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Do I Need Heart Catheterization For Confirmation Of Pulmonary Hypertension?
Question: I have mild pulmonary hypertension - RVSP 36mmHg (I was told this is mild), minor mitral valve regurgitation, mild tricuspid regurgitation. One year ago I had severe hemoptysis for 5 days (reason unknown) and I have Bronchiectasis (lower left lobe) and asthma. I get shortness of breathe easily and I am doing lung rehab at a local hospital with my co2 lowering to 92% at the worst (I was told that is nothing to worry about too). My questions is this... should I be having the pulmonary hypertension investigated further other than the echocardiogram, such as a right heart catheterization, or am I worrying about nothing?
Brief Answer:
No need for further investigation.
Detailed Answer:
Thanks for your question on HCM.
I can understand your concern.
No need for further investigation like right heart catheterization for confirmation of PAH (Pulmonary hypertension).
You are diagnosed case of bronchiectesis and asthma.
Both are chronic obstructive Pulmonary diseases.
So mild degree of Pulmonary hypertension is acceptable with these diseases.
For prevention of further worsening of Pulmonary hypertension, optimum control of asthma and bronchiectesis is needed.
So better to consult pulmonologist and start appropriate treatment for asthma and bronchiectesis.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
No need for further investigation.
Detailed Answer:
Thanks for your question on HCM.
I can understand your concern.
No need for further investigation like right heart catheterization for confirmation of PAH (Pulmonary hypertension).
You are diagnosed case of bronchiectesis and asthma.
Both are chronic obstructive Pulmonary diseases.
So mild degree of Pulmonary hypertension is acceptable with these diseases.
For prevention of further worsening of Pulmonary hypertension, optimum control of asthma and bronchiectesis is needed.
So better to consult pulmonologist and start appropriate treatment for asthma and bronchiectesis.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello,
Thank you for your reply. I am already using appropriate treatment for asthma and bronchiectesis such as Seretide and Ventolin plus anto-biotics when I get chest infection (rarely). So you are saying that my mild pulmonary hypertension will not get worse over time and the reading of RVSP 36mmHg is normal (stable) for my condition?
Thank you for your reply. I am already using appropriate treatment for asthma and bronchiectesis such as Seretide and Ventolin plus anto-biotics when I get chest infection (rarely). So you are saying that my mild pulmonary hypertension will not get worse over time and the reading of RVSP 36mmHg is normal (stable) for my condition?
Brief Answer:
If your asthma remains stable than PH will also remain stable.
Detailed Answer:
Thanks for your follow up question on HCM.
You are having secondary Pulmonary hypertension (PH), secondary to asthma and bronchiectesis.
So if these two conditions remain stable than your PH will also remain stable.
Please let me know
1. Have you taken respiratory vaccines?
2. Are you taking anti allergic drugs?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
If your asthma remains stable than PH will also remain stable.
Detailed Answer:
Thanks for your follow up question on HCM.
You are having secondary Pulmonary hypertension (PH), secondary to asthma and bronchiectesis.
So if these two conditions remain stable than your PH will also remain stable.
Please let me know
1. Have you taken respiratory vaccines?
2. Are you taking anti allergic drugs?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your speedy reply Dr. XXXXXXX Bhavsar, I appreciate it very much.
Your questions:
1. Have you taken respiratory vaccines?
I am unable to have vaccines due to my MTHFR gene disorder and I react very adversely to vaccinations.
2. Are you taking anti allergic drugs?
I take anti-histamines when there is seasonal changes such as spring/autumn. I avoid foods high in salicylates. Additionally I have a very bad reaction to rice/rice products causing fluid to build up in my lungs within minutes... like a histamine reaction.
I am very thankful if my two conditions remain stable then my PH will also remain stable. I was very worried about this, hence why I contacted you. I am very active, busy, with study, and my three businesses so I want to have optimal health for as long as possible.
If I opt for a right heart catheterization, is it a safe procedure with no major dangers involved?
