Question 1

For the past 4 to 5 days, Ive been dealing with an unusually fast heart rate, even when Im just resting. I havent been exercising for a few months now, and I can really feel my heart pounding throughout my body. It gets worse at night and when I checked, my heart rate was 103 bpm, and sometimes its 95 bpm, but it never goes below 90, even when Im just sitting. Im staying hydrated and I dont feel anxious, but Ive started having this chest pain that feels like when someone presses on a bone. What tests should I consider doing to find out whats going on? This fast heart rate is really becoming unbearable. Any advice?

Accepted Answer

Based on your symptoms of a fast heart rate at rest, palpitations, and chest pain, it is important to consult a healthcare professional for further evaluation. The following tests may be recommended: 1. Electrocardiogram (ECG) to assess the electrical activity of the heart. 2. Holter monitor to continuously record your heart's activity for a period of time. 3. Echocardiogram to evaluate the structure and function of the heart. 4. Blood tests to check for any underlying conditions such as thyroid disorders or electrolyte imbalances. In the meantime, to help manage your symptoms, you can consider taking a beta-blocker medication such as Metoprolol at a starting dose of 25mg once daily, as prescribed by a healthcare professional. Beta-blockers can help lower heart rate and reduce chest pain.

Question 2

I'm 22 and was recently at the cardiologist because I've noticed more skipped heartbeats. They did some tests like a TMT echo and an X-ray and said my heart's fine, but during the echo, there were some skipped beats. The doctor saw this and put me on Met XL 25, saying it's for long-term use. I've got a few worries thoughshould I be taking this medication at such a young age? Is it going to cause any issues in the future, especially if I occasionally forget a dose? My blood pressure is normal. Can you help me understand this better?

Accepted Answer

The medication prescribed to you by your cardiologist, Met XL 25, is a commonly used brand name for Metoprolol, which is a beta-blocker. It is often prescribed to manage various heart conditions, including irregular heartbeats. The dosage for Met XL 25 is usually one tablet once a day. Starting Metoprolol at a younger age, like 22 years old, is not uncommon, especially if you have been experiencing skipped heartbeats. It is important to follow your doctor's advice and take the medication as prescribed. In the long run, taking Metoprolol as directed should help manage your symptoms and improve your heart health. If you forget to take a dose of Met XL 25, simply take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. It is important not to double up on doses to make up for a missed one. Overall, Met XL 25 can be beneficial for managing your skipped heartbeats, and as long as you take it as prescribed by your doctor, there should not be any significant issues in the long run.

Question 3

I've had angioplasty done and have a stent implanted. My doctor recommended some drugs from companies like Sun Pharma, MacLeod, and Lupin, but they're a bit pricey for me. Are there other reputable brands that make equivalent quality medications for Rozavel 2mg, Prax A 75mg, and Voglimac GM 2mg at a lower cost? Also, can I ask the pharmacy for generic versions of cholesterol-lowering drugs if I have a prescription for the more expensive branded ones? Are generics reliable when it comes to quality assurance and control?

Accepted Answer

Substitute for rozavel 2mg: You can consider Atorva 20mg (Atorvastatin) from Cipla or Rosuvast 10mg (Rosuvastatin) from Torrent Pharmaceuticals. Substitute for Prax A 75mg: You can try Clopid 75mg (Clopidogrel) from Intas Pharmaceuticals or Plavix 75mg (Clopidogrel) from Sanofi. Substitute for voglimac gm 2mg: You may opt for Glycomet GP 2 (Metformin + Glimepiride) from USV or Glyciphage G1 (Metformin + Glimepiride) from Franco-Indian Pharmaceuticals. Regarding generic cholesterol-reducing drugs, yes, you can purchase generic versions of cholesterol-lowering medications with a prescription from your doctor. Generic medications are generally considered to be equivalent in quality to their brand-name counterparts as they undergo the same rigorous testing for quality assurance (QA) and quality control (QC) by regulatory authorities.

Had open heart surgery with a bental procedure back in August 2014 and now dealing with seroma pinna swelling and fluid buildup in my outer ear. The doctor suggested either needle drainage or surgery, but I'm on daily warfarin 10mg. Is it safe to go ahead with either option given the blood thinners?

yes, can use blood thinner.

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