Question 1

I've had angioplasty done and have a stent implanted. My doctor recommended some drugs from companies like Sun Pharma, MacLeod, and Lupin, but they're a bit pricey for me. Are there other reputable brands that make equivalent quality medications for Rozavel 2mg, Prax A 75mg, and Voglimac GM 2mg at a lower cost? Also, can I ask the pharmacy for generic versions of cholesterol-lowering drugs if I have a prescription for the more expensive branded ones? Are generics reliable when it comes to quality assurance and control?

Accepted Answer

Substitute for rozavel 2mg: You can consider Atorva 20mg (Atorvastatin) from Cipla or Rosuvast 10mg (Rosuvastatin) from Torrent Pharmaceuticals. Substitute for Prax A 75mg: You can try Clopid 75mg (Clopidogrel) from Intas Pharmaceuticals or Plavix 75mg (Clopidogrel) from Sanofi. Substitute for voglimac gm 2mg: You may opt for Glycomet GP 2 (Metformin + Glimepiride) from USV or Glyciphage G1 (Metformin + Glimepiride) from Franco-Indian Pharmaceuticals. Regarding generic cholesterol-reducing drugs, yes, you can purchase generic versions of cholesterol-lowering medications with a prescription from your doctor. Generic medications are generally considered to be equivalent in quality to their brand-name counterparts as they undergo the same rigorous testing for quality assurance (QA) and quality control (QC) by regulatory authorities.

Question 2

I'm trying to understand my recent ECG results better. It mentions LVH and LAE, and the report says it's moderately abnormal. Can you tell me what that means for me? The ECG also showed a normal sinus rhythm and axis, and my heart rate was 80 BPM. Sh...

Accepted Answer

LVH (Left Ventricular Hypertrophy) and LAE (Left Atrial Enlargement) can appear on an ECG due to changes in the electrical activity of the heart caused by the enlargement of the left ventricle and left atrium, respectively. These changes can be detected on an ECG as alterations in the patterns of the electrical signals produced by the heart. In your case, the ECG showing LVH and LAE along with a description of "moderately abnormal ECG" indicates that there are significant changes in the electrical activity of your heart. However, it is positive that the ECG also shows normal sinus rhythm and normal axis, which means that the heart is beating normally and the electrical signals are following the correct pathways. With a heart rate of 80 beats per minute (BPM), it falls within the normal range. To further evaluate the significance of the LVH and LAE seen on the ECG, additional tests such as an echocardiogram may be needed to assess the structure and function of the heart in more detail. In terms of treatment, managing the underlying conditions that may have led to LVH and LAE, such as hypertension or valvular heart disease, is important. Medications like ACE inhibitors or ARBs may be prescribed to help reduce the workload on the heart and control blood pressure. Regular follow-up with a cardiologist is recommended to monitor your heart health and make any necessary adjustments to your treatment plan.

Question 3

I'm a bit confused and worried because even though my TMT and ECG tests from 4 months ago were normal, I still feel a slight pain in my left arm and chest. I rarely drink, maybe just some wine occasionally, and I don't smoke. My blood test and chest ...

Accepted Answer

Considering your symptoms and ineffective response to Novamox 500, you may want to consider alternative antibiotics. However, *always consult your doctor before switching medications*.

_Augmentin 625 Duo vs. Azithral 500_

Both are effective antibiotics, but:

1. *Augmentin 625 Duo*: A broad-spectrum antibiotic, often prescribed for tonsillitis. It's a combination of amoxicillin and clavulanic acid.
2. *Azithral 500*: A macrolide antibiotic, also effective against tonsillitis. Azithromycin is often prescribed for 3-5 days.

Azithral 500 might be a better option if:

- You're allergic to penicillin (Augmentin contains amoxicillin, a penicillin-type antibiotic)
- Your tonsillitis is caused by a macrolide-sensitive bacterium

However, *your doctor should determine the best course of treatment* based on your medical history, allergy status, and the severity of your symptoms.

Question 4

I'm reviewing my angiogram results, and it's making me pretty anxious. It mentions a "20% stenosis" in the distal left main, and a "90% stenosis" in the proximal left anterior descending artery, plus a "60% stenosis" in the mid LAD. The distal LAD is...

Accepted Answer

"Based on the findings of your coronary angiogram, it appears that you have significant blockages in your left anterior descending artery (LAD) and right coronary artery (RCA). To address the blockages and improve blood flow to your heart, a treatment plan may include the following: - For the 90% stenosis in the proximal LAD, a coronary artery bypass grafting (CABG) surgery may be recommended. - For the 90% eccentric stenosis in the distal RCA, a percutaneous coronary intervention (PCI) with stent placement could be considered. - Medications such as aspirin, clopidogrel, beta-blockers, ACE inhibitors, and statins may also be prescribed to manage your condition and reduce the risk of further complications. Please consult with your cardiologist to discuss these treatment options and determine the best course of action for your specific case."

Question 5

I've been dealing with high blood pressure around 175110 and usually manage it with Amlopress AT, but lately, Ive had to take Calcigard 5mg and Lasix 40mg to try and control it. It seems to help for a bit, but then my pressure goes right back up afte...

Accepted Answer

. It seems like your blood pressure is not well controlled with the current medication. I would recommend discussing with your doctor about adjusting your treatment plan. In addition to your current medications, you may benefit from adding a different class of antihypertensive medication such as an ACE inhibitor or a beta-blocker. For example, you can consider adding a medication like Concor 5mg (beta-blocker) or Ramipril 5mg (ACE inhibitor) to help better control your blood pressure. It's important to follow up with your doctor for further evaluation and management.

Question 6

I'm really worried because he's having neck and ear pain, and now his heart rate is up to 118, and his BP's at 13593. Plus, he's been dealing with a cold and cough since yesterday. Should I be concerned about these symptoms happening all together?

Accepted Answer

The symptoms you are experiencing could be due to an upper respiratory tract infection. To address your symptoms, you can take over-the-counter medications such as acetaminophen for pain relief and a decongestant like pseudoephedrine for your cold symptoms. Additionally, you can use a saline nasal spray to help with congestion. For your cough, you can try a cough syrup containing dextromethorphan. It is important to stay hydrated and get plenty of rest. If your symptoms persist or worsen, please seek medical attention.

Consult Top Cardiologists

Dr. Sumanta Chatterjee

Dr. Kapil Rangan

Dr.t . Naveen

Dr. Tripti Deb

Related Questions

I'm trying to understand my recent ECG results better. It mentions LVH and LAE, and the report says it's moderately abnormal. Can you tell me what that means for me? The ECG also showed a normal sinus rhythm and axis, and my heart rate was 80 BPM. Sh...

I'm a bit confused and worried because even though my TMT and ECG tests from 4 months ago were normal, I still feel a slight pain in my left arm and chest. I rarely drink, maybe just some wine occasionally, and I don't smoke. My blood test and chest ...

I'm reviewing my angiogram results, and it's making me pretty anxious. It mentions a "20% stenosis" in the distal left main, and a "90% stenosis" in the proximal left anterior descending artery, plus a "60% stenosis" in the mid LAD. The distal LAD is...

I've been dealing with high blood pressure around 175110 and usually manage it with Amlopress AT, but lately, Ive had to take Calcigard 5mg and Lasix 40mg to try and control it. It seems to help for a bit, but then my pressure goes right back up afte...

I'm really worried because he's having neck and ear pain, and now his heart rate is up to 118, and his BP's at 13593. Plus, he's been dealing with a cold and cough since yesterday. Should I be concerned about these symptoms happening all together?

Cardiology

Get medicines delivered in 2 hrs