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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has angina, complex partial seizures. On imdur, epilex chrono. Cough not cured. Why?

My grandma is 93 years old.she is a angina patient and have also Complex partial seizure .She is taking, imdur 30(isosorbide-5-mononitrate 30mg) od,epilex chrono ( sodium valporate 333mg & valporic acid 145mg)500 bd,spiromide( spironolactone 50mg,frusemide 20mg) od,lonazep ( clonazepam 0.5mg)0.5 mg od.On 3rd may she had fever then local doctor gave her bricarex a(( ambroxol ,terbutaline) cough syrup,zimnic o (ofloxacin & cefixime) antibiotic ,doxolin 400mg,calpol syrup,decadan 0.5mg tab.But still cough not cured and she is not talking now and urine doing only 2 time in a day and latrine also in a day.now she is sitting on a chair and stop responding in our queries just sometimes open her eyes to respond, taking liquid food.What to do?
Mon, 14 Apr 2014
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  User's Response
HI
Thank for asking to HCM
Looking to age of patient she is being given more than enough medicine in my opinion certain drugs should omitted or replace with some other drug particularly antihypertensive drug this could cause cough in geriatric patient certain drug should be given with some precaution "Less drug with lowest possible dose for short period" is the golden rule for old age patient, hope this information helps you have nice day.
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