HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Can Cartia 100mg Be Taken After Bypass Anastomossis For Heart Revascularization?

Hello Doctor, I am a female 65 years old , last year I had a bypass anastomossis for heart revascularization, I take the following medecines: 1 cartia 100mg 1 lipitpr 80g tab. now reduced to 40mg 1 metoprplol tartrate 100mg and my GOT AST is 78 U/L GPT alt is134 GGT is 58 U/L Is this Situation curable? Awaiting your reply, thanking you in advance, Very Much
Fri, 28 Apr 2017
Report Abuse
Pulmonologist 's  Response
Hello.
Thanks for posting here. I have gone through your description.
Lipitor can cause increase in the liver enzymes. Your liver enzymes are high but not very high to stop lipitor. I guess thats why your doctor has reduced the dose to 40 mg.
If the liver enzymes SGOT and SGPT are greater than 3 times the normal range, they are stopped. These levels usually come down when stop therapy or reduce your lipitor dose. So in short, this is a reversible increase in the enzymes. Please continue lipitor at 40 mg and do a LFT after two weeks. If the levels continue to increase, then statin can be stopped for a period of four weeks.
We must also consider the probability of fatty liver disease in this case, which can also cause increase in liver enzyme levels. Please do a sonography of the abdomen to rule out fatty liver disease.
Cartia and metoprolol do not affect liver enzyme levels and can be safely continued.
Wishing you good health.
Regards
I find this answer helpful

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Can Cartia 100mg Be Taken After Bypass Anastomossis For Heart Revascularization?

Hello. Thanks for posting here. I have gone through your description. Lipitor can cause increase in the liver enzymes. Your liver enzymes are high but not very high to stop lipitor. I guess thats why your doctor has reduced the dose to 40 mg. If the liver enzymes SGOT and SGPT are greater than 3 times the normal range, they are stopped. These levels usually come down when stop therapy or reduce your lipitor dose. So in short, this is a reversible increase in the enzymes. Please continue lipitor at 40 mg and do a LFT after two weeks. If the levels continue to increase, then statin can be stopped for a period of four weeks. We must also consider the probability of fatty liver disease in this case, which can also cause increase in liver enzyme levels. Please do a sonography of the abdomen to rule out fatty liver disease. Cartia and metoprolol do not affect liver enzyme levels and can be safely continued. Wishing you good health. Regards