Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

131 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Can calcium channel blockers be taken along with Budecort and Montair LC?

Answered by
Dr.
Dr. Rishu Saxena

Cardiologist

Practicing since :2012

Answered : 696 Questions

default
Posted on Fri, 18 May 2018 in General Health
Question: Hello Doc,

Request your advice here please

Medical history
1.     Bronchitis asthma
2.     Thalassemia Minor
3.     Severe Iron deficiency anemia
4.     Shoulder pain , muscle pain in shoulder has supraspinatus tear
Recently diagnosed Blood pressure and has been put on blood pressure tablet from past 5 days
Tablet – stamlo 2.5 mg twice a day
She has been having high pulse rate of 100 at resting and at times goes till 110 also.

Current medication
1.     Stamlo 2.5 --- Blood pressure
2.     Rozavel F --- cholesterol
3.     Budecort 200 MCG - Asthma
4.     Movon CR and Mahagaba M 75 and Tramazac PD for Suprasinatus tear in shoulder
5.     Vitamins
•     Evion LC
•     RB tone
•     Folvite
•     Uprise D 360

Current problem :
My mother has been diagnosed with Bronchitis asthma in 2015, she use to take sereflo 125
But she stopped taking inhaler from past 7 – 8 months as on taking inhaler she was feeling high palpitations
Recently she was getting little breathlessness and was snoring a lot in the night with cough and as an observer I could observe her sleeping patterns like she snors and then skips 2 or 3 breaths the noise goes away and then again snoring starts .
Basis the PFT report which we did recently doctor asked to continue the inhaler
But my mom felt very high palpitations for around 3 hours after she took the puff and we had to rush to the casualty yesterday night becoz her pulse went up to 120 and palpitations were not stopping In the emergency, docs did the Cardiac profile test , her pulse came as 118 which the doc said its high but je said may be it is due to the puff the palpitations have started
The doctor changed the inhaler today to Budecort 200mcg
Current complain is high pulse , moderate BP even after taking BP tablet , and short breath
For pulse the doctor has prescribed Angizem CD which she has not taken till now .


Questions
1.     I am concerned, that with asthma inhaler ( budecort and montair LC tablet for cough which is an anti-asthama tablet can we take the calcium blocker tablet . Is that ok?
2.     Should she continue taking stamlo 2.5 for bp or stop that and take Angizem CD 90 for BP and pulse rate
3.     She is not getting sleep even for a minute the entire night and not even in the day , lot of restlessness.
4.     Can she take Vaxigrip 0.5ml for prevention of viral
5.     Will budecort help as it is plain but with sereflo she was getting very high palpitation

doctor
Answered by Dr. Rishu Saxena 13 hours later
Brief Answer:
Follow up query answer.

Detailed Answer:
Hi thanks for follow up XXXXXXX
Heve gone through attachements,

Calcium channel blockers are among the safest class of medications available.They can be taken with medications as such there is no specific contraindication.

2)Angicam is Dltiazem whichbis basically given to reduce pulse rate its wffevt on blood pressure is almost negligible.
Right now its good to take Angicam.For blood pressure control there are various other options available.

3)
If she is breathless then a oxygen saturation should be measured and BIPAP assisted ventilation could be done.

4)Vazigrip vaccine can be taken.

5)Seroflo will cause palpitations.
If inhaler is not helping its better to nebulise patient.
Nebulisatiin would help her a lot.

Ask doctor to prescribe docophylline 400 mg.
Nebulisation with N acetyl cystein can also be used(Mucomix) won’t cause tachycardia.

Thanks and regards!
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Rishu Saxena 23 minutes later
Thank You Dr Risu, this was really helpfull

Can you please help with your mail ID , or share a test mail on YYYY@YYYY

I am closing his conversation

doctor
Answered by Dr. Rishu Saxena 0 minute later
Brief Answer:
follow up.

Detailed Answer:
Your welcome
Its YYYY@YYYY

Thanks!

