Question 1

I've been experiencing some strong side effects like muscle pain, dizziness, and shaky hands and legs from taking Rozavel and Pivasta. Are there any realistic alternatives or supplements in the Indian market that could lower my LDL by around 15-20% without serious side effects? I've heard about things like Coeveleselam, but I'd love to know more.

Accepted Answer

U can try exercise and diet control with low dose artorvastatin

Question 2

I'm dealing with mitral valve prolapse with some mild regurgitation, and I've been on Cardivas for my blood pressure. My doctor mentioned it might also help with MVP. However, I've been having issues with sexual dysfunction, so my doctor switched me to Nebicard. I'm curious which medication, Cardivas or Nebicard, is better for managing both my blood pressure and mitigating any sexual side effects. Any insights would be really helpful.

Accepted Answer

Both Cardivas and Nebicard are beta blockers commonly used to treat conditions like high blood pressure and certain heart conditions. In your case, both medications can help with mitral valve prolapse (MVP) with mild regurgitation by reducing the workload on the heart and helping to control heart rate. Regarding sexual dysfunction, some beta blockers like Cardivas can potentially cause sexual side effects such as erectile dysfunction. Nebicard is a newer generation beta blocker that is less likely to cause sexual dysfunction compared to older beta blockers like Cardivas. Therefore, Nebicard may be a better option for you if sexual dysfunction is a concern. In terms of controlling blood pressure, both Cardivas and Nebicard are effective medications. However, Nebicard may be a preferred choice if you are experiencing sexual side effects with Cardivas. Ultimately, the decision between Cardivas and Nebicard should be made in consultation with your healthcare provider, taking into consideration your individual health needs and any potential side effects you may be experiencing.

Question 3

I've been having this discomfort in my left arm and shoulder that doesn't get worse when I exercise, and resting doesn't seem to help either. Plus, I've been experiencing sudden breathing difficulties along with sweating every couple of evenings, and it's really exhausting, but strangely, no chest pain like a heart attack. These symptoms were there about a year ago but felt less frequent. Now, it's been more than a month and it's happening more often. A year back, my ECG, ECHO, TMT, and Holter tests came back normal, along with normal TSH, lipid profile, vitamin D levels, etc. The doctor thinks it might be panic attacks, but why do I still have this persistent arm pain? If it was a heart issue, shouldn't there have been complications by now? What do you think I should do?

Accepted Answer

Persistent discomfort in your left arm and shoulder, along with symptoms like sudden breathing difficulties, sweating, and exhaustion, can be concerning. While it's reassuring that your ECG, ECHO, TMT, and Holter tests were normal, and your doctor suggested panic attacks, persistent and worsening symptoms warrant further evaluation. It's important to follow up with your healthcare provider to reassess your condition and rule out other potential causes, such as musculoskeletal issues, nerve compression, or even conditions like GERD or anxiety disorders. Discuss your ongoing concerns with your doctor to ensure a comprehensive evaluation and appropriate management plan.

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