Hi, If he was well controlled with Envas
and Aten then I think you should continue with that. If he as cough
because of Envas switch to Losrtan might help but an ACEI and ARB must be taken as he is having diabetes
as well. As far as dyspepsia
goes it could be a simple GERD, start him on some PPI (omez etc) for 2-3 wks and see for response .