My father is of 50. He was suffered from major heart attack on 18 april. Then angiography was done and 2 veins blockage came 90 % and 60 %. Before standing or surgery he suffered from tubercular meningitis, Pott's spine and sepsis. Now following medicine is going on : R cinex 450 / 300 Combutol 1000 mg PZA 750 Pyri 10 Deplatt A 75 Avas 20 Cardace 1.25 Meconerv forte Is this medicine ok? Can we do ayurvedic treatment to remove blockage of veins? What can be done to remove the blockage ? Which should not effect adversely, keeping in mind all the diseases.

Dr. Neelam NathGeneral Physician42yrs exp

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Please follow anti tubercular treatment as scheduled. But all of anti tb medicines are toxic to liver specially r cinex, therefore need to do liver function tests every month or earlier if some changes like loss of appetite / jaundice symptoms felt. We advise liver toxic food like fats & other heavy medicines known to be toxic to liver and kidneys. Atovas is used to lower cholesterol but fats are not given to patients on treatment for tb, emphasis is on high carbs & more simple proteins. There is no need to give this medicine which is toxic to liver. He is being given ace inhibitor to bring down bp-this medicine can lead to cough confusing symptoms of tb. Change to safer beta blockers after consulting with your doctors. Regarding medicines to dissolve blockages, our system has not much to offer for old blockages, be careful about interactions with ayurvedic medicines also. I can suggest simple things which may help dissolve blockages & help the liver also. Juice of pomegranate, spoon of honey + juice of a lemon in warm water on empty stomach, apple cider vinegar plus honey. Avoid all fats except good fats like a spoon of pure ghee only plus a katori of assorted nuts to get much needed protein plus good fats. He must be on bed rest, get some physiotherapic advice to improve the blood circulation otherwise get massage done on entire body. If person is not eating bad fats, the levels of lipids remain within limits and there is no need for medicines to lower cholesterol. Give him high protein diet like simple things like toned milk, curd, chhachh, boiled eggs, clear fat free soups of vegetables and pulses. Get back here for more guidance with latest reports of liver function tests, cbc & total lipid profile. Good luck. Continue giving multivitamin in the list of medicines above. 

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