Recently Answered Questions on Atorvastatin

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High cholesterol

Hi doctor, My age is 27 and gender is male Today I have done my lipid profile test. Below are the results. Current weight: 99 kg Total cholesterol ----- 178 mg/dl Serum triglycerides ---- 140 mg.dl HDL cholesterol. ---- 29.5 LDL cholesterol ---- 120.50 VLDL Cholesterol --- 28.00 Total/HDL Cholesterol Ratio --- 6.03 LDL/HDL Cholesterol Ratio --- 4.08 3 months back I had covid and at that time my weight is 108 and total cholesterol is 156 mg/dl. I have few questions regarding this? 1) after covid I lost almost 9 kg, but why my cholesterol got increased? 2) doctor suggested atorvastatin 10 mg tablet daily once till 7 days, is it good to take that tablet? Because before 2 weeks I got vaccinated with covaxin Thanks
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Can she go for dobutamine stress test

My mother is a cancer patient, also had bp, diabetes thyroid, and she is on Aspirin n Atorvastatin since Dec 2019 She is up for surgery, but needs cardiologist clearance first for that she undergone to TMT but couldn't complete it due to low physical activity/fitness. Now oncologist said to go for dobutamine stress test, just wanted to know if it is safe, And she is taking telma 40mg BD, amlodipine 5mg OD for BP, and for diabetes she is taking vildagliptin 50mg BD, metformin 500mg BD, glimiperide 2mg BD so before the test she can take sugar medicine but can she take BP medicine as well. I am in a doubt because while processing the test her bp will get high then it will be double dose for her, if she takes telma at home around 6am and test will be at 10am then again they will give her BP medicine What is the correct procedure to take BP medicine before n after test..plzz suggest
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No clarity of Voice

Repeat MLS(2nd time) was done  by ENT surgeon for removal of Polypoid mass growth in antecommissure and vocal cord in Oct'2019. First removal was done on July 2019.Biopsy report of Tata Memorial hospital Mumbai in the first instance and subsequently by Dr. Tribedi & Roy, Kolkata  and PG Hospital, Kolkata for 2nd instance reveals benign tissue. Present problem is after second surgery which also involves removal of residual growth there is no clarity of voice. Voice is suppressed. May i request for an kind advise as to how can the voice be improved. I am a diabetic, BP and cardiac male patient of age 66 years. Post angioplasty in 2016 i am on medication which alsi includes aspirin, clopidogrel and atorvastatin, teneligliptin and amlodac 50/5.Pls.advise.Also is there any further chance of growth. Fail to understand why the griwth reappeared in the second instance. Regards
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Fatty liver grade 2

Hi I am 30 year old male. Medical doctor (MBBS) by profession. Last year, that is at the age of 29 I decided for routine checkup for first time. CBC- normal, RFT- normal, Thyroid profile- normal, Lipid Profile- LDL (direct) 186, HDL 32, Total Cholesterol 219, Tgs 200 LFT: Total Bilirubin 1.2, ALT 80, AST 50, ALP and GGT normal. Went for stress echo- normal USG abdomen - Grade 1 fatty liver Has history of premature cardiac disease ( Father had MI at age of 51, underwent PCI, and is okay now at the age of 63), is a smoker, sedentary lifestyle. Consulted cardiologist at my college who prescribed me atorvastatin 10 mg for 2 months. Didn't take statin at that time, went for lipid profile and LFT every 3 months. But every time had almost similar values everytime. Started statin ( atorvastatin 10mg hs, and occasionally 40mg) in February. Now, got routine checkup done a few days back. LFT: Total Bilirubin 2.7, ALT 115, AST 60, ALP and GGT normal Lipid Profile: LDL (direct) 8
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High cholesterol and triglycerides

6 months before, I was diagnosed with fatty liver with high level liver enzymes and high cholesterol & high triglycerides. I taken vitamin E and did diet control and cycling daily and loss weight from 73 kg to 64 kg & brought liver enzymes to normal. After liver enzymes are normal, started atorvastatin 20 mg as still high cholesterol (243) and triglycerides (343). After 2 months of taking statin, my cholesterol levels are normal but triglycerides still high (408). At the same time my liver enzymes are high again. Now I feel panic attack often and my blood pressure (140/90) and heart rate (114pm) raises when I feel panic attack. Should I withdraw statin? Or is it OK to taken? Doctor prescribed now Rosuvas F 10 mg and Bisoheart 2.5 mg.. please advise.
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Suddenly incresing of cholestrol level

