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Enace D 2.5mg/15mg Tablet Health Feed

Asked for female, 29 years old from Bangalore
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MD - Internal Medicine

General Physician•Khammam
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Hello lybrate user,

The H part of telesco H tablet is hydrochlorothiazide, which is diuretic.

It can increase uric acid level, keep a check on ur uric acid levels and symptoms of hyperurecemia.

If uric acid levels are increasing, better to avoid hydrochlorothiazide.

Thank you.
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MBBS, MD - Internal Medicine

General Physician•Delhi
Dear chronic cough is defined as cough that persists for more than 4 weeks.
Do you smoke.
Please get an x-ray chest done.
If you are not a smoker and your xray initially is normal these are the most common cause of chronic cough asthma
post nasal drip
use of enalapril (ace inhibitors)
gastro oesophageal reflux disease
and tb. In your case it could very well be gerd.
Asked for female, 56 years old from Mumbai
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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renal artery stenosis is a rare disease mostly of old people. Rarely in young women. Unless you have been diagnosed as renal artery stenosis dont have to worry about it.
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Asked for male, 71 years old from Kolkata
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Remedy Required FOR THE UNFORTUNATE THING THAT HAPPENED (PLEASE SEE BELOW) Without any symptom my wife (62 years) went for T3, T4, THS test as a routine check up 1) Although TSH Level is Elevated is 7.87 uIU/ml (Normal Range-0.27-4.90), 2) T3 Level is Normal at 1.40 ng/ml (Normal Range-0.80 -2.0) 3) and T4 Level is Normal at 11.35.ug/dL (Normal Range-5.1-14.1). endocrinologist was consulted. The doctor opined it as Subclinical Hypothyroidism (beginning) and recommended Thyroxine Supplement.(Thyronorm 25 mcg) and advised to see him after 3 months of taking medicine and repeat tests. As a precautionary measure AFTER 28 DAYS ONLY I DID a REPEAT TEST FOR TSH ONLY in the same laboratory AND SURPRISINGLY TSH WAS FOUND TO BE ONLY 0.07 (Normal Range-0.34-5.60) the Normal Range Varied in the Two Cases and the Laboratory explained A) First TSH Test Was done as per cubic E411 Method and B) Second TSH Test was done as per Access 2 Method I again went to the doctor concerned and he advised to STOP THYRONORM I am extremely worried due to the fact that normally ONY AFTER TAKING MEDICINE FOR 28 DAYS ONLY HOW THE TSH FIGURE CAME DOWN SO ABNORMALLY AND MEDICINE WAS STOPPED ,ALTHOUGH PEOPLE SAY THAT ONCE STARTED THYROID MEDICATION WILL CONTINUE WHAT PRECAUTIONARY MEASURES CAN BE TAKEN NOW TO AVOID PROBLEM. SHE HAD NO PROBLEM /SYMPTOM WHEN THE MEDICINE WAS STARTED AND NOW ALSO SHE HAS NO PROBLEM When Routine Tests were done Lipid Profile checked, ALL OK, Complete Blood Count ALL OK. ECG ,Echo Cardiogram ALL OK. Urine Routine Test ALL OK Only thing is She is prediabetes and is suffering from Chronic Urticaria (Skin Itchiness. Doctors including Skin Specialists consulted and Everybody Opined Chronic Urticaria May Not be Curable, It may Go On Its Own. She takes levocetirizine (5 mg) tablet as and when needed, roughly one tablet in 5 days to stop itching. To Control Blood Pressure She is Taking telvas 3D (Telmisartan 40+Amlopedine 5+hydrochlorothiazide 12.5),One Cranberry Capsule daily to keep her urinary track normal (As per doctor) and Pregabalin 75 +Methicolabamine 1500 mcg daily As you are a leading Endocrinologist will you kindly help me /with regards and thanks.

