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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Would Intake Of Monotrate SR 30mg Cause Headache?

I am 75.8 years, and on 6 May 2011, had PTCA and stenting of proximal LAD done with 3mm x 33mm Bio-flex DES after thrombus aspiration and predialation with 2.75mm ballon. D1 was crossed with Fielder FC and dialted with a 2mm balloon before stenting LAD. LAD stent post dilated with 3.25mm balloon at 18-24ATM with good result. Left Ostium looked hazy with slow clearance. A 4mm x 15mm promos DES was deployed and post dialted with a 4.5mm NC balloon at 18 to 24 ATM. Final angio showed TIMI 3 flow with TMP grade 3 in the lad and no residual stenosis in either of the vessels. CADRF: Mild dyslipidemia. TMT on 7 Sept. 13: - 8 min 12 secs. 107% HR, No ST changes. TMT on 15 Aug. 14: 6 min 20 secs. Mild ST depression at peak but none during recovery. A/P: CAD S/p LMCA and LAD stenting in 2011 for acute MI now stable angina - new and mildly abnormal TMT. I am on following medicines since 26 My 2014: T Ceruvin 75 mg 1 ---0 0 T Ecosprin 75 mg 0 1 0 T Crestor 10 mg 0 0 1 T Monotrate SR 30 mg 1 0 1 T Sleoram 50/5 1 0 1 Pantadac 40 mg 1 0 0 Besides the above medicines, I have been suggested to undergo another angeogram,at convenience,as the TMT indicates minimal abnormality. I led very regular and active life till 2011 and never suffered from any major problem. I hate taking too many medicines. Even after retirement from WHO, in 1998, I continued working with them on ad hoc basis till December 2010. My question is: With host of preventive meidcines I am taking,is another angeogram required? With medicines my BP has also stabilized now. Also since I was put on Monotrate SR 30mg. I am having almost constant headache though tolerable, started passing urine at least four time during night, feel exhausted which some time obstructs my evening/morning walk and yoga, besides loss of and irregular sleep pattern. I shall thank you for your considered opinion which would certainly help me lead a confortable and medicine-free life. Thanks and with regards, Yours sincerely, N.C. Kochhar
Thu, 28 Feb 2019
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General & Family Physician 's  Response
Hi,

Your concern is very right, medicine may cause many side effects and should be used in the least number and dose.

Your symptoms may well be caused by your drugs, especially the headache with mononitrate, and the fatigue and low stamina with beta blockers and statins.

While in a condition like you certain of the drugs may be necessary to continue for life long, like Aspirin, but certainly may be stopped or reduced in dose if not needed.

Like we can stop the nitrate if not needed, similarly, the statin and beta blockers may be changed or stopped depending on your condition.

So my personal opinion is that you should see your cardiologist and express your concerns. He would definitely help you regarding your concerns and may reduce certain drugs or may change it.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Mahboob Ur Rahman , General & Family Physician
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Would Intake Of Monotrate SR 30mg Cause Headache?

Hi, Your concern is very right, medicine may cause many side effects and should be used in the least number and dose. Your symptoms may well be caused by your drugs, especially the headache with mononitrate, and the fatigue and low stamina with beta blockers and statins. While in a condition like you certain of the drugs may be necessary to continue for life long, like Aspirin, but certainly may be stopped or reduced in dose if not needed. Like we can stop the nitrate if not needed, similarly, the statin and beta blockers may be changed or stopped depending on your condition. So my personal opinion is that you should see your cardiologist and express your concerns. He would definitely help you regarding your concerns and may reduce certain drugs or may change it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mahboob Ur Rahman , General & Family Physician