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Dr. Andrew Rynne

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Does Aspirin interact with Rosuvastatin?

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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1717 Questions

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Posted on Mon, 3 Apr 2017 in Hypertension and Heart Disease
Question: Is it safe to take whey protein post angioplasty (one stent placed)? or can I maintain muscle mass through diet only (egg whites etc.)

Current age 40. Age at the time of stent was 32. I do weight training and walking on 3-4 times a week. Current weight is 95 kgs. Have fat deposit on abdomen area.

Current Medicine: 150 mg of Aspirin and 20 mg of Rosurvastatin along with Nebivelol Hydrochloride SA 5 mg daily. All heart checkups including Echo, ECG and TMT are okay.. no issues ever since angioplasty.. it's been 8 years now.

Food Habits: Mostly home made food with less oil but restaurant food on weekends. I don't take sugar (mostly avoid)
Drink Habits: 180 ml of liquor in a week. I don't smoke or take tobacco in any form.
Sleep: 7-8 hours on almost daily

Kindly guide what I need to do / modify to have a sustainable health for longer life.

Regards,
xxxxxx
doctor
Answered by Dr. Sagar Makode 45 minutes later
Brief Answer:
Yes you can have it, as such no contraindication

Detailed Answer:
hello,
You can use whey protein, there is no contraindication to it. However, another alternative is soygrowth powder which is to be consumed with meals which is commonly used in patients and it's a very rich source of protein, but taste is the issue. Also, dietary protein is sufficient to maintain muscle mass, supplements are not required.
Your medicines are fine, lifestyle is also good. You need to focus on loosing weight through calories restriction. You can get one diet chart prepared from dietician for low calorie diet.
You should consume fruits and/or vegetables daily, replace refined grains like white bread, white rice with whole grains whole bread and brown rice, Should avoid red meat and instead have sea foods, eggs, beans, nuts and seeds as a source of protein. Low salt diet and avoid Sweetened beverages. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 to 7 days a week. Hope this helps you and get back if you have any doubts. All the best.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Sagar Makode 4 hours later
Thank you Dr. XXXXXXX would request your guidance on the follow up queries:

1. I can take whey protein due to no contradiction with my current medicines OR, I can use eggs, soy etc. as other means of dietary protein (its completely my choice) I can even alternate both..Am I right?

2. Can I take whole eggs or should I avoid egg yolks?

3. Is my drink quantity (180 ml / week mainly on weekend i.e. Sunday) is safe and healthy or is there any modification required? may be once a while it goes little above ... may be add on of 60 ml but that is only in parties etc. generally, I take 180 ml whiskey or 2 cans of beer (1000 ml) on Sunday.

4. Do I need to replace common salt (I currently consume Tata lite low sodium) with rock salt (sandha namak) for reduced sodium content? But I doubt on low values of Iodine in rock salt?

5. Is there any multivitamin you can suggest? or Do I need to modify my current intake as listed below?:
(a) Drise 60k vitamin D capsule once in 15 days (prescribed by my doctor)
(b) 2 capsules per week - Salmon oil 1000 mg (not prescribed; I take as my choice)
(c) Himalaya Liv52 DS 2 tablets every alternate day (not prescribed; I take as my choice)
(d) Nuerobion Plus 1 tablet twice / thrice a week (prescribed by my doctor)

Thanks for your help and time Sir!

Regards,
xxxxxxx
doctor
Answered by Dr. Sagar Makode 2 hours later
Brief answer:
Some supplements can have side effects

Detailed answer:
Hi again

You can alternate with both, you can use either. Egg yellow should be avoided as it contains high cholesterol. Alcohol quantity is fine, you are allowed to have this much alcohol. There is no clearcut benefit of using rock salt instead of common salt as sodium content is more or less same in both. So you need to restrict both salts.

If you are having healthy diet then there is no benefit of additionally taking multivitamins, still if you want you can have cap Zevit or AtoZ once a day. Also, you should get Vit D levels checked once before continuing it for longer time. If you were deficient in it, then usual dose if 60 k once a week for eight weeks, followed by once a month for 6 months.

You can continue neurobion forte as I don't know the indication for starting it. Salmon oil, Liv 52 should be discontinued if not prescribed. Unnecessary medicine should be avoided as it may lead drug interactions and may decrease the effect of other drugs. Ayurvedic medicine can have side effects in long term especially one with heavy metals.

Hope this covers your doubt.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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