AboutDr. Shabbir Baldiwala Expertise I can answer questions pertaining to maintenance of optimum blood pressure control, drugs to be used in different clinical settings, precautions and side effects to watch out for while using these drugs. Hypertension is the single largest killer disease affecting all organ systems.
Experience 5 years of training and 8 years of Clinical Practice.
Question QUESTION: I am 54 years male and hypertensive I was taking Amlopress NB ( Nebiovolol 5 + Amlodepine 5 mg ) and Tazloc H while I was under the treatment of internist.
But my new dr at new place changed it to Amlovas L ( Amlodepine 5 mg + Lisinopril 5 mg ) and Lostatin 20 mg. which I have been taking since year. I have been taking medicines since long. I had a health check up recently at SRL Lab where the readings are CHOLESTROL- 215 TRIYGLECERIDE 165 HDL 51 LDL 149 VLDL 33. My Fasting Blood sugar is 112 and SGPT 91 Hemoglobin 17.8 Hematocrit 51.6 SGOT 76 Creainine 0.7 Uric Acid 5.4 . My question is why my lipids are high when I am taking Lovastatin 20 mg. I am alchoholic and overweight. Kindly suggest and guide me why my reports are abnormal and whether any drus are to be added or deleted so that I can take up with my internist. Thanx and regards
ANSWER: Your Lovastatin is probably insufficient to control your lipid levels. You can substitute it with Atorvastatin+Ezetimibe. Your SGPT is raised since you are an alcoholic. Do you smoke frequently? You havent mentioned your pressure reading.
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QUESTION: I have a habit of smoking 6 to 7 cigarettes and 1o bidis. I occassionally take non veg also I have a sedantary life style. I started taking amlovas L once when my BP detected but last year my new dr changed to Amlopress NB night and Tazloc H. But when I met my old dr he changes it to amlovas L . Bp is around 150/100 in the evening. I would loike to know which bp drugs are ok for me.
Answer You have to stop smoking with immediate effect. You are at a very high risk for developing a cardiac problem. You have high lipids despite taking statins, your Hemoglobin is raised which can also slow down your circulation, your hypertension which is a silent killer, is poorly controlled and to top it all, you have a sedentary lifestyle. Continue with Amlopress-NB and Tazloc-H and take good care of your health.
