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Acute asthma attack. Taking medicines since three months. Safe?

My father (73 years old) had an acute asthma attack in December and was prescribed theoasthalin (1/2, -, ½), dfcort-6 (1, -, -) and Dilzem – 30 (1, -, 1) dosage in parenthesis. He has been taking these 3 medicines for the past 3 months (dec to march) Is it ok to take these medicines for such a long time? What are the effects and should I ask for a change in medicines?
Asked On : Fri, 22 Mar 2013
Answers:  1 Views:  93
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Pulmonologist 's  Response
From your question it appears that your fathers disease started 3 months back.

It is very unlikely for someone to get asthma at 73 years of age.

If your father developed breathlessness and cough 3 months back , the possibilities are pulmonary oedema ( cardiac failure ) or COPD ( chronic obstructive pulmonary disease.

Regarding safety of the medicines

Theoasthalin - many patients in India are taking it for decades

possible side effects -- tremor , increased heart rate , palpitation, acidity, low potassiumin blood( can lead to muscle cramps)

Deflozacort - It is a steroid and long term usage is avoided as far as possible. However do not stop it abruptly.

As your father is 73 year old and been taking it for 3 months , its dose will have to reduced gradually to stop. But in some patients long term usage at lowest possible dose will be required.

possible side effects - diabetes , hypertension, acidity, ulcer , weak bones, puffiness of face , fungal infections , glaucoma , cataract

Diltiazem - is usually tolerated in long term use

possible side effects - edema , dizziness

Discuss with your doctor regarding changing from defcort to alternatives like metered dose inhaler with spacer
Answered: Sun, 24 Mar 2013
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