Kind Regards XXXXXXX
Your questions:
1. Have you taken respiratory vaccines?
I am unable to have vaccines due to my MTHFR gene disorder and I react very adversely to vaccinations.
2. Are you taking anti allergic drugs?
I take anti-histamines when there is seasonal changes such as spring/autumn. I avoid foods high in salicylates. Additionally I have a very bad reaction to rice/rice products causing fluid to build up in my lungs within minutes... like a histamine reaction.
I am very thankful if my two conditions remain stable then my PH will also remain stable. I was very worried about this, hence why I contacted you. I am very active, busy, with study, and my three businesses so I want to have optimal health for as long as possible.
If I opt for a right heart catheterization, is it a safe procedure with no major dangers involved?
Kind Regards XXXXXXX
Brief Answer:
It is very invasive procedure.
Detailed Answer:
Thanks for your follow up question on HCM.
Thanks for kind words.
Right heart catheterization is very invasive procedure.
And it is indicated only in certain type of PH patients where we want to determine vaso reactivity.
In your case it is not indicated.
So in my opinion, better not to go for it.
Please let me know
1. Who advised you right heart catheterization? Cardiologist or pulmonologist?
2. Are you smoker?
3. Are you taking alcohol?
4. Are you obese?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
It is very invasive procedure.
Detailed Answer:
Thanks for your follow up question on HCM.
Thanks for kind words.
Right heart catheterization is very invasive procedure.
And it is indicated only in certain type of PH patients where we want to determine vaso reactivity.
In your case it is not indicated.
So in my opinion, better not to go for it.
Please let me know
1. Who advised you right heart catheterization? Cardiologist or pulmonologist?
2. Are you smoker?
3. Are you taking alcohol?
4. Are you obese?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Testing if my response is getting through?
Brief Answer:
I have not received your last answer.
Detailed Answer:
Thanks for your follow up question on HCM.
I have not received your response.
I just received only 'testing if my response is getting through'.
So please reply me your query, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
I have not received your last answer.
Detailed Answer:
Thanks for your follow up question on HCM.
I have not received your response.
I just received only 'testing if my response is getting through'.
So please reply me your query, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello again doctor.
I do not smoke or drink and I need to get back to fitness as I've been anxious and fearful of exercise since my lung haemorrhage last year. I use to exercise regularly prior to that issue. I am a vegetarian and eat healthy. XXXXXXX
I do not smoke or drink and I need to get back to fitness as I've been anxious and fearful of exercise since my lung haemorrhage last year. I use to exercise regularly prior to that issue. I am a vegetarian and eat healthy. XXXXXXX
Brief Answer:
Enroll yourself in Pulmonary Rehabilitation center.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
If your asthma is controlled than you can do exercise.
Better to enroll yourself in Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done.
First let me know
1. Are you controlled with current medicines?
2. Have you ever undergone PFT (Pulmonary Function Test)?
Please reply me answers of above asked questions, so that I can guide you better about exercise.
I will be happy to help you further.
Wish you good health. Thanks.
Enroll yourself in Pulmonary Rehabilitation center.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
If your asthma is controlled than you can do exercise.
Better to enroll yourself in Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done.
First let me know
1. Are you controlled with current medicines?
2. Have you ever undergone PFT (Pulmonary Function Test)?
Please reply me answers of above asked questions, so that I can guide you better about exercise.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello again Doctor,
Sorry for my delay in reply but as I am in Australia I had to go to sleep last night and did not get time to respond to your questions. Here is my response:
1. Are you controlled with current medicines?
I am using Seretide and I think it is working ok and I only have to use my Ventolin a few days a month when my hormones fluctuate as they seem to effect my breathing.
2. Have you ever undergone PFT (Pulmonary Function Test)?
I have had lung function tests and I also have my own portable peak flow meter, co2 meter and a FEV1 meter called a PIKO-6.
