Do Clopidogrel, Atorvastatin And Metformin Cause Shortness Of Breath?
1 bayer low dose 81mg
4 B12 gummies 500mcg
4 vitamin D3 1000IU
1 Centrum silver Multivitamin/Multimineral Supplement
2 day Advair HFA 45-21MCG
1 Clopidogrel 75mg
1 Atorvastatin 20 mg
1 Furusemide 40mg
2 Carvedilol 3.125 mg
1 Metformin hcl er 500mg
when need ‘Nitrostat 0.6 mg
for Dr Sharka
I would recommend as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
Regarding your concern, I would explain that no one of your current medications can cause shortness of breath.
Considering the fact that you are taking Metformin, it means that you suffer from diabetes.
You should know that shortness of breath in diabetic patients can be considered equivalent to coronary artery disease.
For this reason, I would recommend you to perform a cardiac stress test to investigate for possible coronary artery disease.
Further tests (coronary angio CT scan or coronary angiography) may be needed if suspicions of coronary artery disease are raised.
Hope you will find this answer helpful!
Feel free to ask me again if you have any other uncertainties!
Kind regards,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
Thank you for the additional information provided.
Based on your angiogram results, coronary artery disease is excluded.
Coming to this point, I would recommend performing a chest X ray study and respiratory function tests to exclude a possible lung disorder.
Other lab tests to consider would be:
- thyroid hormone levels for possible thyroid dysfunction
- blood electrolytes for possible imbalance
- complete blood count for possible chronic anemia.
- blood gas analysis
If all the above tests result normal, you have nothing to worry about. In such case, you should consider anxiety as a main cause of your symptoms.
Hope to have been helpful!
Greetings!
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
I carefully reviewed all your performed tests and would explain that almost everything is normal, except for BNP and PCR which have resulted elevated.
The other lab tests are not concerning about anything.
Increased levels of BNP can indicate heart failure.
Increased levels of PCR indicate inflammation.
Coming to this point, I would recommend performing a cardiac ultrasound to examine better your cardiac function and structure and exclude possible heart failure.
Shortness of breath is one of the main signs of heart failure.
You should talk to your doctor on the above test.
I would be happy to review your test reports as soon as you can upload them for a second professional opinion.
Hope to have been helpful to you!
Wishing all the best,
Dr. Iliri