Question 1

I've been trying to get my hands on the medicine Cetanil T 20 that was prescribed to me, but I've had no luck because of the lockdown. I'm wondering if it's alright to take Telmikind 40, which is Telmisartan 40 mg, and Cilacar 20, which is Cilnidipine 20 mg, instead. Is this a safe alternative? Should I be careful about anything when taking these meds?

Accepted Answer

visit dermatologist for evaluation and appropriate management

Question 2

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?

Accepted Answer

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Question 3

I'm a bit worried after reading my 2D echo report. It mentions mild tricuspid regurgitation and mild pulmonary hypertension with PASP by TR jet measuring 38 mmHg. Does this mean I definitely have pulmonary hypertension? And should I be concerned about it getting worse over time, like becoming moderate or even severe?

Accepted Answer

Mild pulmonary hypertension is indicated by a PASP (Pulmonary Artery Systolic Pressure) of 36-50 mmHg. This means that there is increased pressure in the pulmonary arteries. To manage mild pulmonary hypertension, your doctor may recommend lifestyle changes and medications such as sildenafil (Revatio) or tadalafil (Adcirca) to help lower the pressure in the pulmonary arteries and improve blood flow. It is possible for pulmonary hypertension to progress to moderate or severe levels in the future, but with proper management and regular follow-ups with your healthcare provider, the progression can be slowed down or even prevented. Regular monitoring and adherence to treatment plans are crucial in managing pulmonary hypertension.

My mom's blood pressure is at 19590 and I gave her Stamlo 5. It has lowered to 17588, but won't seem to go down any more. Should I give her another dose of Stamlo 5? I'm really worried about her.

no , don't giveanother dose consult physician

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