Since my Hemoptysis a year ago my FEV1 has been very low but I am still able to exercise and function ok. Do you think my FEV1 results will improve with exercise and time? I would hate to think I am declining and getting worse with my lungs issues.
I look forward to hearing back from you with your thoughts.
Kind Regards XXXXXXX XXXX
Sorry for my delay in reply but as I am in Australia I had to go to sleep last night and did not get time to respond to your questions. Here is my response:
1. Are you controlled with current medicines?
I am using Seretide and I think it is working ok and I only have to use my Ventolin a few days a month when my hormones fluctuate as they seem to effect my breathing.
2. Have you ever undergone PFT (Pulmonary Function Test)?
I have had lung function tests and I also have my own portable peak flow meter, co2 meter and a FEV1 meter called a PIKO-6.
Since my Hemoptysis a year ago my FEV1 has been very low but I am still able to exercise and function ok. Do you think my FEV1 results will improve with exercise and time? I would hate to think I am declining and getting worse with my lungs issues.
I look forward to hearing back from you with your thoughts.
Kind Regards XXXXXXX XXXX
Brief Answer:
Yes, exercise can improve FEV1.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern. And no need to worry for late reply. Online health services have privilege to ask and discuss with doctors at anytime. So no need for sorry.
Yes, FEV1 can improve with inhaled bronchodilators and exercise.
So continue exercise and seretide.
Please let me know your FEV1 value and it's predicted percentage.
I will be happy to help you further.
Wish you good health. Thanks.
Yes, exercise can improve FEV1.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern. And no need to worry for late reply. Online health services have privilege to ask and discuss with doctors at anytime. So no need for sorry.
Yes, FEV1 can improve with inhaled bronchodilators and exercise.
So continue exercise and seretide.
Please let me know your FEV1 value and it's predicted percentage.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Greetings,
My last check with my PIKO-6 meter was about 6 weeks ago:
FEV6: 3.03
FEV1: 1.72
FEV1/FEV6:0.56
That was after an hours workout at the gym with my physio. I didn't feel too out of breath and still had lots of energy for the rest of the day.
Kind Regards XXXXXXX
My last check with my PIKO-6 meter was about 6 weeks ago:
FEV6: 3.03
FEV1: 1.72
FEV1/FEV6:0.56
That was after an hours workout at the gym with my physio. I didn't feel too out of breath and still had lots of energy for the rest of the day.
Kind Regards XXXXXXX
Brief Answer:
What are your height, weight and race?
Detailed Answer:
Thanks for your follow up question on HCM.
These values are actual, performed value.
We need to compare them with standard predicted value. Standard predicted values are based on height, weight, age and race.
So we need to compare your actual readings with readings of normal individual identical with your height, weight, age and race.
There are charts available for comparison.
So please let me know your height, weight and race. So that I can compare your values with standard value.
Based on this equation, you will get idea about severity of your disease.
So please reply me your height, weight and race.
I will be happy to help you further.
Wish you good health. Thanks.
What are your height, weight and race?
Detailed Answer:
Thanks for your follow up question on HCM.
These values are actual, performed value.
We need to compare them with standard predicted value. Standard predicted values are based on height, weight, age and race.
So we need to compare your actual readings with readings of normal individual identical with your height, weight, age and race.
There are charts available for comparison.
So please let me know your height, weight and race. So that I can compare your values with standard value.
Based on this equation, you will get idea about severity of your disease.
So please reply me your height, weight and race.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your speedy reply Doctor,
I am Australian (of Latvian heritage)... I am 171cm tall... 80kgs.
Thanks you XXXXXXX
I am Australian (of Latvian heritage)... I am 171cm tall... 80kgs.
Thanks you XXXXXXX
Brief Answer:
You are having moderate degree of obstruction.
Detailed Answer:
Thanks for your follow up question on HCM.
Standard FEV1 value is 2.99 and ratio is 0.81 at your height, age and weight.
And your performed, actual value for FEV1 is 1.72 and ratio is 0.56.
So you are having obstructive airway defect. And it is moderate in degree and severity.
