Respected doc,. Age,51 yrs. Last years I had gone for angioplasty, wid 2 stents, as I had 95% blockages. Doct only broke d blocks. But did not take out completely. Dey say by medi, it will subside. At present I get tired easily. Chest pain, flatulence,feeling insecure. I am taking prax 10, tonact 80, mg. U pls suggest me proper medicines ,so dat I will b ok, can do any job.

Dr. Paramjeet SinghCardiologist9yrs exp

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If you are facing tiredness and chest pain then you should get yourself reevaluated for your cardiac health status as soon as possible get an ECG and 2D echo cardiography done to check your heart function and development of any new changes then you can discuss the same with your cardiologist for any need for change of treatment medications Without having the complete detailed history of your case. It would be wrong for anyone to change your medications. But yes. I can educate you In general every patient who has a significant blockage in the heart or has a history of heart attack should be porn at least 4 types of medications 1) antiplatelets which increase the clotting time of blood and decrease chances of future heart attacks and Re-stenosis of the stent Both Prax and ecosprin are antiplatelets. Initially you are kept on two types of antiplatelets and depending upon your disease and your progress your then shifted to single antiplatelet after 6 months or 1 year. 2) Statins - are cholesterol lowering medications which are supposed to again prevent future heart attacks. Tonact is a statin 3) ARB / ACE Inhibitors - which help decreasing pressure on the heart and prevents remodeling injuries. Eg. Cardace / telma 4) Beta Blockers - They decrease the heart rate thereby reducing the work load on the heart. Eg. Atenolol / Betaloc. Usually all post angioplasty patients are kept on at least these 4 types of medications and depending upon the side effects and contraindications of medications are changed and slowly over period of time the dosage of these medications are decreased depending upon the recovery. 

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