Question 1

I'm a 37-year-old guy and I've been dealing with anxiety for a few years now, which makes my hands sweat and sometimes I get chest pains that last for seconds or minutes. I've been on Gudpress AM 50 for the past six months, but it makes my face feel tight for about six hours after taking it. I stopped taking it two days ago, but my blood pressure has been around 150100 and 14090 in this time. Is there another blood pressure medication I can try? Before Gudpress AM 50, I was taking Cinod 10. Any advice would be great.

Accepted Answer

It sounds like you are experiencing side effects from Gudpress AM 50 (which contains Telmisartan and Amlodipine) such as tightness on your face. Since you are also dealing with anxiety symptoms and high blood pressure, you can consider switching to a different medication for your blood pressure. I recommend discussing with your doctor about starting a different medication such as Losartan (brand name: Cozaar) at a suitable dosage to help manage your blood pressure without causing unwanted side effects. Losartan is an angiotensin II receptor blocker that can be effective in treating high blood pressure and has a lower risk of causing facial tightness compared to Amlodipine. Remember to consult with your doctor for a proper evaluation and prescription adjustment based on your individual health needs.

Question 2

I'm really concerned because my HDL is pretty low at only 29. My cholesterol is 100, triglycerides are 101, LDL is 55, and VLDL is 29. I'm wondering if there's any medication I can take to boost my HDL levels, or if it's okay to be at this level. I've attached my lipid profile reports and I'm hoping to get your opinion on whether everything looks alright or if there's anything I should be worried about. How can I improve my lipid levels further? Just for context, I'm 34 years old, weigh 83 kg, and am 5'7". There's no history of heart disease in my family, although my father does have diabetes. Could you please give me detailed advice on this?

Accepted Answer

Based on your lipid profile results, your HDL level is indeed low at 29. To improve your HDL level, you can consider taking Niacin (Vitamin B3) at a dosage of 500-2000 mg per day. Additionally, incorporating regular exercise, maintaining a healthy weight, and consuming a diet rich in fruits, vegetables, whole grains, and healthy fats can also help improve your HDL level. Your total cholesterol level of 100 is within the normal range, which is good. However, your triglyceride level of 101 is slightly elevated. To lower your triglyceride level, you can take Omega-3 fatty acids at a dosage of 1-4 grams per day. It is also important to limit your intake of sugar, refined carbohydrates, and alcohol to help lower triglycerides. Your LDL level of 55 is optimal, and your VLDL level of 29 is within the normal range. Overall, your lipid profile is generally good, but there is room for improvement in your HDL and triglyceride levels. In addition to medication and supplements, lifestyle modifications such as regular exercise, maintaining a healthy weight, and following a heart-healthy diet can further improve your lipid profile. It is also important to avoid smoking and limit alcohol consumption for overall heart health. If you have any further concerns or questions, feel free to ask.

Question 3

I'm really concerned because my father just went through a TMT test and his score was 3.52 Mets. The doctor didnt recommend an angiography, but I'm not sure if we should still consider getting one. Could you help me understand what this means and whether we need to take further action?

Accepted Answer

A Mits value of 3.52 indicates a moderate risk of coronary artery disease. Since the doctor has not suggested angiography, it is likely that the risk is not high enough to warrant further invasive testing at this point. However, it is important to follow the doctor's recommendations and continue with regular check-ups to monitor any changes in the condition. In the meantime, medications such as Atorvastatin 20mg and Aspirin 75mg may be prescribed to manage the risk factors for heart disease.

More Cardiology Health Queries

I'm really concerned because my father just went through a TMT test and his score was 3.52 Mets. The doctor didnt recommend an angiography, but I'm not sure if we should still consider getting one. Could you help me understand what this means and whether we need to take further action?

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