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High BP, gets shortness of breath, chest pain. Advised envash, revolol xl, ecosprin. Right medicines?

hi.. my mother is having high bp .. recently she is facing problem with inhale while lying in bed and slight painin chest while moving up or stairs... previously she used to take met xl 25 n aquazide 12.5. today doctor changed to envas h and revolol xl 50. Along with those doc prescribed ecosprin 75 and monotrate 20. also asked to take duolin inhaler rotacap twice a day.. can we go ahead with these dosage?
Asked On : Fri, 8 Feb 2013
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Internal Medicine Specialist 's  Response
Welcome to HCM,
Your mother is known case of Hypertension and taking treatment for it recent change in medication suggest a possibility of she has some Ischemic heart problem as doctor has prescribed aspirin and Monotrate.
Her pain should be angina.
She is also having Shortness of breath as Duolin inhaler is for narrowing of airways.
Please get her 2D Echocardiography to know her heart function (LVEF), also pulmonary function test to see if there is bronchospasm and reversible with bronchodialator.
If she has bronchospasm Beta blocker even cardioselective should be used with caution and also see use of aspirin does not increase problem of bronchospasm.
Instead of beta blocker sustained release Calcium channel blocker can be useful. and if aspirin is giving problem other anti platelet agents like Clopidogrel can be used.
Please go ahead with the drugs if you see any problem report to Physician immediately.
Take care.
Very good luck
Answered: Tue, 12 Feb 2013
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