Above answer was peer-reviewed by : Dr. Kampana
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication
Medical Topics

Recent questions on  Shoulder pain

doctor1 MD

Hello doctor, i am suffering from low back pain shoulder pain and have have numbness in the arms during nights.today i visited orthopaedic, he prescribed me a pain killer and libotryp tablets. i wanted to know whether tablet libotryp is usefull in releiving pain and numbness?

doctor1 MD

hi , i m 27 male. did weight lifting 6 yrs ago.due to back pain i quit but started feeling pain and weakness in my major joints like shoulder knees neck. i feel severe pain in left shoulder mri is normal stifness in kness and back pain mri is clincikelly normal. hv had steriod injection in shoulder. no reilf

doctor1 MD

I am a 26 year old male and I have been getting pain in my neck and shoulder area from my skull to my shoulder blade and all around the top of my shoulder on my right side for about 2 and a half years now. Some days the pain is really bad and I can hardly move my head without severe pain, other days the pain is mild and it is uncomfortable to move my head. I have some kind of pain everyday from mild to severe and it hurts more when I move my head, for example, it hurts more when I move my right ear towards my right shoulder or if I turn my head to look in a certain direction. I can t see any pattern as to when the pain is more severe, it isn t worse after a particular activity or time of day. For example, yesterday the pain was mild and uncomfortable, today it was mild in the morning and has become moderate thoughout the day, these 2 days are my days off and I have not done anything strenuous. Sometimes if I massage my neck and shoulder area I can feel something move and make a dull clonking noise, this helps dull the pain slightly for a short period of time before going back to how it was before. I have had an X-Ray and an MRI scan. The doctor claimed that they could only see general wear and tear with very minor disk protrusion. My first physiotherapist gave my some neck stretches to do and I have been doing them for about 1 year or more. The second more recent physiotherapist has told me there is nothing wrong with me and that the pain is something my brain had made up. Although they also said that my trapeze muscle is tight and harder on my right side. They have given me some stretches to do and have told me to stop imagining that I am in pain and to think positively . There are only two things that i remember happening to my head and neck area in the past. I once slipped a disk in my neck, but this was about 12 years ago, the second is about 2 and a half to 3 years ago a well build man fell onto my head and shoulder area from a height and jolted my shoulder and crushed my neck. Can someone please help me? What could it be? What should I tell my doctor? The pain is very real.

doctor1 MD

Over the last 7-8 years I had recurring chest pain . A series of tests were done including ECGs, stress test, halter test, Percentine perfusion test and CT scan andin late 2011 my cardiologist concluded that the symptoms were not heart related. Over the last two months my symptoms have returned: chest pain radiating into left arm, left side rib cage, chronic headache, sometime severe usually pressure in the ears and around them. Usually I wake up very early in the morning with chest pain, sometime palpitations and headache. Today I had a severe attack of headache as if my head is in a vice. It continues. I suffer from Acid reflux, somewhat hi blood pressure ( highest readinfg 139/ 78; average of last 11 readings 128/72) hi cholesterol, hypo thyroid (TSH up to 21.8). I am on Nexium 40mg, Metoprolol 50mg, Lipitor 20mg and El Troxin 0.075. My Endicronologist is trying to calibrate the Eltroxin dose. He thinks my symptoms are not Thyroid related. I have been trying to get an appointment with my GP since june 25. She is on holiday and the earliest appointment I got is August 17. My symptoms -- chest pain, headache, radiating pain in shoulder blade, sometimes left ribs, pressure in the eyes, ears continue and I think progressively getting worse. I was treated for prostate 8 years ago, monitored annually the PSA has been much below zero, negligible sometime difficult to trace. Sorry for such a complicated story. I do not know what to do. Should I go to the emergency everyday???? Will appreciate any suggestions

doctor1 MD

Hi I suffer from health anxiety and it's ruining my life. Ive recently had heart test echo, Monitor for 3 days and treadmill test. If I had a blocked artery in my neck near my collar bone would it have shown up on my tests

doctor1 MD

I have a dull pain in my left abodmen and mid and upper back, sometimes its a spasm. My left shoulder also sometimes hurts or burns. Now i feel the pain radiating to my right side of my abodmen and lower back. I had a baby in XXXXXXX what could...