My 3 arteries were noticed to be blocked and total 5stents were accordingly provided in two arteries in May 2017. I am taking Clavix AS 75, Tonact 40/20 and olmy 20. Now my BP is normal. Cholesterol 102 HDL 49 LDL 44 Triglyceride 61 VLDL 12.2 Cholesterol/HDL ratio is 2.0. My Question is- 1. Is my medication OK? 2.Should I reduce Tonact 20 to 10? 3.If not what would be the side effects in the long run?
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You should continue medicines as prescribed. Don't reduce Tonact. It not only controls bad cholesterol but prevents the rupture of already formed plaques which causes clotting inside the arteries. There are only benefits with this without any major side effects.
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In general every patient who has a significant blockage in the heart or has a history of heart attack should be on 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. 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.� Eg: ecosprin, clopidogrel, Prasugrel, brillianta 2) Statins - are cholesterol lowering medications which are supposed to again prevent future heart attacks.� Eg. Tonact / atorvas 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 and decrease BP also.� eg. Atenolol / Betaloc / metolar� 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 Get back to me with the reports for a detailed consultation.��
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