines, rosuvastatin is preferred for its potency and efficacy in lowering cholesterol levels. Start with rosuvastatin 10 mg once daily and follow up with your healthcare provider for further evaluation and management.

Question 3

I'm 36 years old and my cholesterol levels are quite high. I've got the details here: Total cholesterol is 212 mgdL, triglycerides are 333 mgdL, HDL is 33.60 mgdL, LDL is 143 mgdL, VLDL is 35.4 mgdL, and Non-HDL is 178 mgdL. My liver function tests show bilirubin total at 0.42 mgdL, bilirubin direct at 0.07 mgdL, and bilirubin indirect at 0.35 mgdL. My SGOT is 40 UL, SGPT is 34 UL, GGTP is 28 UL, ALP is 121 UL, total protein is 7.20 gdL, and albumin is 4.48 gdL with an AG ratio of 1.65. My fasting blood sugar is 102 mgdL. The doctor recommended taking Rozavel F 10 mg twice a day, but I'm really concerned and wondering if there's anything else I can do to lower my cholesterol quickly. Any advice or tips would be greatly appreciated.

Accepted Answer

"Based on your cholesterol levels and liver function test results, I recommend adding Ezetimibe 10 mg once daily to your current treatment with Rozavel F 10 mg twice a day. This combination can help in faster reduction of cholesterol levels. Additionally, you can consider adding Omega-3 fatty acids supplement to further improve your lipid profile. Make sure to follow a healthy diet low in saturated fats and engage in regular physical activity to complement the medication therapy."

I've been having a heavy feeling and some pain on the left side of my chest, close to my heart, since this morning. I'm really concerned that it could be something related to my heart, even though I'm only 28. Should I be worried about this, or could it be something else?

yes an ECG along with cardiac markers are advised to the patient

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