So you need to continue seretide inhaler.
Do regular chest physiotherapy and deep breathing exercises.
Get done spirometry every 5-6 monthly.
Please let me know
1. Are you taking any oral drugs?
2. How many times in a day, you are taking seretide?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
You are having moderate degree of obstruction.
Detailed Answer:
Thanks for your follow up question on HCM.
Standard FEV1 value is 2.99 and ratio is 0.81 at your height, age and weight.
And your performed, actual value for FEV1 is 1.72 and ratio is 0.56.
So you are having obstructive airway defect. And it is moderate in degree and severity.
So you need to continue seretide inhaler.
Do regular chest physiotherapy and deep breathing exercises.
Get done spirometry every 5-6 monthly.
Please let me know
1. Are you taking any oral drugs?
2. How many times in a day, you are taking seretide?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello again Doctor,
Just to note, my FEV1 was 0.47 a year ago after my episode of Hemoptysis so it has improved in 12 months. Does this mean if I continue to improve I could go back to being mild COPD instead of moderate? Is it possible to improve COPD?
Answers to your question:
1. Are you taking any oral drugs?
I do not take any oral drugs.
2. How many times in a day, you are taking seretide?
I take two puffs twice a day and Ventolin when needed.
Kind Regards XXXXXXX
Just to note, my FEV1 was 0.47 a year ago after my episode of Hemoptysis so it has improved in 12 months. Does this mean if I continue to improve I could go back to being mild COPD instead of moderate? Is it possible to improve COPD?
Answers to your question:
1. Are you taking any oral drugs?
I do not take any oral drugs.
2. How many times in a day, you are taking seretide?
I take two puffs twice a day and Ventolin when needed.
Kind Regards XXXXXXX
Brief Answer:
Yes, improvement in FEV1 is possible.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Yes, it is possible to improve your FEV1 through bronchodilators and Pulmonary Rehabilitation.
But you should continue doing same as these will not cure your disease.
Inhaled bronchodilators and rehabilitation will maintain your lung functions and reduce symptoms.
N acetyl cysteine (NAC) is known to improve lung function through its anti inflammatory, anti oxidant and mucolytic actions. And it is indicated in asthma and bronchiectesis.
Please let me know
1. You are using seretide in which dose 125/250?
2. Have you ever tried NAC?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Yes, improvement in FEV1 is possible.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Yes, it is possible to improve your FEV1 through bronchodilators and Pulmonary Rehabilitation.
But you should continue doing same as these will not cure your disease.
Inhaled bronchodilators and rehabilitation will maintain your lung functions and reduce symptoms.
N acetyl cysteine (NAC) is known to improve lung function through its anti inflammatory, anti oxidant and mucolytic actions. And it is indicated in asthma and bronchiectesis.
Please let me know
1. You are using seretide in which dose 125/250?
2. Have you ever tried NAC?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello again,
I think my Seretide is 250, I'll check in the morning.
I've used NAC, in my nebuliser when I've had infections. Do you think NAC is best nebulised as and ongoing therapy or NAC in pill form (I have this too).
Regards XXXXXXX
I think my Seretide is 250, I'll check in the morning.
I've used NAC, in my nebuliser when I've had infections. Do you think NAC is best nebulised as and ongoing therapy or NAC in pill form (I have this too).
Regards XXXXXXX
Brief Answer:
Oral NAC tablets are having same effectiveness.
Detailed Answer:
Thanks for your follow up question on HCM.
NAC tablets and nebulisation have same effectiveness.
So you can take tablets.
There are two kind of NAC tablets.
1. Routine oral tablet, which is taken as routine drug.
2. Effervescent tablet. In this you need to first dissolve this tablet in glass of water and than drink that water.
Effervescent tablets have more effectiveness than routine oral tablets.
So please let me know which type of tablet you are having?
I will be happy to help you further.
Wish you good health. Thanks.
Oral NAC tablets are having same effectiveness.