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, Thanks for the query. Usually in subclinical hypothyroidism no treatment is advocated, unlee there are troubling or disturbing symptoms related to hypothyroidism. So in first place there should have been no thyroxine given. Since she was given 25 mcg, the TSH has gone down below normal. So the doctor has asked you to stop it. My subscription is stop treating now, then check TSH after 8 weeks. Then inform, if the level goes above 10 mU/L, then only treatment is needed. Otherwise...more
Asked for male, 52 years old from Lucknow
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C.S.C, D.C.H, M.B.B.S

Cardiologist•Alappuzha
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Your kidneys are not yet damaged but is on the verge of shutting down and need to take care . Hypertensive nephropathy is the first risk For people with high blood pressure, there's a range of other approved medications available that may be safer and more effective than alpha-blockers and alpha-2 agonists. Both these medications include: thiazide diuretics (chlorthalidone, hydrochlorothiazide)
Asked for male, 71 years old from Chennai
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MBBS

Internal Medicine Specialist•Kendujhar
Hi,

Thanks for your question on Lybrate

I do understand your concern

As per your clinical history is concerned you have meniere'sdisease so you may follow like this -:

1)you can take meclizine for vertigo sensation

2)if regurgitating present then [promethazine] can be integrated

3)if you have history of fluid retention then diuretic amalgamation like trimterene+hydrochlorothiazide] should be integrated

4)take potassium -affluent fo...more
Asked for male, 35 years old from Gurgaon
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BUMS

Sexologist•Kolkata
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Taking medication, such as telma h (which contains telmisartan and hydrochlorothiazide), can sometimes lead to side effects. While not everyone experiences the same side effects, some individuals may experience sexual dysfunction, including erectile dysfunction (ed) and a decrease in libido.
If you have noticed a correlation between starting telma h in april and the onset of occasional ed and low sex drive, it may be worth discussing these concerns with your healthcare provider. They can eva...more
56 people found this helpful
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My friends mother died recently. It all started early in the morning. She forgot to take her high BP tablet the night before. Early morning she started vomiting with severe headache, nausea and her lower body below vest was sort of paralysed. My friend gave her two 25 mg tablets Enam-25 and she was rushed to the nearby hospital. There ECG did not show any heart attack. Later they checked sugar, electrolyte, lipid profile. All reports were normal. An echo test was done showing normal valve functioning but 40% LV diastolic contraction. The heart specialist said it's with in the normal range but suggested that treatment be started. She was injected and a tablet was given. After taking tablet she vomited and then collapsed. Nothing worked out and she was declared dead. Now my friend is worried that was it a mistake to give two 25 mg tablets to control BP? Did that dose mislead the heart specialist? The doctors were informed that she had been given two tablets. Was one tablet enough and would that have given true information in echo test or ECG? Could anybody explain. Please tell.

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MBBS, DNB (General Medicine)

General Physician•Delhi
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Two tablets of enam 25 (enalapril) would not cause death of a patient- moreover, your friend's mother wasn't told to have low blood pressure when she reached the hospital. The sudden collapse that you have detailed was perhaps an episode of arrhythmia (irregular heart rate) - which causes sudden cardiac deaths. Its very difficult to come to terms with such a tragedy in life - but I can tell you only one thing out of my own experience - its never anybody's fault! she was in the hospital and still...more
Asked for male, 54 years old from Ranchi
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DNB CARDIOLOGY , MD MEDICINE, MBBS

Cardiologist•Aurangabad
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Yes cresar h is known to cause excess urination and amlodepine is known to cause ankle swelling. There are many alternatives to these medicines. If she doesn't have too much urine trouble with cresar h then continue the same otherwise consult online for prescription.
Asked for male, 54 years old from Mumbai
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MD medicine, DM cardiology

Cardiologist•
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Hi according to your controlled diabetic and hypertensive status, tazloc is better for it diastolic bp of 90 mmhg. Diuretic is causing some metabolic changes so you feel itching over body. Better to get your kft, thyroid function test, and bp recording for few days. Than I will advise you better.
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