Sir few days ago my wife had given the blood test and the results are follow below test name-total cholestrol , value-193mg/dl hdl cholestrol direct-45mg/dl ldl cholestrol direct-65 mg/dl triglycerides 679 mg/dl tc/hdl cholestril ratio -4.3 ldl/hdl ratio-1.4 vldl cholestrol-135.87 mg/dl non hdl cholestrol-148.2 mg/dl And she doenot have any kind of sugar and bp is also normal. now she is eating atorvastatin 10mg & fenofibrate 160 mg tablets i.p medicine name is tonact-tg. she is eating thyroxine tablets also for thyroid so i want to know that if there will be any problem by eating tonact tg what are its side effects  or it is safe to eat. and it will be helpfull to decreased my cholestrol level so can you tell my how can i decreased my cholestrol easily
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Tues of ringworms

Hey doc, Initially these were a few itchy ring shaped patches on my thighs, which was shocking to me. Later took few medicines from dermatologist which didn't work. Now it's been almost two and a half years an ointment named dermichem OC which always has been helpful no doubt. But these come agn n agn. A few months ago one ring appeared under my armpit then 1 under my chest. My immune system is no doubt weak. I'm a traveler working in sales therefore it is hard to maintain diet everytime. Have had almost an year history of increased triglycerides I usually take atorvastatin n supradyn which was prescribed by physician. But lipids issues took place after these rings. I'm dying to get rid of this. I'm not sure if it is eczema (atopic dermatitis) or it is something different. But certainly is weird n itchy to me. Kindly help me. Plz plz. I can come across Delhi for meetup . Kindly reply
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Pleural effusion due to heart issues

Hello sir, My grandfather (age 76 ) has pleural effusion due to heart failure.He had pleural tapping but the fluid accumulated again.He has shortness of breath and appetite loss.His condition worsens at night.He is not able to sleep at night due to shortness of breath. Doctor has prescribed these medicines- dytor 10mg atorvastatin tablets nitroglycerin controlled release tablets metoprolol tartrate tablets aspirin tablets i.p. 150 mg tamsulosin hydrochloride prolonged release capsules tiotropium bromide mh ip 9 mcg/ dose inhaler salmeterol and fluticasone propionate powder for inhalation i.p. Fluid analysis was done but the reports are normal and there is predominantly lymphocytes against a background of RBC .I am attaching the xray of  10/3/24(before Pleural tapping) What can we opt other than medications which is safe at this age?and what should we do for his shortness of breath at night?,he is not able to sleep at night
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Hypokalemia 3.18 potassium

Respected sir/ ma'am My mother is diabetic hypertensive patients. She is on below mentioned treatment Chlorthalidone 12.5 mg Atorvastatin clopidogrel Metformin gliclazide combination Sitagliptin She has ankle edema 15-20 ago so physician started chlorthalidone. Yesterday mummy has palpitations and nausea bloating chest burn, chest pain We went to trauma and ECG was done There is abnormality in ECG so physician suggested Coronary angiography so angiography is done. Angiography was normal. But for angiography cardiologist suggested few tests including Serum potassium and serum sodium Serum potassium value is 3.18 which is less than normal value..mild hypokalemia Is it because of diuretic or do we need to adjust dose or switch to other drug . What can we give to increase potassium level ? What are danger signs of hypokalemia so we can identify it and rush to hospital?? Please guide me sir Thank you sir
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High Serum Level

My father has one kidney by birth and following is his latest report.His creatinine level is 1.8 and serum urea is 80 mg/dl He has right back side pain for last 4 days. His weight is 89 kg.Is this serum urea high to a dangerous level? What treatment is suggested?  He is a diabetic type 2 patient,a hypertension patient since 15 years and a cholesterol patient as well.Doctor didn't prescribe him any medicine regarding Diabetes and asked him to control it through diet and exercise.Some medicines he's been taking for several years are Amlodipine Besylate, Hydrochlorothiazide/Lisinopril ( in combination) and Atenolol,Lipiget(Atorvastatin),Citanew(Escitalopram),Ascard (Aspirin),Fenoget (Fenofibrate),Neurobion ( Vit B1,B6,B12).Other than this he's been taking Centrum (supplements) as well.
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