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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Percutaneous Transluminal Coronary Angioplasty. Taking Clopilet. Having Mild Stomach Pain. Is It Normal For This Discomfort?

I had PTCA TO RCA in Oct 2012 from Apollo Chennai. I took Clopilet twice daily, Flavedon MR twice daily, Atorva statin 40 Once daily. From Jan 2013 I have been advised to take cloplet A 150 once daily, atorvastatin 20 once daily and Met XL 12.5 Once daily. But I have moderate stomach discomfort like nausea and mild stomach pain especially in the morning. My HR drops to around 50-55. My doctor says may be because of Met XL and I have discontinued it. Is it normal for this discomfort.
Wed, 27 Feb 2013
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Internal Medicine Specialist 's  Response
Hello
Becoz of the CAD (coronary artery disease) , the medications has been prescribed by your doctor , these drugs help you to prevent the further blocks in your heart vessels . Becoz of the clopidogrel and other drugs you are experiencing gastritis as a side effect . So you start using antacid preparations like pantocid 40 mg before break fast . U will get relief from stomach pain.
Regarding met-xl 12.5 it is a beta blocker which reduces the cardiac load , but you told you were experiencing low heart rate, the best substitute for this is to use ENALAPRIL (Envas 5 mg) instead of that met-xl 12.5. Mean while better get done ECG and 2d ECHO once again from your cardiologist.

Take care bye
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Had Percutaneous Transluminal Coronary Angioplasty. Taking Clopilet. Having Mild Stomach Pain. Is It Normal For This Discomfort?

Hello Becoz of the CAD (coronary artery disease) , the medications has been prescribed by your doctor , these drugs help you to prevent the further blocks in your heart vessels . Becoz of the clopidogrel and other drugs you are experiencing gastritis as a side effect . So you start using antacid preparations like pantocid 40 mg before break fast . U will get relief from stomach pain. Regarding met-xl 12.5 it is a beta blocker which reduces the cardiac load , but you told you were experiencing low heart rate, the best substitute for this is to use ENALAPRIL (Envas 5 mg) instead of that met-xl 12.5. Mean while better get done ECG and 2d ECHO once again from your cardiologist. Take care bye