Question 1

I've been on Tazloc Beta 25 for about 3 years now, and I've noticed something odd with my liver function tests. I've had them done three times during this period, and each time my total bilirubin levels have been between 1.33 and 1.45. Before I started taking the BP pills, my liver tests were always normal. Do you think the medication could be affecting my liver, or could there be another reason for this change? I haven't noticed any liver-related symptoms, but it's a bit concerning. Could you shed some light on this?

Accepted Answer

The medication Tazloc Beta 25 contains Telmisartan and Metoprolol, which are commonly used to treat high blood pressure. While these medications are generally well-tolerated, they can rarely cause liver enzyme abnormalities in some individuals. Since your total bilirubin levels have been elevated since starting the medication, it is possible that Tazloc Beta 25 may be contributing to this change in your LFT results. I recommend discussing this with your healthcare provider to evaluate the need for further investigation or potential adjustment of your medication.

Question 2

I'm 25 and went for a full heart check-up. My ECG and echo were both normal, but my first TMT test came back positive even though I didn't feel any pain or issues while exercising. I decided to take the TMT test again just to be sure, and this time it came back normal or negative. Why would the first TMT show positive? Do I need to look into this more or get further tests done?

Accepted Answer

The initial positive TMT result may be attributed to factors like dehydration, anxiety, or a false positive, especially since you didn't experience any symptoms during exercise and the repeat test came back normal; however, to confirm the absence of any underlying cardiac issues, consider discussing further evaluation with your cardiologist, such as a stress echocardiogram or a cardiac MRI, to rule out any potential concerns.

Question 3

I'm 32 and just got my TMT test results back. It mentions VPC during exercise and after, and a positive chronotropic response. There's also a 1mm downsloping ST depression at peak exercise but it's normal at 3 min recovery. Should I be worried about any of this? Do I need to take any medication? I'd really appreciate some guidance.

Accepted Answer

TMT report suggests a negative TMT with VPC seen during exercise and at recovery of the test, along with a positive chronotropic response. The 1mm downsloping ST depression at the peak of exercise, which normalizes at 3 minutes of recovery, is also noted. Based on this report, there is no significant worrying problem identified. However, considering the findings, it would be advisable to start medication to manage the VPC and ST depression. You can take Metoprolol (brand name: Lopressor) 25mg once daily to help regulate your heart rate and reduce the occurrence of VPCs. Additionally, you can take Aspirin 75mg once daily to prevent any potential clot formation due to the ST depression observed during exercise. It is important to follow up with your healthcare provider for further evaluation and management.

I've been dealing with high blood pressure for the last month, consistently around 170110, even after taking my medication. I'm really concerned about why it's not coming down and what I should do next. Could there be something else going on that I need to check?

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