Talk to General Physician on Concern About Medicines
Asking for Mother, Female, 59 years old, Karachi , Pakistan
My mother is taking a bp medicine amlodipine/valsartan 5/80 since almost 6 months now she started when she had high bp and was also high randomly but now the bp is under control. But when she went to the physician he also suggested ascard daily. She had no other complications but he gave her ascard so she didn't take ascard. I want to know what is the reason to give ascard and how to know if it is required. Now her bp is also doing fine and she is continuing BP med. My question is is ascard necessary how do we know it. Since we are not in the favour of taking lifetime ascard. Thanks
AOA! He has started her Aspirin for primary prevention of heart problems as her age is approaching 60 . It’s Ok to take it regular. Also get her cholesterol levels done .If above normal she might be needing cholesterol lowering medicine along with Ascard( aspirin) to prevent any future risk of cardiovascular system( like heart attack). Good that her BP is doing well with the combination she is using. Thanks
Ascard is not necessory,it is a precautionary addition
1) check her serum cholesterol and serum HDL levels. Then calculate her heart disease and stroke (faalij) risk by thus calculator www.cvriskcalculator.com
Above calculation will tell you whether she needs aspirin (ascard) or statin or neither.
2)never stop BP medicine unless a qualified specialist tells you to do so
3) Aspirin, clopidogrel or statin are used to decrease risk of heart attack or strike, based on calculated risk over the next 10 years and on risk based on family history Some doctors do not use the modem risk calculation and give these medicines to all BP patients.
5) As she is on valsartan, she should have her serum creatinine and serum potassium checked once every 6 months.
For further detailed advice or consult, take online appointment:
https://www.marham.pk/doctors/karachi/internal-medicine/dr-ayesha-khalil
MBBS, FRCP, MRCP | Karachi | Book Appointment
34 Positive Reviews
You are welcome. I firmly believe that patient should be educated regarding every single treatment that is given to them so they can be responsible partners in managing their health.
2 years ago
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You are right ma'am this is the reason I did not want to add on another lifetime medicine. Im looking forward to book an appointment to you soon in Patel hospital. InshaAllah
2 years ago
MBBS, FRCP, MRCP | Karachi | Book Appointment
34 Positive Reviews
Glad to be of help
2 years ago
To calculate CV risk first get her lipid profile done. If you have already done and it is normal and she is not having any family history of heart disease and is not diaberic then her calculations would go in favor of not using any Medicine either Aspirin or Statin for the primary prevention of Cardiovascular risk. Thanks
you canbook my appointment for detailed evaluation
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She is not taking ascard at the moment. I wanted to know the tests and requirements that are needed before starting a medicine. I was not willing to add on another lifetime medicine without it being needed. Thank you.
2 years ago