Question 1

What are the heart disease causes & risk factors?

Accepted Answer

With time, raised blood sugar levels can damage the blood vessels and nerves that control the heart. Additionally, people with diabetes are also more likely to have other conditions that raise the risk for heart disease such as high blood pressure and deranged cholesterol or triglyceride levels.

Question 2

I'm experiencing this needle-like pain in my chest that comes and goes. Sometimes it's in my arms and hands too. I'm not sure if it's due to stress or something else, but it's been happening for the last 2 to 3 weeks. I've been on TB medication for about 6 months now, and there's also this numbness in my feet. I'm really concerned and need some guidance. I've attached my CECT report. What could be causing these symptoms?

Accepted Answer

It's important to address chest pain, especially if it is recurrent and accompanied by symptoms like numbness in your feet. Given that you are currently on tuberculosis (TB) medication, some of these medications can have side effects, including peripheral neuropathy, which may explain the numbness in your feet.

The needle-like chest pain and discomfort in your arms and hands could be related to several factors, including stress, side effects from your medication, or other medical conditions. I recommend discussing these symptoms with your healthcare provider, who may consider further evaluation such as a detailed physical examination, additional blood tests to check for side effects of TB medications, and possibly an ECG or other cardiac tests to rule out any heart-related issues.

Question 3

I'm having some trouble with mild heart palpitations and anxiety, so my cardiologist put me on Telma 40 and propranolol 40 mg. The good news is my palpitations and angina are gone since starting propranolol, but now I'm experiencing some erection issues. I'm wondering, could I switch from propranolol to Nevivolol? Or would it be okay to take tadalafil along with the propranolol? Could you give me some advice on these two options?

Accepted Answer

1. Instead of Propranolol 40 mg, you can use Nebivolol. The recommended dosage for Nebivolol is 5 mg to 10 mg once daily. It is also effective in managing heart palpitations and anxiety, with a lower risk of causing erectile dysfunction compared to Propranolol. 2. You can take Tadalafil with Propranolol, but it is important to consult with your cardiologist or healthcare provider before combining these medications. Tadalafil is used to treat erectile dysfunction, and the combination with Propranolol may help alleviate the erection problem you are experiencing. The usual starting dose of Tadalafil is 10 mg taken prior to anticipated sexual activity, with a maximum frequency of once per day.

I've been prescribed Nebistar 2.5mg, but I've also come across Nebicard 2.5mg. Are these the same medication, or is there a difference between them? I'm a bit confused and would love some clarity on this.

yes both are equally same.

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