<prompt> If you are a doctor, please answer the medical questions based on the patients description.Sir, I am Mrs Vanaja Devadoss, 62 years of age, diagnosed for Diabetes II and high BP. I am on a regular dose of Glycomet SR 500 12-0- 12 and Covance 50 , 1 per day morning along with supplements for iron deficinecy Bisfer XT 1 per day , Mecoblend 0-1-0 and also Eltroxin 100 1 morning. About a month back, on a visit to our native place , a village in Tamil nadu with mosquito menace, I developed dry cough which became noisy and worse barking type and one day morning, it was palpitation with heart beat 190 p.m. I was on observation with monitor and adenosin injection IV in ICU, and was discharged that evening with the following additional medicines to take for a long time : Calaptin 40mg 1-1-1 , Pantocid 1-0-0 , Rabium DSR 20 0-0-1 Montec LC 0-0-1 and Teczine 12-0-0 . More than a month over, the cough is still not subsiding and becomes aggravated on lying down especially by night leading to loss of sleep- too many medicines now- what shall I do ?  <response>: Hi, Thank you for your query. I can understand your concerns. It seems that you had an attack of paroxysmal supra-ventricular tachycardia palpitation with heart beat 190 p.m. controlled with adenosine injection IV-now on oral Clapton verapamil 40 mg three times a day. Since you have cough at night while lying down. Your basic problem is cardiacincipient left heart failure. You need to undergo 2-D Echocardiography to evaluate pumping action of your heart and diuretics like furosemide may help. Regards 