How often should a bypass surgery patient consult a cardiologist?
Q: Is any combination of Losartan potassium 25 mg + Hydrocholorothiazide 12.5 available? If yes, please tell me the brand name and the name of the company. My brother-in-law (61y) had bypass surgery and is taking Ecosprin 75 and UDP AT once. He used to feel exhausted and hence all routine investigations were done like haemogram, serum creatinine and lipid profile. All reports except lipid profile are normal. Triglycerides are more than 250 but LDL is 75. My question is whether the person who has undergone CABG in the past is required to follow up with cardiologist and whether his line of treatment is ok? His weight is 65 kg and he is following a very strict diet. Do high triglycerides in isolation need any treatment? For the last 5 years he has not followed up with the cardiologist nor undergone any sort of special investigation like 2D echo or TMT for cardiac evaluation.
A:A combination of losartan 50mg with hydrochlorothiazide 12.5mg is marketed by Zydus Cadila under the trade name of Losacar-H. High levels of triglyceride levels are a risk factor and should be corrected by drug treatment (since diet is already under control) with fibrates such as bezafibrate (Bezalip - Nicholas Piramal) or Fenofibrate (Lipicard - US Vitamin) or gemfibrozil (Lopid - Parke Davis). It is advisable to consult a good cardiologist periodically, say once a year.