Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand and writes about medical facts.
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- Age
- Complaints)
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- Smoking, alcohol
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- Possible blood pressure
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Dear Martin,
Thanks for your advice. I am 59 and the stent was indeed placed last year in a coronary artery (exterior). This artery was 70 percent silted up. The other veins are all intact.
I also retain fluid (especially in my lower left leg). The varicose veins were removed from both my legs about 4 years ago. My 'normal' blood pressure is with the co-lisinopril, half the nebivolol and the amlor at 120 over 80 (in Belgium). Without this or that medication, I sometimes have peaks of 170 over 120 (however, this may be related to sporadic excessive alcohol and tobacco consumption, as well as emotional stress)'
Actually, I want to take as few pills as possible. With this information you may be able to determine the medication even more effectively?
For which thanks in advance
Have a nice day. Regards,
D.
*****
Dear D,
Thank you for the further information, from which I understand that your vascular system is no longer 100%. An urgent advice is therefore to stop smoking completely. Otherwise it will be treated with a smoking chimney.
If the diuretic works on your leg, I'd take it. The amlodipine (Amlor), which dose?, can also be a cause of fluid retention. If your pulse doesn't get too low (below 50), you can take a whole nebivolol instead.
I would take the lisinopril in the afternoon, the hydrochlortiazide in the morning and the nebivolol in the evening. After dinner.
It's all a matter of trying it out.
You can actually leave out the statin, but your doctor in Belgium will not like that.
Yours faithfully,
Dr. Maarten