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Suggest Treatment For High BP And Blood Sugar Levels
Question: I was on the phone early today to wish her Happy Easter; She sounded disoriented and couldn't comprehend what I was saying; I asked my sister about her who she said that her blood pressure has been going up and down lately; however, her cardiologist doctor did an EKG and found nothing of concern; She takes medication for blood pressure and blood sugar...We have fear that she might get strokes eventually...Could she be lacking protein since elderly individuals suffer from lack of nutrition - even though people in Lebanon use a healthy Diet
Prof. B.
Prof. B.
Brief Answer:
check her sugars and electrolytes
Detailed Answer:
Hi
I am Dr Mittal
I have read your query.
I think it would be a good idea to check her sugars and electrolytes.
There is a strong possibility that the sodium or sugar may be low causing the symptoms.
Possibility of development of stroke is always there.
But, considering she walked to pick up the phone, the chances are somewhat less.
Still an MRI would be a good idea, if above tests are normal.
Best of luck.
Dr Mittal
check her sugars and electrolytes
Detailed Answer:
Hi
I am Dr Mittal
I have read your query.
I think it would be a good idea to check her sugars and electrolytes.
There is a strong possibility that the sodium or sugar may be low causing the symptoms.
Possibility of development of stroke is always there.
But, considering she walked to pick up the phone, the chances are somewhat less.
Still an MRI would be a good idea, if above tests are normal.
Best of luck.
Dr Mittal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Mittal:
Thank you kindly for your input!
I have a follow-up about the medications that my mom is taken now;
Following is a list of medications that my mom is taken; the brand name is in french however you may be able to evaluate her medications' profile from the activite substance which might be generic to all markets:
Concor - 10 mg - Active Substance: bisoprolol (2:1)
Glucophage XR - 750 mg - Active Substance: Metformin Hydrochloride
Aspicot - 100 mg - Active Substance: Acetylsalicylic Acid
Vascor - 20 mg - Active Substance: Simvastatin
Uvamin retard - Active Substance: Nitrofurantoin
Pariet - 20 mg - Active Substance: Rabeprazole Sodium, Mannitol
Losanet - 50 mg - Active Substance: Losartan Potassium
Cordarone - 200 mg - Active Substance: Amiodarone
Prednisone - 5 mg - Active Substance: (synthetic adrenocortical steroid drug with predominantly glucocorticoid properties)
Marvil 70 - 70 mg - Active Substance: Alendronate
My question is as follows:
From the list above, could you assess her main illness (e3s) to which the medications are being prescribed? Are any of these medications considered "contraindicators" to others in that list;
Thanks, Prof. B
Thank you kindly for your input!
I have a follow-up about the medications that my mom is taken now;
Following is a list of medications that my mom is taken; the brand name is in french however you may be able to evaluate her medications' profile from the activite substance which might be generic to all markets:
Concor - 10 mg - Active Substance: bisoprolol (2:1)
Glucophage XR - 750 mg - Active Substance: Metformin Hydrochloride
Aspicot - 100 mg - Active Substance: Acetylsalicylic Acid
Vascor - 20 mg - Active Substance: Simvastatin
Uvamin retard - Active Substance: Nitrofurantoin
Pariet - 20 mg - Active Substance: Rabeprazole Sodium, Mannitol
Losanet - 50 mg - Active Substance: Losartan Potassium
Cordarone - 200 mg - Active Substance: Amiodarone
Prednisone - 5 mg - Active Substance: (synthetic adrenocortical steroid drug with predominantly glucocorticoid properties)
Marvil 70 - 70 mg - Active Substance: Alendronate
My question is as follows:
From the list above, could you assess her main illness (e3s) to which the medications are being prescribed? Are any of these medications considered "contraindicators" to others in that list;
Thanks, Prof. B
Brief Answer:
This is guesswork- one medicine can be used for many conditions
Detailed Answer:
Hi
Thanks for your response.
Read the list.
First, one medicine can be used for many conditions.
From the list, she may have diabetes (unless metformin is given for weight control), heart disease or a ischemic state (combination of concor, aspicot losartan, and cardarone), osteoporosis (alendronate). Simastatin may be used for cholesterol control, or for heart disease or as an add on therapy for diabetes. Not sure why prednisolone is given, espeacially since she is diabetic, it will rise sugars. And a limited time period nitrofurantoin might have been given for uti, thats common on diabetics.
I hope that helps
Dr Mittal
This is guesswork- one medicine can be used for many conditions
Detailed Answer:
Hi
Thanks for your response.
Read the list.
First, one medicine can be used for many conditions.
From the list, she may have diabetes (unless metformin is given for weight control), heart disease or a ischemic state (combination of concor, aspicot losartan, and cardarone), osteoporosis (alendronate). Simastatin may be used for cholesterol control, or for heart disease or as an add on therapy for diabetes. Not sure why prednisolone is given, espeacially since she is diabetic, it will rise sugars. And a limited time period nitrofurantoin might have been given for uti, thats common on diabetics.
I hope that helps
Dr Mittal
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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