Detailed Answer:
Thanks for your follow up question on HCM.
NAC tablets and nebulisation have same effectiveness.
So you can take tablets.
There are two kind of NAC tablets.
1. Routine oral tablet, which is taken as routine drug.
2. Effervescent tablet. In this you need to first dissolve this tablet in glass of water and than drink that water.
Effervescent tablets have more effectiveness than routine oral tablets.
So please let me know which type of tablet you are having?
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Greetings Doctor,
I hope you are having a good start to your weekend ahead. I do not expect a reply until next week. However I shall answer you question and I have a few other questions, if I may?
The NAC I have is a routine oral tablet form by NOW FOODS at 600mg. I am not currently taking the NAC. Should I start to take it?
My additional questions...
Many people with COPD and other lung issues are using Serrapeptase and say they have amazing results. Your thoughts?
My doctor at the lung rehab classes at Nambour Hospital, Australia, suggested I should look into an inhaler called Onbrez (Indacaterol) as it doesn't have the steroids but has the long lasting bronchial dilator.
I look forward to hearing from you and your thoughts.
Kind Regards
XXXXXXX XXXX
I hope you are having a good start to your weekend ahead. I do not expect a reply until next week. However I shall answer you question and I have a few other questions, if I may?
The NAC I have is a routine oral tablet form by NOW FOODS at 600mg. I am not currently taking the NAC. Should I start to take it?
My additional questions...
Many people with COPD and other lung issues are using Serrapeptase and say they have amazing results. Your thoughts?
My doctor at the lung rehab classes at Nambour Hospital, Australia, suggested I should look into an inhaler called Onbrez (Indacaterol) as it doesn't have the steroids but has the long lasting bronchial dilator.
I look forward to hearing from you and your thoughts.
Kind Regards
XXXXXXX XXXX
Brief Answer:
Indacaterol is good drug.
Detailed Answer:
Thanks for your follow up question on HCM.
And thanks for the concern. But we need to answer your follow up query within 24 hours. This is rule. No need to worry for weekend as I am using app for answering. So this is more convenient. And for doctors patient satisfaction is everything. So no issues in answering during weekend.
Yes, you should definitely start NAC. Complete your current pack, but better to buy effervescent tablet after this.
And indacaterol is ultra long acting beta 2 agonist. It's action lasts for 16-20 hours.
It is having only bronchodilator property. It is not having anti inflammatory action. And inflammation is the main culprit in COPD. So steroids are must for long term control.
About serratiopeptidase, honestly speaking I have never used in COPD patients. It is used for acute inflammatory conditions like cellulitis, sprain, fractures etc. COPD is having chronic inflammation, and I don't think it is safe to use this drug for long time.
Tiotropium is good drug for COPD. It is long acting muscarinic antagonist (LAMA). It's action lasts for 24 hours. So once daily dosing is needed. It is having proven role in COPD.
So please let me know
1. Have you ever taken Tiotropium?
2. In which dose you are taking NAC?
3. Which strength of seretide you are using? 125/250?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Indacaterol is good drug.
Detailed Answer:
Thanks for your follow up question on HCM.
And thanks for the concern. But we need to answer your follow up query within 24 hours. This is rule. No need to worry for weekend as I am using app for answering. So this is more convenient. And for doctors patient satisfaction is everything. So no issues in answering during weekend.
Yes, you should definitely start NAC. Complete your current pack, but better to buy effervescent tablet after this.
And indacaterol is ultra long acting beta 2 agonist. It's action lasts for 16-20 hours.
It is having only bronchodilator property. It is not having anti inflammatory action. And inflammation is the main culprit in COPD. So steroids are must for long term control.
About serratiopeptidase, honestly speaking I have never used in COPD patients. It is used for acute inflammatory conditions like cellulitis, sprain, fractures etc. COPD is having chronic inflammation, and I don't think it is safe to use this drug for long time.
Tiotropium is good drug for COPD. It is long acting muscarinic antagonist (LAMA). It's action lasts for 24 hours. So once daily dosing is needed. It is having proven role in COPD.
