Hi Doc My Dad Is A Heart Patient And Had
My dad is a heart patient and had sufffred acute mi which made his lvef to 35% which is the dysfuncyion. This was last year in november and he had got one stent done as it wasb100% blockage but still it was in an emergency so doc said not to do bypass...
My dad has got sever acidity problem from past 5 yrs he has been taking several medicines for the same like panum l , rantac, sumpraz d and many antacids. He burps a lot and his upper abdomen pains a lot and it bulges out after eating. Doc adviced ro do endoscopy which did not rule out any main reason it said hernia in the food pipe and doc said that is very minor and does not require any specific treatmeant.
Since he has lot of pain in the upper abdomen whcih offen radiates back at the center and he keeps complaining of the pain and acidity a lot doc adviced for CT contrast. But i ak worried with lvef of 30% should be go and do contrast ct scan i read on the internet it affests the heart and blood vessels and may make the dysfunction more
My dad did the ct scan and endoscopy report looks normal he has been taking perinorm tablet and pantadoc along with mucaine and softavac powede.
But his pain in the upper abdomen bloating and blenching has not stoppped his stomach pains a lot
We visited another doctor and he prescribed two tableta cintodac capsule and tablet revotril which i saw on internet is for seizzeers or nervous system and its an anti depressent.
I am concerned as he is a heart patient can he take tablets like rivotril which containsClonazepam, sold under the brand name Klonopin among others, is a medication used to prevent and treat seizures, panic disorder, and for the movement disorder known as akathisia. It is a tranquilizer of the benzodiazepine class.
pls advice if this medicine can be taken as he is a cardiac patient
His current cardiac medications are
Ecosprin tablet
Prax 10 mg
Cardivas 3.125
Atorva tablet
Yes, he may use Clonazepam
Detailed Answer:
Hi,
Thanks for asking...
Clonazepam is a benzodiazepine class which is used for multiple reasons like for stress relief, sleep, anxiety, and can also be used for seizure due to calming action. So he may have it if necessary.
Next thing, he may undergo a contrast CT scan if necessary. There is certainly a risk of myocardial depression, but usually, it's temporary and relieves with time. Also, the risk is less as it enters heart in less concentration. So may undergo a CT scan if necessary.
For his current problems, he should modify his lifestyle. You may try giving some digestive syrup like Syrup or Cap Aristozyme after meals three times a day along with remaining medicines.
He should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits.
Elevate the head end of the bed during sleep or rest. For immediate pain relief, you can have antispasmodic like tab Dicyclomine or Hyoscine 10mg whenever needed up to three times a day.
With respect to the heart, he should be on some more medicines to prevent decline of heart function like ACE inhibitors like Ramipril and Torsemide-Spironolactone combination, which will be helpful.
So, please discuss with your local doctor regarding this.
Hope this helps.
Feel free to get back if you have any doubts.