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Suggest Treatment For Stroke And Heart Problems
Question: MY HUSBAND IS CRITICAL HEART AND STROKE PATIENT
HE HAS BEEN ON BLOOD PRESSURE MEDICINE SENSE 2004 AFTER HIS HEART ATTACK
HE HAS HAD 2 MAJOR STROKES 2011, 2012, THAN IN 2013 HE HAD ONE OVER HIS MOTOR CONTROL OF HIS LEFT SIDE
IN OCT. 2014 HE HAD THREE MINOR HEART PROBLEMS NOW HIS BLOOD PRESSURE IS OUT OF CONTROL
THE DOCTORS ADD MORE BLOOD PRESSURE MEDICINE BUT HE IS NOT RESPONDING TO THEM
HIS BLOOD PRESSURE CAN BE 212 / 110 TO 180 / 90S AND EVERY WHERE BETWEEN
I AM CONCERNED OF RESISTANCE TO THE MEDICINE? AND THE SIDE EFFECTS OF THE MED.S?
MEDS. ARE LOSARTAN 50MG TWICE A DAY , CARVEDILOL 12.5MG TWICE A DAY, AND LISINOPRIL 20MG ONCE A DAY.
HE HAS BEEN ON BLOOD PRESSURE MEDICINE SENSE 2004 AFTER HIS HEART ATTACK
HE HAS HAD 2 MAJOR STROKES 2011, 2012, THAN IN 2013 HE HAD ONE OVER HIS MOTOR CONTROL OF HIS LEFT SIDE
IN OCT. 2014 HE HAD THREE MINOR HEART PROBLEMS NOW HIS BLOOD PRESSURE IS OUT OF CONTROL
THE DOCTORS ADD MORE BLOOD PRESSURE MEDICINE BUT HE IS NOT RESPONDING TO THEM
HIS BLOOD PRESSURE CAN BE 212 / 110 TO 180 / 90S AND EVERY WHERE BETWEEN
I AM CONCERNED OF RESISTANCE TO THE MEDICINE? AND THE SIDE EFFECTS OF THE MED.S?
MEDS. ARE LOSARTAN 50MG TWICE A DAY , CARVEDILOL 12.5MG TWICE A DAY, AND LISINOPRIL 20MG ONCE A DAY.
Brief Answer:
Brain MR and calcium blockers
Detailed Answer:
Dear
I read your query and understand your concern
I am sorry for the symptoms your husband is suffering
I read about his treatment and there are still anti hypertensive pills which can be added (such as calcium blockers or diuretics)
Patient which suffers stroke have a good feed back to calcium blockers so in my opinion it should be added ( moxonidine or lercandipine)
I would be more helpful if you provide me the report or images of brain MR
Your husband should be treated for high blood pressure as well as for dislypidemia (if he has high cholesterol or triglycerides) and should absolutely take baby aspirin or klopidogrel
Discuss with cardiologist or neurologist about my opinion
Give him a tablet of lercandipine because blood pressure should allowed to be more than 160 mmhg
Hope I have been of help
Don't hesitate to contact me for further questions
Stay healthy
Regards
Dr Eris Ranxha
Neurologist
Brain MR and calcium blockers
Detailed Answer:
Dear
I read your query and understand your concern
I am sorry for the symptoms your husband is suffering
I read about his treatment and there are still anti hypertensive pills which can be added (such as calcium blockers or diuretics)
Patient which suffers stroke have a good feed back to calcium blockers so in my opinion it should be added ( moxonidine or lercandipine)
I would be more helpful if you provide me the report or images of brain MR
Your husband should be treated for high blood pressure as well as for dislypidemia (if he has high cholesterol or triglycerides) and should absolutely take baby aspirin or klopidogrel
Discuss with cardiologist or neurologist about my opinion
Give him a tablet of lercandipine because blood pressure should allowed to be more than 160 mmhg
Hope I have been of help
Don't hesitate to contact me for further questions
Stay healthy
Regards
Dr Eris Ranxha
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
I WILL FOLLOW UP WITH OUR NEUROLOGIST AND FAMILY DOC.
WE HAVE NOT HEARD OF CALCIUM BLOCKERS? AND WE HAVE NOT HEARD OF LERCANDIPINE?
THANK YOU FOR YOUR REPLY
WE HAVE NOT HEARD OF CALCIUM BLOCKERS? AND WE HAVE NOT HEARD OF LERCANDIPINE?
THANK YOU FOR YOUR REPLY
Brief Answer:
Add treatment
Detailed Answer:
Dear
I understand you are concerned but after changing treatment your husband blood pressure will be normal.
He is taking beta blockers (carvedilol) so calcium blockers are to be added (lercandipine) and between lisinopril and losartan one of them should be taken (in my opinion lisinopril)
If he still suffers high blood pressure diuretics need to be added ( hydrochlortiazid or moduretic)
Remember to discuss with doctor about aspirin
Hoping that my advise will help in normalizing the blood pressure of your husband
Best regards
Add treatment
Detailed Answer:
Dear
I understand you are concerned but after changing treatment your husband blood pressure will be normal.
He is taking beta blockers (carvedilol) so calcium blockers are to be added (lercandipine) and between lisinopril and losartan one of them should be taken (in my opinion lisinopril)
If he still suffers high blood pressure diuretics need to be added ( hydrochlortiazid or moduretic)
Remember to discuss with doctor about aspirin
Hoping that my advise will help in normalizing the blood pressure of your husband
Best regards
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
MY HUSBAND IS ON 350MG OF ASPIRIN ONE A DAY SORRY I SHOULD HAVE SAID SO
I THINK BETWEEN THE THREE DOC.S THEY ARE THINKING HOSPICE
I THINK BETWEEN THE THREE DOC.S THEY ARE THINKING HOSPICE
Brief Answer:
Blood pressure will be normal again
Detailed Answer:
Dear
if he will be hospitalized it will be easier to control blood pressure
Wish you all the best
Hope I had been of help
Regards
Blood pressure will be normal again
Detailed Answer:
Dear
if he will be hospitalized it will be easier to control blood pressure
Wish you all the best
Hope I had been of help
Regards
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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