Archive for the ‘Treatment’ Category

Lipitor

Question: I ask for guidance in the right choice when Lipitor giperholesterimii – until he took Zokora 10, but effectively reduce cholesterol was not; now 2 months. take Lipitor 10, appeared in muscle weakness, tremor, and the impact is obvious, cholesterol was = 4. Can it act Lipitor? Back to the low efficiency of Zokora? My choice? Thank you for your reply.

Answer: Atorvastatin – one of the most effective current drugs for lowering cholesterol. Unfortunately, perhaps the relationship between intake of atorvastatin (Lipitor) and the development of weakness in the muscles (myopathy). I recommend you pass the biochemical analysis of blood to the definition of CPK. If the activity of this enzyme increased by more than 10 times, then, unfortunately, this drug you should not drink. This side effect is relatively non-hazardous (to be held after the cancellation). There is option to suspend (a month) to drink the drug, and then again to resume. In any case, you need to report suspected side effect of the doctor who prescribed you the drug.

Blockers

Question: Is it true that egilok and betalok affect the potency? What to do?

Answer: Can influence.

Pain behind the breastbone, shortness of breath

Question: Please advise what pain behind the breastbone and a sense of lack of air in the clinical diagnosis: coronary artery disease, angina pectoris 2.3 FC, postinfarction cardiosclerosis krupnoochagovogo perednerasprostranennogo after acute myocardial infarction, left ventricular / December 2007. A course of treatment from October 5, TG:-Injections: Actovegin, Mildronate, Pirotsetam 5 ml – 10 days. -Tablets: thrombo-Ass 50 mg, Monochinkve 50 mg, Prestarium 4 mg, 1.2 g. riboksin-patch: Депонит 10 in 3 days. However, the pain behind the breastbone decreased, but still worried, feeling of lack of air left. Inform the survey data for 20 October this year:-EKG-sinus rhythm of 56 beats / min. EOS is not rejected. Ventricular extrasystoles. Diffuse violation of repolarization. Are changing. -Echocardiography: Atherosclerotic Manifestation in the wall of the AO, valvular apparatus, are changing, BPH. Dilatation LP. Lack MK – 1 degree, the AK-1 degree. -Pressure 140/75 mm Hg. Art. Please give your practical advice on the continuation of treatment. I am 70 years old, the usual pressure of 120/70 mm Hg. Art.

Answer: Dear Edward, something I do not see you on the list of designated drugs beta-blockers. So many nitrates (monochinkve, plaster депонит) are useless, they can develop tolerance. I recommend you discuss with the doctor the appointment of beta-blockers (metoprolol, bisoprolol).