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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Congestive Heart Failure

can I take your suggested treatments for congestive heart failure and hepatitis B together or should I do one for a few months and then start on the other. I would most likely start the treatment you suggest for congestive heart failure first. thanks for your time. Mary
Mon, 8 Jun 2015
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General & Family Physician 's  Response
Hello dear user!
Thank you for sharing you concerns
with us on HCM!

Since you have been diagnosed with congestive heart failure and Hep B as well, you have to be in contact with your cardiologist and hepatologist continuously.
They are conditions that must be taken under control any time, and treatments should be taken together. There is no reason to quit each of medication.

The medication for the heart failure should be taken always, without stopping a day.
It would be better if you consult you cardiologist to build up the proper scheme of your treatment because it will be a combined therapy and according to your cardiac function.

ECG, and Cardiac ultrasound must be done to evaluate your heart function.

Generally, As I said above, more than one drug is used to treat Congestive Heart Failure

- Enalapril, or Valsartan to control your blood pressure and decrease you vascular resistance.
- A beta blocker (metoprolol, carvedilol), to control the heart rate and increase cardiac output.
- A diuretic (hydrochlorthiazide, furosemide) especially if you have fluid retention, edemas etc.

- Digoxin may be suggested by your cardiologist if your heart function is damaged and it can't do its function as a pump.

The treatment for the hepatitis, should be adjusted by your hepatologist only, and stopped when the specialist sees appropriate.

Take care!
I wish you a good health!
DR ERIOL.
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Suggest Treatment For Congestive Heart Failure

Hello dear user! Thank you for sharing you concerns with us on HCM! Since you have been diagnosed with congestive heart failure and Hep B as well, you have to be in contact with your cardiologist and hepatologist continuously. They are conditions that must be taken under control any time, and treatments should be taken together. There is no reason to quit each of medication. The medication for the heart failure should be taken always, without stopping a day. It would be better if you consult you cardiologist to build up the proper scheme of your treatment because it will be a combined therapy and according to your cardiac function. ECG, and Cardiac ultrasound must be done to evaluate your heart function. Generally, As I said above, more than one drug is used to treat Congestive Heart Failure - Enalapril, or Valsartan to control your blood pressure and decrease you vascular resistance. - A beta blocker (metoprolol, carvedilol), to control the heart rate and increase cardiac output. - A diuretic (hydrochlorthiazide, furosemide) especially if you have fluid retention, edemas etc. - Digoxin may be suggested by your cardiologist if your heart function is damaged and it can t do its function as a pump. The treatment for the hepatitis, should be adjusted by your hepatologist only, and stopped when the specialist sees appropriate. Take care! I wish you a good health! DR ERIOL.