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Recently visited a pulmonologist for my mother (copd patient), my concern is the prescribed medicines by the doctor. Doctor prescribed 2 medicines ramistar 1.25 and cardivas 3.165, now both these medicines controls bp while my mother's bp is normal. So what if after taking these meds the bp gets low due to these 2 meds, so I'm a bit concerned about these 2 meds and need some suggestions
Answers (15)
History written is not enough. I need to enquire more. Pls opt for CONSULTATION
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Ramistar 1.25 mg (ramipril) and Cardivas 3.125 mg (carvedilol) can both lower blood pressure, so monitoring BP after starting them is important. However, these medicines may have been prescribed for reasons other than BP control alone, such as cardiac protection or heart failure, so they should not be stopped or reduced without discussing it with the prescribing doctor.
Since your mother has COPD, it is also important to know why Cardivas was prescribed and whether she has any cardiac condition, as carvedilol is a beta-blocker and may not be suitable for every COPD patient.
Please monitor her BP and pulse regularly, particularly after taking the medicines. If she develops marked dizziness, fainting, unusual weakness, very low BP, slow pulse or worsening breathlessness/wheezing, she should be reviewed promptly.
If you share her recent BP readings, pulse rate, ECG/echo reports and the complete prescription, I can review them and explain whether the medicines and doses appear appropriate.
For a detailed review of her COPD treatment and prescription, you can also consult me directly on Practo through an online consultation.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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You should regularly monitor her blood pressure.
You can book a consultation with me.
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Measures BP regularly, if there is any issue like low bp or any other problem then consult the doctor.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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As now BP is under control, don't stop the medicine by self .
Go and consult,dr. will adjust or reduce the dose of the medicine.
Must include YOGA and meditation in your daily routine.
Stay Healthy.
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Do pft
Consult with reports
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Please share details of her symptoms and results of tests done, then I can help her further.
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For lung heart evaluation
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
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Mr. Jamalla Saisatish
General Physician
3 yrs exp
Nellore
If have a doubt of fall in blood pressure Dizziness or light-headedness
Feeling faint / syncope
Blurred or dim vision
Weakness and fatigue
Nausea
Cold, clammy skin
Palpitations some times loss of consciousness are symtoms. If brother is like that you have worry about this but mostly nothing happen
Next Steps
keep check the bp atleast first 10 days and write that values on records
Health Tips
use those medicine at same time every day don't skip the medicine even one day and take after food but if food is not prepared no need to wait take medicine before food also
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Ms. Sneha Yadav
General Physician
Kolkata
Long term Copd leads to strain on heart and can lead to hypertrophy of heart chambers . So to prevent cardiac remodelling these medicines are prescribed and not necessarily to reduce BP .
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
These two medicines are often given together after a lung and heart evaluation, even when your blood pressure reading is already normal, since low doses can protect your heart and ease strain from COPD rather than only control blood pressure. Doctors usually pick doses carefully so they don't push your pressure too low.
Next Steps
Keep taking them as your pulmonologist prescribed, and check your blood pressure at home for the first couple of weeks to see how you're responding.
Health Tips
See your pulmonologist or physician if you feel dizzy, unusually tired, or faint after taking these, since the dose may need adjusting.
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