apollo
  • Male
  • 39 Years
  • 29/01/2025

I'm a bit concerned about the price of my uncle's medication. He's been using Stamlo T to control his BP, but it costs INR 100 per strip, which seems quite steep. I found another medicine, OZOTELAM, that reportedly has the same composition and only costs INR 20 per strip. Why is there such a big price difference between these meds if they have the same ingredients? Also, would it be safe for my uncle to switch to OZOTELAM since it's more affordable, and is the composition truly identical, or am I missing something? Looking forward to your advice.

Doctor 1

Answered by 1 Apollo Doctors

Symptoms and Possible Causes*

  1. Heaviness in the right cheek: Possible causes include:
    1. Dental issues (e.g., toothache, abscess)
    2. Sinus pressure or infection
    3. Facial nerve issues (e.g., trigeminal neuralgia)
    4. Temporomandibular joint (TMJ) disorders
  2. Neck pain: Possible causes include:
    1. Muscle strain or tension
    2. Poor posture
    3. Herniated disk or spinal issues
    4. Stress or anxiety
  3. Headaches: Possible causes include:
    1. Tension headaches
    2. Migraines
    3. Sinus headaches
    4. Cervicogenic headaches (related to neck issues)
  4. Palpitations on the lips: Possible causes include:
    1. Anxiety or stress
    2. Nerve issues (e.g., trigeminal neuralgia)
    3. Vasovagal syncope (a condition that affects blood flow)

Recommendations

  1. Consult a primary care physician: Start by consulting your primary care physician to discuss your symptoms and determine the best course of action.
  2. Specialist referral: Based on your symptoms, your primary care physician may refer you to a specialist, such as:
    1. Dentist or oral surgeon (for dental issues)
    2. ENT specialist (for sinus or ear issues)
    3. Neurologist (for nerve-related issues)
    4. Orthopedic specialist or physical therapist (for neck or spinal issues)
  3. Diagnostic tests: Your healthcare provider may order diagnostic tests, such as:
    1. Imaging studies (e.g., X-rays, CT scans, MRI)
    2. Blood tests
    3. Nerve conduction studies
  4. Lifestyle modifications: In the meantime, consider:
    1. Practicing stress-reducing techniques (e.g., meditation, deep breathing)
    2. Maintaining good posture
    3. Engaging in regular exercise
    4. Avoiding triggers that exacerbate your symptoms

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm feeling really worried because I've been having this sharp, burning chest pain for about a week now. It seems to get a bit better when I change positions or drink water, but it's really bothering me. The pain is right where my heart is. Do you think this could be something serious, or is it something I can manage on my own? What might be causing this?

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I'm feeling a bit worried because I've been experiencing chest pain again. A few months ago, I had a TMT and it was negative, and my echo was normal. I don't have a history of any major diseases and I dont smoke or drink alcohol. But today, the pain came back, and I've been having some breathlessness because of my asthma. Could the asthma be causing this chest pain or should I be concerned about something else?

Given that your TMT and echo were normal three months ago, and you have a history of asthma, your chest pain and breathlessness might be related to asthma exacerbation rather than a cardiac issue. Asthma can cause chest tightness and breathlessness, especially during physical activity. It is important to manage your asthma effectively with your prescribed medications and follow your asthma action plan. If the chest pain persists or worsens, consult your healthcare provider to rule out any other potential causes and ensure your asthma is well-controlled.

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I'm really worried about my dad. He's been dealing with heart issues and has stents. But he also has this tobacco chewing habit that I'm trying to help him kick. I've been thinking about getting him to try nicotine gum, but I'm not sure if it's safe for someone with his condition. Could it cause things like palpitations or any serious heart problems? I'm really hoping it won't have any bad effects. Would love to get your thoughts on this.

Nicotine chewing gums can be suitable for your father to help him quit his tobacco chewing habit. Nicotine gums are generally safe for heart patients with stents, but it is important to use them under medical supervision. The most common side effects of nicotine gums include mild irritation of the mouth and throat, hiccups, and jaw ache. However, if used as directed, the risk of serious side effects such as palpitations is low. It is recommended to start with a lower dosage of nicotine gum and gradually reduce the amount over time. I recommend consulting with your father's cardiologist or a healthcare provider to determine the most appropriate dosage and usage plan for him.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.