Managing Cardiovascular Medications: Side Effects and Concerns - Cardiology

More Info

---

Managing cardiovascular medications can be a complex task, especially when dealing with side effects and concerns about their long-term use. In your case, it seems you have been using a medication called "脈優" (likely a brand name for a medication containing a calcium channel blocker or similar antihypertensive) for over two years. You mentioned experiencing side effects such as nausea and numbness in your hands, which prompted you to reduce your dosage. This is a common concern among patients taking cardiovascular medications, as side effects can significantly impact quality of life.

When it comes to managing side effects, it is crucial to communicate openly with your healthcare provider. Reducing your medication without consulting your doctor can lead to uncontrolled blood pressure, which poses risks for cardiovascular events. It is good to hear that your blood pressure has been well-controlled at 110-120/70-80 mmHg, but any changes in medication should ideally be supervised by a healthcare professional.

Regarding your experience with chest pain and the subsequent evaluation, a single electrocardiogram (ECG) can provide valuable information about your heart's rhythm and electrical activity. However, it may not capture intermittent arrhythmias, which can occur sporadically. If your symptoms persist, your doctor might recommend additional monitoring, such as a Holter monitor, which records your heart's activity over 24-48 hours, or an event monitor for longer-term assessment.

The medications prescribed to you, including the antiarrhythmic drug "優良心律整錠" (likely a beta-blocker or similar), as well as anti-anxiety and gastrointestinal medications, can also have side effects. Common side effects of beta-blockers include fatigue, dizziness, and sometimes gastrointestinal issues. If you are experiencing diarrhea and headaches, it is essential to discuss these symptoms with your doctor, as they may be related to the new medications or a combination of them.

As for the lab results, you mentioned that your total cholesterol, blood urea nitrogen, triglycerides, fasting blood sugar, sodium, and potassium levels were normal, which is reassuring. However, you noted that your GOT (Glutamate Oxaloacetate Transaminase) level was elevated. GOT is an enzyme found in the liver, heart, and other tissues, and elevated levels can indicate liver damage or stress. A single elevated result may not be conclusive, but it warrants further investigation. Your healthcare provider may recommend additional tests, such as a liver function panel or imaging studies, to assess liver health.

In summary, managing cardiovascular medications requires careful monitoring and communication with your healthcare provider. If you experience side effects, do not hesitate to reach out to your doctor to discuss potential adjustments to your treatment plan. Regular follow-ups and lab tests are essential to ensure that your medications are effectively managing your condition without causing undue harm. Always prioritize your health and well-being by seeking professional guidance when making changes to your medication regimen.