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Hi,In Year 2013 My Father Suffered Mild Heart Attack .

Posted on Sat, 2 May 2020

Question: Hi,In year 2013 My father suffered mild heart attack. After performing Angiography,Doctor suggested that he should stay on medications n der is no need for stent etc
The latest EF is 56% .. He is on following medicines:
Morning:Pan D, Nitrofix20,Benipeck 4.5,Carca 12.5
Noon:Livogen

Evening: Nitrofix20
Post Dinner: Deplatt A, Benipeck 4.5, Carca12.5, Orvas 20.
He is taking Pan D since 2013 on daily basis.He has tried to stop this over last 10days but he suffered from acidity n started again this medicine frm yesterday.
My questions are:
1) Can Pan D be taken for so long and should we continue with this medicine?
2) Can we take Pan40 instead of Pan D and can Pan D be stopped suddenly or is there any protocol to be followed for this

Follow up: Dr. Abhijit Deshmukh (0 minute later)

Hi,In year 2013 My father suffered mild heart attack. After performing Angiography,Doctor suggested that he should stay on medications n der is no need for stent etc
The latest EF is 56% .. He is on following medicines:
Morning:Pan D, Nitrofix20,Benipeck 4.5,Carca 12.5
Noon:Livogen

Evening: Nitrofix20
Post Dinner: Deplatt A, Benipeck 4.5, Carca12.5, Orvas 20.
He is taking Pan D since 2013 on daily basis.He has tried to stop this over last 10days but he suffered from acidity n started again this medicine frm yesterday.
My questions are:
1) Can Pan D be taken for so long and should we continue with this medicine?
2) Can we take Pan40 instead of Pan D and can Pan D be stopped suddenly or is there any protocol to be followed for this

Answered by Dr. Abhijit Deshmukh (12 hours later)

Brief Answer:
Hello XXXXXXX

Detailed Answer:

Welcome to HCM.
Thank you for your query.
I understand your concern.
Well continuing pan d for prolonged period is not advisable unless recommended by doctor for some specific reasons.
Worthwhile trying to taper it slowly and see how he feels.

1) Try switching to pantocid d (20+ 10) 1-0-1 (before breakfast and before dinner) for 15 days then
2) take pantocid d 20 in morning only (1-0-0) and famocid 20 in evening 0-0-1 for 15 days
3) then continue pantocid d 20 only and stop famocid.
In addition to this try following things
1. eat on time
2 exercise regularly
3 develop some hobbies
4 go for regular walk
5 sleep adequately for 8 hrs
6 avoid stress
7 avoid coffee, aerated drinks, tobacco, smoking, alcohol if any.
8 avoid sleeping or lying down 2 hours after meals
9 take small frequent meals
10 do some yoga and mind relaxation techniques
all this will help you in long run.
Also worthwhile getting an endoscopy vitamin B12 and D levels once to ascertain the cause of acidity and effect of long term antacids after consulting your doctor.

hope this answers your query.
happy to help
wish him a speedy recovery.

Above answer was peer-reviewed by : Dr. Kampana

Answered by Dr. Abhijit Deshmukh (0 minute later)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Abhijit Deshmukh (34 minutes later)

Thanks Sir for your reply.so he has to continue pantocid d 20 ( reduced composition of pan40) till further consultation.
Sir,I will take the desired tests post the lockdown...
Sir, just want to know if we stop Pan d suddenly...apart from acidity is der any other side effect for this.Also,he has started taking Pan d alternate days..is that recommended

Follow up: Dr. Abhijit Deshmukh (0 minute later)

Answered by Dr. Abhijit Deshmukh (4 hours later)

Brief Answer:
hello

Detailed Answer:

Hi,
Thank you for your query.
Yes reduce to pantocid d 1-0-0 and famocid 20 mg 0-0-1 x 15 days.
We are not stopping pan d suddenly as it may cause rebound symptoms hence reducing the dose no other side effects as such due to reduction of dose. Alternate days is of no use.
Best wishes.

Above answer was peer-reviewed by : Dr. Kampana

Answered by Dr. Abhijit Deshmukh (0 minute later)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Abhijit Deshmukh (53 minutes later)

Ok Sir thanks

Follow up: Dr. Abhijit Deshmukh (0 minute later)

Ok Sir thanks

Answered by Dr. Abhijit Deshmukh (4 hours later)

Brief Answer:
hello

Detailed Answer:

Welcome mam
best wishes

Above answer was peer-reviewed by : Dr. Prasad