Patient questions (41)

  • Question about Verapamil

    I am having vertigo attacks could...

    I am having vertigo attacks could this be my verapamil medication?

    DOCTOR'S RESPONSE:

    Verapamil reduces blood pressure and heart rate - it is used for treatment of hypertension, angina and arrhythmias - but if the blood pressure or heart rate become too low/slow, it can lead to dizziness.… More

  • Question about ECG Exercise treadmill

    How is this exercise helpful when...

    How is this exercise helpful when the patient has walking difficulty?

    DOCTOR'S RESPONSE:

    Not very much! The test is only useful the if patient can achieve a reasonable workload as assessed by increased heart rate to at least 85% of (220-age). Even then the treadmill test less reliable than… More

  • Question about Sustac

    what are the side effects of ...

    what are the side effects of sustac?

    DOCTOR'S RESPONSE:

    The most common is headache. Sustac expands blood vessels which is used to improve blood supply to the heart in treatment of angina but it also expands arteries elsewhere in the body which can lead to… More

  • Question about Adipine Mr

    How does adipine mr 10 work for...

    How does adipine mr 10 work for Reynolds syndrom.?

    DOCTOR'S RESPONSE:

    Adipine (=nifedipine) relaxes smooth muscles in the walls of arteries which leads to temporary increase in their diameter and improved blood flow. This is used in medicine in treatment of angina (nifedipine… More

  • What is the treatment for mvr severe...

    What is the treatment for mvr severe dilation left atrium?

    DOCTOR'S RESPONSE:

    Severe mitral regurgitation is a mechanical problem and requires therefore a mechanical (=surgical) solution. Medication - diuretics (water tablets) can help with symptoms of breathlessness but have no… More

  • Question about Elantan La

    i'm taking elantan la but the headaches...

    i'm taking elantan la but the headaches I can't manage . Is there something else that u can take?

    DOCTOR'S RESPONSE:

    Headaches are common side effect of Elantan LA (isosorbide mononitrate). Elantan is a long acting nitrate which is just one of several classes of medication for angina. There are multiple alternatives… More

  • Question about Disprin CV

    Can u give cv dispirin to a patient...

    Can u give cv dispirin to a patient who is having migraines attack?

    DOCTOR'S RESPONSE:

    Disprin CV contains aspirin 100mg which is a low dose used for cardiovascular prevention. Analgesic dose for treatment of migraine is much higher, around 1000mg. Such a dose can have side effects, especially… More

  • Question about Viazem Xl

    What is viazen xl 240 capsules...

    What is viazen xl 240 capsules used for?

    DOCTOR'S RESPONSE:

    Viazem XL 240mg (generic name is diltiazem) is used for treatment of hypertension (high blood pressure) and angina (exertional chest pain due to coronary artery disease).

  • Question about Adizem-Xl

    I have copd and take Adizem for...

    I have copd and take Adizem for hypertension. I have been increasingly breathless since starting this medication but my pulmonary consultant can find nothing on my ct scan to explain this. Could the Adizem be causing it?

    DOCTOR'S RESPONSE:

    It certainly could - via its effect on heart rate and heart pumping function. It would be best to see the doctor who prescribed Adizem for some basic checks and if appropriate to consider replacing Adizem… More

  • Question about Nitromin

    Does Nitromin affect my reading...

    Does Nitromin affect my reading for a police breath test?

    DOCTOR'S RESPONSE:

    No, it doesn't.

    Nitromint spray contains 9.6 mg of alcohol in one puff which means that you would have to take 3,000 (three thousand) puffs to get the same volume of alcohol as one pint…

  • Question about Suscard Buccal

    Is Suscard suspended?

    Is Suscard suspended?

    DOCTOR'S RESPONSE:

    Suscard Buccal is a prolonged-release tablet. The tablets normally take 3-5 hours to dissolve. The active ingredient of Suscard Buccal is glyceryl trinitrate.

  • Question about Dilzem Xl Hard Capsules

    My latest prescription of Dilzem...

    My latest prescription of Dilzem XL 180mg is giving me side effects that I have never had over many years of use, I'm getting nausea and swelling of ankles. I have noticed the capsule box size is larger than historically was about 12x5cm now 13x6 and the capsule is softer than before.

    DOCTOR'S RESPONSE:

    Dr. Petr Ruzicka PhD FRCP

    Dilzem XL 180mg is a brand name for diltiazem which has nausea as a common side effect and peripheral oedema as a very common side effect.

    I understand that you have been on Dilzem XL 180mg… More

  • Question about Cardicor

    What are the generic names for...

    What are the generic names for Cardicor?

    DOCTOR'S RESPONSE:

    Bisoprolol. It is a cardioselective betablocker used in treatment of hypertension, angina and heart failure.

  • Question about Cardicor

    I have been prescribed 12.5mg of...

    I have been prescribed 12.5mg of Cardicor. Is this safe?

    DOCTOR'S RESPONSE:

    The usual maximum dose of Cardicor (bisoprolol) is 10mg daily but spc (summary of product characteristics) allows up to 20mg in treatment of hypertension and angina. For heart failure the maximum dose… More

  • Question about Tildiem La

    Can I stop taking tildiem or do...

    Can I stop taking tildiem or do I have to tail it off?

    DOCTOR'S RESPONSE:

    I suppose Tildiem LA (= diltiazem 200mg in prolonged release formulation) was prescribed for a reason: hypertension, angina or some arrhythmias. Tildiem LA can be stopped abruptly - but only if it is replaced… More

  • Question about Bendrofluazide

    Is bendrofluazide just in 2.5 and...

    Is bendrofluazide just in 2.5 and 5mg only?

    DOCTOR'S RESPONSE:

    Yes, bendroflumethiazide comes as 2.5mg and 5mg tablets. It is used for treatment of hypertension (high blood pressure), usually in the dose of 2.5mg daily. The dose 5mg daily is not much better in terms… More

  • Question about Angina

    How does Prinzmetals angina manifest...

    How does Prinzmetals angina manifest itself?

    DOCTOR'S RESPONSE:

    Dr. Petr Ruzicka PhD FRCP

    Chest pain at rest, often at night. The mechanism is contraction of muscles in walls of coronary arteries which leads to insufficient supply of oxygen to heart muscle and generates typical ECG changes… More

  • Question about Disprin CV

    disprin cv is for which deseas...

    disprin cv is for which desease?

    DOCTOR'S RESPONSE:

    Dr. Petr Ruzicka PhD FRCP

    Disprin CV is a low dose aspirin for secondary prevention for cardiovascular (=CV) diseases, ie heart attack, stroke etc.

  • Question about Disprin CV

    Would it be wise to take Disprin...

    Would it be wise to take Disprin CV to help combat strokes, my husband and I are 74 and 75 and someone has said we should take one each day?

    DOCTOR'S RESPONSE:

    Dr. Petr Ruzicka PhD FRCP

    Disprin CV contains aspirin which 'thins blood' and slightly reduces risk of heart attack and stroke but also slightly increases risk of bleeding.

    The net benefit is there only… More

  • Question about Disprin CV

    Is it good for migraine?

    Is it good for migraine?

    DOCTOR'S RESPONSE:

    Dr. Petr Ruzicka PhD FRCP

    Not really. Disprin CV contains aspirin but the dose (100mg or 300mg) is suitable for cardiovascular (=CV) rather than as a pain killer. Aspirin in high dose which would work as a pain killer is less safe… More