So please let me know
1. Have you ever taken Tiotropium?
2. In which dose you are taking NAC?
3. Which strength of seretide you are using? 125/250?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doctor for you reply and amazing knowledge you are sharing. I feel that I have some hope for better healing.
Answers to your questions:
1. Have you ever taken Tiotropium?
No, do I need a prescription or can it be purchased easily?
2. In which dose you are taking NAC?
I have NAC here in 600mg tablet form but I have not taken it yet (only used nebulizer version). What is the dose you recommend?
3. Which strength of seretide you are using? 125/250?
MDI 125/25. (125 mcg fluticasone propionate and 25 mcg) two puffs twice a day.
Have a wonderful weekend.
Kind Regards XXXXXXXXXXX
Answers to your questions:
1. Have you ever taken Tiotropium?
No, do I need a prescription or can it be purchased easily?
2. In which dose you are taking NAC?
I have NAC here in 600mg tablet form but I have not taken it yet (only used nebulizer version). What is the dose you recommend?
3. Which strength of seretide you are using? 125/250?
MDI 125/25. (125 mcg fluticasone propionate and 25 mcg) two puffs twice a day.
Have a wonderful weekend.
Kind Regards XXXXXXXXXXX
Brief Answer:
Seretide 250 one puff twice daily is sufficient.
Detailed Answer:
Thanks for your follow up question on HCM.
Sorry for late reply.
Answer to your 1st question.
Tiotropium is prescribed drug, so you need doctor 's prescription for it.
Answer to your 2nd question.
NAC is also prescribed medicine, so you need to consult doctor for it. Ideal dose is 600mg thrice daily. Better to take effervescent tablets. Consult your doctor before starting for prescription.
Answer to your 3rd question.
If you start using tiotropium than seretide dosing can be reduced. But again you need to talk about this with your doctor. Otherwise 250/25 two puffs twice daily is good.
So discuss above things with your doctor and plan your treatment accordingly.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Seretide 250 one puff twice daily is sufficient.
Detailed Answer:
Thanks for your follow up question on HCM.
Sorry for late reply.
Answer to your 1st question.
Tiotropium is prescribed drug, so you need doctor 's prescription for it.
Answer to your 2nd question.
NAC is also prescribed medicine, so you need to consult doctor for it. Ideal dose is 600mg thrice daily. Better to take effervescent tablets. Consult your doctor before starting for prescription.
Answer to your 3rd question.
If you start using tiotropium than seretide dosing can be reduced. But again you need to talk about this with your doctor. Otherwise 250/25 two puffs twice daily is good.
So discuss above things with your doctor and plan your treatment accordingly.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Prasad
Thank you doctor for you reply and please excuse my late reply. I do have another question... after a few days of searching and calling pharmaceutical suppliers I have not been able to source out the effervescent NAC tablets. Do you know an online resource for purchasing the the effervescent NAC tablet?
I appreciate any assistance you can provide me.
Kind Regards XXXXXXX XXXX
I appreciate any assistance you can provide me.
Kind Regards XXXXXXX XXXX
Brief Answer:
This is prescribed medicine, so you need to consult doctor locally.
Detailed Answer:
Thanks for your follow up question on HCM.
No need to say sorry. It's ok.
Sorry to say but this is prescribed medicine and it is not available online. You need to consult doctor locally for prescription. I can give you trade names. It is available as Mucinac and Lumenac.
Hope you will understand.
I will be happy to help you further.
Wish you good health. Thanks.
This is prescribed medicine, so you need to consult doctor locally.
Detailed Answer:
Thanks for your follow up question on HCM.
No need to say sorry. It's ok.
Sorry to say but this is prescribed medicine and it is not available online. You need to consult doctor locally for prescription. I can give you trade names. It is available as Mucinac and Lumenac.
Hope you will understand.
I will be happy to help you further.
Wish you good health. Thanks.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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