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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Ocular Mysthenia, Thymus Has Been Detected. Taking Plaza Globe, Telsartan, Pantop. Suggest?

1 am 42 yeras old , suffering from ocular mysthenia ,6CM enlarged thymus has been detected. Thymectomy has been advised after taking the plaza Globe.iN parralel the following medicines are going on Neostigimine 30mg thrice a day telsartan-H 12.5 mg twice a day distinon 60 mg twice a day cell cept 500mg twice a day Wysolone 20mg once a day pantop 40 empty stomach . Query is : is it ok to take the above medicine before the Surgery . As surgery is planned after 5 days
Tue, 12 Mar 2013
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Internal Medicine Specialist,  's  Response
Dear friend, welcome and thanks for entrusting your query here at HCM!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.

You have to continue the anti-hypertensive telsartan-H and pantop till and on the day of surgery with sips of water.
The other immune-suppressive drugs-wysolone and cellcept will be omitted and converted to IV steroid around the surgery.
The pyridostigmine will probably be omitted just pre-operatively.
Please consult your surgeon and proposed anaesthesiologist about their protocol, as protocols slightly vary with each team.
The anaesthesiologist will explain you how to go about the change in drug schedule for thymectomy.


I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this answer.
Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole
Good Luck! Thank you!!
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Suffering From Ocular Mysthenia, Thymus Has Been Detected. Taking Plaza Globe, Telsartan, Pantop. Suggest?

Dear friend, welcome and thanks for entrusting your query here at HCM! I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here. You have to continue the anti-hypertensive telsartan-H and pantop till and on the day of surgery with sips of water. The other immune-suppressive drugs-wysolone and cellcept will be omitted and converted to IV steroid around the surgery. The pyridostigmine will probably be omitted just pre-operatively. Please consult your surgeon and proposed anaesthesiologist about their protocol, as protocols slightly vary with each team. The anaesthesiologist will explain you how to go about the change in drug schedule for thymectomy. I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this answer. Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole Good Luck! Thank you!!