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

173 Doctors Online
Doctor Image
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.

Taking wysolone for erythroderma. Found water retention in chest. Is the prescribed medicine safe?

Answered by
Dr. Madhuri Patil


Practicing since :1999

Answered : 362 Questions

Posted on Wed, 30 Jan 2013 in Skin Hair and Nails
Question: The patient had some skin allergy which was diagnosed to be erythoderma and was being treated with wysolone starting initially with 30 mg now gradually reduced to 2.5 mg alternate day with some other medicine to control the side effects. Now either because of the side effectsof steroids or because od old age factor some damage has been noticed in the heart causing retention of water in chaste and the body as as shown in the echo test. The patient is being treated presently with following medicines:
1. Cardace 2.5 mg once a day
2. Echosprin 75 in the heart
3. Metalor
4. Dytor 10 or Lacix 20 mg once a day
5. Shelcal 500
6. Orofer

Now kindly advice whether treatment is going on in right direction and also advice as to whether dytor or lacix is better and also suggest medicinnes to compensate the loss caused by lacix or dytor
Answered by Dr. Madhuri Patil 8 hours later
Hi there.

The treatment is absolutely in right direction and as per standard guidelines for a person with heart failure.
As of now the Cardiologist would prefer giving him dytor tablet due to its preferencial action during heart failure over tab Lasix. For cost factor, later the patient can be put on maintenance dose of lasix once the patient is discharged stable.
Generally more water is lost in the urine than useful metabolites when diuretics are used and hence there is no nutritional supplement advised while using them.
I hope you got the answer. Please get back for any related query.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Madhuri Patil 14 hours later
How can we know whether the medicines are responding positively? The patient is getting weaker and at times unable to stand on his own. How long the patient is likely to be treated with the medicines? Can these medicines be continued for further whole life without side effectsor further deterioration. Suggest some food supplements to increase energy level.
Answered by Dr. Madhuri Patil 24 minutes later
You will come to know about patient's improvement like this:

- Patient's ejection fraction(EF) of the heart (capacity of heart to pump out blood into blood vessels for proper body functioning) improves as checked by Echocardiography
- Patient can breath normally without help
- Patient can eat and speak without gasps
- If patient's kidney functions (creatinine and blood urea) were bad due to heart failure then they improve with patient's improvement

Patient being a known case of HF, he'll have to take these medications for lifelong. But if EF improves dramatically then the doctors will cut down the diuretics for sure.

He also seems to have anemia as he's been treated with tab Orofer. A patient treated for HF has to be clinically seen and then only given dietary advice. I cannot advise any food supplements without seeing the patient for two reasons- one because the need of dietary proteins and electrolytes like sodium and potassium keeps changing from day to day when the patient is in HF and depending on the body dynamics the doctor suggest whether to give normal food or food with extra proteins or food with less proteins. Same about electrolytes.
Second reason is other than multivitamin and iron supplements ( which already he's on) other dietary supplements (which also contain carbohydrates, fats and proteins) might not be good for him as his kidney and heart functions might show fluctuations without imrpovements.
I hope you understand. Please consult a good Cardiologist on this issue and let him/ her suggest by his/ her clinical assessment on dietary supplements.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Madhuri Patil 1 hour later
Dose of Dytor is 10 mg a day, is it alright or can be increased or reduced? How long one can survive with such conditions of heart?
Answered by Dr. Madhuri Patil 32 minutes later
The dose is alright. Dose changes are again the cardiologist's decision depending on how the patient is doing clinically.
If the EF is less than 30% then the chances of survival are lesser compared to that of 40 to 55% of EF. But one cannot just comment on precise survival time of a patient without seeing him/ her.
To be honest, his age and weakness due to HF and anemia are the factors which lessen the chances of survival.
I hope and pray for the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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

