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123

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Dear Doctor, Kindly go through this lengthy letter to you with patience and kindly advise me proper advise to clear my mind . I am 72 year old male from India and strictly Vegetarian.I am not sedentary type and walks 4 ½ km every day in the morning and always active. IHD and BP and TYPE II DIABETES I have had IHD (T wave inversion) in the year 1977 and mild hypertension in 1981. DIABETES IN 2010. The doctor who has attended then on me prescribed Aten 50 in 1977. Since then I have been using Aten 50 in one form or other like Aten 50/Atenlol/Stamlobeta. 37 long years have passed with out any problem with either of these two conditions . My BP is quite normal 120/80 and some times 110/70 and some times on very few occassions 140/80 or 90 and my pulse rate will be around 58 to 65 most of the time . My BP on the day of the visting my physician is 140/80 as on 12th dec 2014. My diabetes is under control and am taking glycomet 250 mg twice a day. The attending physician who is an MD has prescribed Cresar 40 mg (Telmisartan) and asked me to stop taking Stamlobeta 50 mg which i am taking from 2006 and further said since i am using this Amlodipine combined Atenlol ,its time to change the medicine and Cresar will also take care of the diabetes and kidneys and heart (IHD) besides BP. As on 12th july 2014 my Lipid profile is very normal. Cholestrol 123 , Tryglycerides 141 ,HDL 53 and VLDL 23. Kindly advise on the following. 1. Since I am taking Stamlobeta since 2006 and prior to that Aten 50 from 1977 to 2006., do I have to taper stamlobeta dosage besides taking Cresar 40 mg? 2. Do i have to continue taking Stamlobeta in small dosage along with Cresar 40 mg?.If so in which dosage do I have to take? 3.Is cresar 40 mg safe for IHD patients also? Please do not form the impression that i have no confidence in my Physician. But i have a tendency to go for second opinion on new drugs before starting a new one. I do not blindly or in hasty manner take any new medicine .Hence I require an expert advise in the matter on the following. If you require any further info, kindly advise me. sincerely somayajulu

Hi, Cresar medication is not only safe for IHD patients but also is beneficial, and it really takes care of kidney, protects kidney from diabetic damage. if your blood pressure allows you can take both Cresar 40 and Atenolol 25 mg once daily ...

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Dear Doctor, Please can you confirm if i can take FOL 123 capsules(Folic acid,vit B12 and DHA) i am 32 years old male and we are trying for baby since a year now.me and my wife had checked all the tests and everything is normal. Kindly suggest. Thanks Unknown -D

Yes you can take those medications and help you and your wife conceive. If you really had completed your workup and having regular sexual contact, and you have no luck in conceiving, you may consider assisted reproductive techniques such as Intrauterine insemmination and in vitro fertilization. ...

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I have got fasting sugar of 123. Then they done 75g oral glucose test after 2 hours in that i have got only 115. Doctor said iam not daibetic and need put down weight from 92 to75.is there chances of l would be diabetic

Yes , There is a chance that you might get diabetes in future. Get your HbA1c checked. in pre-diabetic stage weight loss with diet and exercise can reverse it to normal. eat healthy & stay active ...

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I am 33 years old.i had muscle injury Around ankle due to fall 25 days back.There was no fracture but pain inflammation was done.after 5,6 days i felt more pain around my ankle and leg.my uric acid level was tested which is 7.3.i started zyloric 100mg BD.after about 12 days I checked my blood pressure which was 140/100 and my Serum cholestrol was 123 3 days back from today. What i shiuld done, plz guide me....

Hello Abdul Rehman , hope you doing good.well as you got injury on your ankle it usually take months to recover like maximum 3 months, for the injury you have to be patient and keep doing regular massage with diclofenic gel three times daily , try to keep it warm. For high uric acid best treatment is diet control which include to stop eating protein rich diet like meat ,chicken. For your blood pressure & Cholestrol again you have to control your diet like eat food without or with very less salt ...

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I am 27 yrs old married one and half years before. Before marriage itself I had period problem so I check and they said pcos and taking metformin 500mg for 1-0-1. Now we are planning to get pregnant still my period is irregular. Now I am taking metformin and fol 123 tablet. Shall I continue and what will I do for getting pregnant and my weight also increased lot pls tell me the solution thank you

Hi there. The 1st step for infertility Workup/treatment for PCOS patient is lifestyle modification. Exercise and diet is a must. You can consult a dietician to counsel you the proper calorie count. Pleas consult also your OBGYN so he or she can prescribe you ovulating inducing agent and Duphaston ...

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