I'm really worried about my brother Jiten, who was in the cardiac care unit recently. He's just 28 and now that he's home, his blood pressure keeps dropping in the evening, and he starts vomiting. After that, his skin turns pale and he experiences pain in his right calf. I'm also noticing that he's coughing a bit. The hospital stay was stable after his procedure with the AICD implant, but I'm worried about these symptoms popping up. His meds include things like concor, aldactone, and levoflox among others. Could you advise on what might help him recover better and keep these symptoms in check?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

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To address the symptoms of low blood pressure, vomiting, pale skin, calf pain, and cough, the following adjustments can be made to the medication regimen: 1. Low Blood Pressure and Vomiting: Given the symptoms of low blood pressure and vomiting, it is important to review the medications that may be contributing to these side effects. In this case, Dytor 10mg (Torsemide) is a diuretic that can lower blood pressure and cause electrolyte imbalances leading to vomiting. It may be advisable to reduce the dosage of Dytor or consider an alternative diuretic. 2. Pale Skin and Calf Pain: The symptoms of pale skin and calf pain could be indicative of poor blood circulation. To address this, it is important to ensure adequate hydration and blood flow. Aldactone 25mg (Spironolactone) can sometimes cause electrolyte imbalances leading to symptoms like calf pain. Monitoring electrolyte levels and adjusting the dosage of Aldactone may be beneficial. 3. Cough: If the cough persists, it may be related to heart failure or respiratory issues. Dapaone 10mg (Dapagliflozin) is a medication used to treat heart failure. However, if the cough is persistent and bothersome, a review of the medication regimen and potential respiratory evaluation may be necessary. 4. Overall Recommendation: Considering the symptoms described, it may be beneficial to consult with the healthcare provider who prescribed the medications. Adjustments in medication dosages or alternative medications may be necessary to address the symptoms of low blood pressure, vomiting, pale skin, calf pain, and cough effectively. Please note that any changes to the medication regimen should be done under the supervision and guidance of a healthcare professional. Regular monitoring and follow-up with the healthcare provider are essential for optimal management of these symptoms.

Answered 25/07/2025