Recent questions on  Methadone

doctor1 MD

Hello, I am from Canada and suffer chronic pain and fibromyalgia for 25 years. I am on methadone as one treatment and it has been recently altered here. Methadose solution for pain 10mg/ml Methadone HCI 10 mg/ml. Dose, drink 1.5ml four times daily. I can not take this as I said it has been changed. Now the government has made it sugar based cherry flavored, gag reflux crap. I have tried to wean my self off but have experienced anger, smashing plates, cried out for doctor assisted suicide as the pain and withdrawal of this drug is making me crazy. I am on subcutaneous lidocaine infusions weekly, nerve blocks in neck and shoulders, cortisone injections in both hips for bursitis and nerve blocks in lower back, L4,L5. I suffer with herniated, degenerative discs, c5,c6 too. I have osteoporosis, parathesia, IBS, awaiting surgery for bladder prolapse, endometriosis which required hysterectomy and oophorectomy and numerous laporoscopies leaving me with adhesions which are a constant cause of further pain. I am a chronic pain disease sufferer and to the world I look great...haha! I initially started to write to you only for advise on taking myself off methadone but here I went on and on. The list is long and I see many doctors and pain specialists however my quality of life is nil and I am only 55 years young. I can not seem to find answers, help or hope other than being prescribed opiates, methadone which has been changed to suit the government not the patients needs and numerous medications that make me worse. I am on a roller coaster of hell and pain and now I am withdrawing off this horrible new recipe of methadone as I throw up trying to take it. Why change something that was easy to take to this horrible sugar based cherry cough medicine taste that burns to the pit of my stomach whereby I need gravol settle? I am frustrated, in pain and have talked to nurse on line tonight...she told me to go to the hospital...LOL! Right! I can not live in this doctor retired, great I have a woman who has nine kids and never can catch up or give a you know what about her patients. I give up! This is only the tip of the ice have now idea many health issues I have! I have to leave my city to go for help to Vancouver, thank God for HOPE AIR! They took me to the last appointment with my Neurosurgeon and he has ordered another MRI, will be seeing me after or before if I can not take the pain! I am a mess...What happened to good doctors??? How did we get FIBROMYALGIA??? I have a clue...DDT spraying all over the playground I grew up in...playground was a gas line and electric power field...what do you think of that? Five out of six women who played there as children were not able to conceive!!! Gee, I wonder! I am on a quest to find answers and thought perhaps I would start here...I doubt I will get an answer though...Great! Off to cyber space this goes...I am from Canada and You are in the States! Nice! I was on a Canadian all of a sudden does it go here and now I need to pay! Well, thanks for nothing....I will proceed elsewhere because I will find an answer and from you...obviously not!

doctor1 MD

I have been self detoxing off of methadone. zanax,oxycodone, soma, and ambien. I am at the end stages. I am going thru withdrawls from the 5mg and 5mg of oxy. How long will this last. I am not sleeping more than 2 hours a night for a week and am nervous , anxious. and coming to an awakening since I got off every thing is this normal. I feel like I was dead for 3 yrs. I have serious health reason why I was put on the meds

doctor1 MD

Hi, I ve been on methadone for 17yrs. I was on 160mgs. I started detoxing 5mgs a month. It was working til I got down to 40mgs. Than I had to move where there were no methadone programs. Now I managed to get down to 5mgs. How long does methadone stay in your system & what does it do to your body? I m 57 yrs old now.

doctor1 MD

I am a rcovering opiod addict. I have been taking zanax for approximaly 10 years. 3 mgs per day. I also have had PE issues both in lungs & legs. 44 yr old male, 6 2 , 225 lbs, Attend methadone clinic regularily. Need to see a doctor that will not discriminate. My panic and anxietyare very real and debilatating. Counselor at clinic is on board with having drug tests regularly with pill count if necesarry! Right now current doctor dropped me! that s right folks, cut me off 3 mgs a day. No taper nothing. Bad shape....should I conntact an attorney? I have no right s,do I? Please Help

doctor1 MD

I'm a 76-year-old female with thinning hair. I used 5% minoxidil for a year and had hair regrowth with no side effects. I suddenly got large red stinging patches in places across my face. Stopped using minoxidil 2 months ago but the patches recur...

doctor1 MD

My husband, 83, has had dementia ( primary progressive aphasia ) for 13 years. After bout w/pheumonia almost six months ago, I was advised to keep him in bed. Although he hasn't developed pressure sores/skin problems, he quickly became much...

doctor1 MD

I recently stopped taking Methadone (Aug 19) as per my Dr. He helped me slowly get off and I appreciate it so much. I have fibromyalgia and have been on Hydrocodone/ Acetaminophen 10/325 for over 15 yrs. My problem is that this dosage is no longer...