Doctor insights on:
Taking azithromycin for tonsilitis. Have mvp mild mr and tachycardia. Atenolol 25mg daily. Risk for antibiotic disturbances with heart rhythm?
Part of the lincoside family . It has good gram positive an anaerobic coverage, but its association with the development of clostridium difficile infection has limited its use. It is used in certain drug allergy situations where staph, strep, pneumococcal, and anaerobic organisms. Its use in MRSA infections is spotty. It is a bacteriostatic drug that works ...Read more
Svt, endurance athlete. Prescribed 50mg metoprolol. Took 25mg, had symptomatic hypotension (low BP in general). Prescribed diltiazem er, 120mg. Safe?
Not completely safe: The trigger for svt needs to be determined. Stress ; holter. Metoprolol comes in 3x/day ; once daily forms. Daily form at doses of 12.5-25 mgs unlikely to lower BP in a young hydrated person and may control svt. Diltiazem er has some blood pressure lowering properties but is a good choice for svt. Diltiazem sa 120mgs is anti-inotropic, but this is a low dose. Both but may reduce endurance mildly. ...Read more
IRBBB + short PR + 25sec Afib & 5-15 SVE/VES/PAC & sinus tachy-brady daily. VES/VTAC in stress test. Tricuspidal&mitral regurg. Doc. says no problem?
Define problem!: Depends on what you define as problem. Anything not normal is a problem...but some bigger than others! Extra beats are very common out there. So is afib in short runs. Vtach less common but always more alarming. If LV systolic function normal on echo and you are not having symptoms, then I agree it's not a big issue. If passing out or near passing out, then probably needs addressing. ...Read more
Propranolol 20 mg for WPW caused bradycardia & dizziness. Would taking Sectral (acebutolol) have less side effects?
Maybe: Acebutolol (Sectral) is a beta-blocker with something called "intrinsic sympathomimetic activity", or ISA. This may reduce the adverse effects you describe, but may also diminish the effectiveness of controlling your WPW. An empirical trial under the supervision of you doctor may be considered. Good luck! ...Read more
Prescribed Prozac (fluoxetine) (20mg) & Metoprolol tartr. (25mg). But isn't there an interaction between the two? 19, female. Sinus tach & anxiety/depression.
Talk to your doctor : There is a moderate interaction between prozac (fluoxetine) and metoprolol. The prozac (fluoxetine) can make the effects of metoprolol more pronounced. If you should experience dizziness, weakness, shortness of breath or fainting, notify your doctor. Hope this helps. ...Read more
Ampicillin, Biaxin&Protonix 40mg (QAM) kill H. Pylori? It's Ampicillin 1g BID&Biaxin 500 mg BID. Taking all together 4 14 d kill the bacteria?
Uncertain: Prevpac (lansoprazole amoxicillin and clarithromycin) cconsists of 3 different medications. Two of these are antibiotics and one is an acid reducer. There are many possibilities how these medications could affect the heart rhythm, but the exact mechanism is not worked out. When a side effect profile is added to a medicine, the mechanism is often speculated, but not known for sure. Start with your doctor if prevpac (lansoprazole amoxicillin and clarithromycin) causes this. Take care. ...Read moreSee 1 more doctor answer
Echo sag of anterior mv leaflet & trivial regurgitation, 3 day holter 22 pac 4 couplet 3 pvc. Sometimes I feel runs of extra beats. Can l go to gym?
Results are yours: It's a good question. In general, the results of tests that you had done should be available to you. Since it sounds like you have already seen a doctor, and are looking for a 2nd opinion, those results would be part of the process, along with a lot more detailed questioning than fits in these little boxes. Consider a second opinion inbox consult on healthtap. ...Read more
On diltiazemCD, Flecainide, xarelto to prevent recurrence Afib. Atrial bigeminy at rest and sinus rhythm with any exertion.
Any concerns. Asymptomati?
Fib: Yes fib is a concerning disease. Follow your Drs suggestions. They know you best. ...Read more
14 day loop results states tachycardia up to 140, bradycardia 42 bpm, ventricular ectopic complexes, supra ventricular ectopic complexes and an atrial couplet. Should I be worried?
Arrhythmias: You should be talking to your doctor about the situation to get more information. The rhythms alone don't necessarily imply something 'bad'. On the other hand if you were entirely normal they wouldn't be there. The rest of your condition is what tells you whether you should be worried. Your doctor is best positioned to answer that question. ...Read more
Sometimes: These are two totally different classes of drugs and depending on the mechanism by which your pvcs arise, a calcium channel blocker may indeed be more effective. If drugs fail you, an expert center and electrophysiologist may be able to perform a PVC ablation to eliminate the beats from within the heart, but such procedures require a skilled electrophysiologist for the best chance at good results. ...Read moreSee 1 more doctor answer
Should my diltiazem prevent my frequent worsening PVCS from causing ventricular Tachy? I'm only taking diltiazem, nothing else.
Maybe but...: Your conditions sound serious enough to work closely with your cardiologist or internist. In general diltiazem slows down the heart and may prevent fast heart rates although beta blockers probably are more effective against PVCs. PVCs in general are benign in a normal heart, can be controlled by decreasing caffeine products and alcohol. Your risks can best be assessed and prevented by a specialist ...Read more
26 wks pregnant with sinus & vaginal yeast infection. Dr prescribed both Diflucan (fluconazole) (1 dose) & Zithromax. r they safe taken together? I read they're not
Ask the DR: Zithromax is probably safe during pregnancy. But it is a common cause for yeast problems. Unless you have both high fever and significant sinus pain, it will do nothing for sinus congestion. Drainage, with sniffer or oral med ,is the way to relieve sinus symptoms. Antibiotics are seldom of use. Meclizine is another med which is commonly used but seldom effective. Phenergan (promethazine) will make you sleepy so ...Read more
I gave big and trig pvcs, multifocal pvs, and multiform pvcs. As well as tachcardia. Ep and cardiologist have deemed ok. But im symptomic. Life-threat?
Holter showed pacs, sinus tachycardia, sinus arrhythmia. Cardiologist says other than the tachy otherwise normal. Sinus arrhythmia/pacs are normal?
Yes: Especially in young patients.Get a more detailed answer ›
At the er for chest pain hospital monitor says couplet pvcs amd sv rhythm. What does sv rhythm mean? and are couplet pvcs dangerous?
Not necessarily: SV="supraventricular rhythm" which is normal. PVCs are "extra beats" that sometimes lead to the feeling of a thump or irregular heart beat. By themselves, extra PVCs or couplets of PVCs are not dangerous. Some people get them when they drink caffeine or smoke cigarettes. They aren't an indicator of a heart attack, but if they happen during a heart attack, they can be a sign of impending problem ...Read more