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Dr. Andrew Rynne

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Why my doctor increased the dose of ramipril after heart attack ?

went to see a doctor last week ( not my regular one ) and checking my records found out that i had a heart attack last year ( i went with an unrelated problem ) and increased my dose of ramipril from 2.5mg to 10.0mg .(per day ) seems a big increase . until i see my regular doc i wont take the stronger ones . any ideas why he would do this ? ps. i went with a sprained achilles tendon .
Fri, 24 Aug 2012
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Internal Medicine Specialist 's  Response
After heart attack many drugs are to be taken continuously one of them is Ramipril there is scientific evidence to use as high dose as possible if tolerated by patient so disscuss with cardiologist it help to preserve cardiac function.The dose can be increase gradully instead of sudden increase in dose.
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sifat's  Response
10 mgs is indeed the correct cardiprotective dose. The fact that he picked up the fact that your lower dose was incorrect, when a)he is not your usual GP and b) you were in with a non related problems, speaks volumes for his being an above average quality GP. In fact it suggests that your regular GP is at best complacent.
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Is pain in the right arm a sign of a heart attack? I have always heard that pain in your left arm is bad. What about pain in your right arm or numbness and tingling in your right arm? Asked by: yang On : Mon, 14 Dec 2009 Answers: 1 Views: 1385 Report Abuse Also find answers on: Myocardial infarction Paresthesia Chest pain Dyspnea Answer this Question » Write your answer here Post as: Anonymous Non Anonymous Keep me posted Share on Facebook wolfgang Answered: Mon, 14 Dec 2009 Current rating It is very unusual to have pain in your right arm during a heart attack. Most women experience pain in the back, jaws, chest area and left arm. Sounds like you could be suffereing from some type of tendon problem such as tendonitis. Check with your doctor to be sure. This is a brief, free answer. In case you need an immediate, more detailed response to your question and any follow-ups you may have, please use the premium Ask a Doctor feature. Report Abuse Comment on this Answer » Rate this answer: 12345 Are you sure you want to delete? Yes No Edit Answer here... It is very unusual to have pain in your right arm during a heart attack. Most women experience pain in the back, jaws, chest area and left arm. Sounds like you could be suffereing from some type of tendon problem such as tendonitis. Check with your doctor to be sure. Add your comment on this answer... Post as: Anonymous Non Anonymous Keep me posted Cancel Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician. For an immediate answer, try our premium service Other questions you may be interested inHow to get tips on flatuna tablets for curing... Missing periods, feeling cramps, tingling... Delayed periods, cramps, tingling in navel.... Flip-flop feeling in the chest right at the... Faced numbness, tingling in fingers and lips.... Pain on chest, please help Tired, short of breath. Ccf? What is the cause of mild chest pain with... I have Heart flutters randomly ,I feels short... Why do I get chest pain after lying on one side ? Side effects of reducing smoking I have been getting this chest pain for sometime Feeling numbness in the face and heaviness in... My heart is beating too fast & shortness of breath What can cause difficulty in breathing and... Having scalp and back head ache from 1 year, i... Is it normal to have pain in the abdomen and... Shortness of breath. Stomach bloats and... Tingling sensation in arm. Tested for high... I keep getting pains in the center of my chest.... Most relevant questions on Myocardial infarctionPremium questions Suffering from hyperacidity, diarrhoea and... Stomach discomfort, chest pain, back pain,... Dizzy, abdominal pain, nausea, hands shaking,... Long lasting cough. Blood tests stated raised... Persisting scar tissue and discomfort.... Chest pain, nasal congestion, no cough,... Has chest pain, tightness, shortness of breath,... Can I have sex with a stent in my bladder? Public forum questions My father has a heart attack, is there any... Can a 19 year old female have a heart attack ? Paranoid When I Smoke Weed? I recently suffered from a heart attack so I am... Why is my BP high ? How can heart attacks be avoided or reduced? Why my doctor increased the dose of ramipril... Can you have a Heart Attack and not know it?

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