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Is Medication For Increased Lipid Cholesterol Level For A Heart Patient?
CARDIOLOGY MY mother (Mira Devi 52 years) was gone MVR+ Tap open heart procedure on 31 Jan 2014 at cmc vellore. as advice by her inr level b/w 3 to 4. as per yesterday report(25 may ) her INR is 1.84 report attached as per previous report (11 may ) her inr was 2.83 she is taking Tab Warfrain 1 day 5mg other day 6 mg(5 mg 6 mg alternate) kindly suggest new dosage & next date of repeat PT INR test. moreover her Lipid profile cholesterol level report (serum cholesterol 184 mgms%, Serum Triglycerides 243 mgms%,HDL Cholesterol 34 mgms%,LDL Cholesterol 101 mgms%,VLDL Cholesterol 49 mgms%) is she need any medicine for lipid cholesterol level ?
Wed, 25 Feb 2015
HI
YOUR MOTHER HAS UNDERGONE MITRAL VALVE REPLACEMENT ,PROBABLY METALLIC VALVE.HENCE SHE REQUIRES BLOOD THINNER CALLED WARFARIN.DOSAGE OF WARFARIN DEPENDS ON BLOOD TEST PT INR WHICH SHOULD BE KEPT BETWEEN 2.5-3.5.ONCE DOSE IS ADJUSTED YOU HAVE TO DO THE TEST AT LEAST EVERY 3 WEEKS.I WILL LIKE TO STRESS UPON YOU THAT LOT OF OTHER MEDICATIONS HAVE INTERACTIONS WITH WARFARIN.SO WHENEVER YOUR MOTHER REQUIRES ANY OTHER MEDICINE YOU SHOULD DO PT INR TEST AND CONSULT PHYSICIAN TO ADJUST WARFARIN DOSAGE.ALSO YOU SHOULD ALWAYS LOOK FOR BLEEDING TENDENCY WHILE ON WARFARIN.
REGARDING YOUR SECOND QUESTION ,LOOKING AT HER LIPID PROFILE I WILL NOT ADVISE TO START ANY MEDICINE FOR CHOLESTEROL
HOPE I TRIED TO SOLVE YOUR QUERRY!!
THANKS
DR PRANAY BUDKULE
YOUR MOTHER HAS UNDERGONE MITRAL VALVE REPLACEMENT ,PROBABLY METALLIC VALVE.HENCE SHE REQUIRES BLOOD THINNER CALLED WARFARIN.DOSAGE OF WARFARIN DEPENDS ON BLOOD TEST PT INR WHICH SHOULD BE KEPT BETWEEN 2.5-3.5.ONCE DOSE IS ADJUSTED YOU HAVE TO DO THE TEST AT LEAST EVERY 3 WEEKS.I WILL LIKE TO STRESS UPON YOU THAT LOT OF OTHER MEDICATIONS HAVE INTERACTIONS WITH WARFARIN.SO WHENEVER YOUR MOTHER REQUIRES ANY OTHER MEDICINE YOU SHOULD DO PT INR TEST AND CONSULT PHYSICIAN TO ADJUST WARFARIN DOSAGE.ALSO YOU SHOULD ALWAYS LOOK FOR BLEEDING TENDENCY WHILE ON WARFARIN.
REGARDING YOUR SECOND QUESTION ,LOOKING AT HER LIPID PROFILE I WILL NOT ADVISE TO START ANY MEDICINE FOR CHOLESTEROL
HOPE I TRIED TO SOLVE YOUR QUERRY!!
THANKS
DR PRANAY BUDKULE
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