<prompt> If you are a doctor, please answer the medical questions based on the patients description.my mother aged 67 was a patient of htn,hypertropy,ichkimic heart desease suffering severe breathing problem once in 20122013 in winter and was admitted in n.home under a cardiologist who is closed to our family.She is undergoing regular check up every 4months gap since feb12.at present takingthe following medicine:Repace50,Imdur30,Lasilactone50after breakfast Clopitab75,Nenito plusafter lunchSeloken Xl 50in the evening with tea Tonact10,with Vit-AtoZvit taken 15 day in a month. Her condition is at present stable. BP within 14080. no blood sugar. All the time feeling lethargy.Apitite normal. kindly suggest me wheather the treatment ongoing will continue?  <response>: The treatment she is on is optimum from a cardiologist point of view, and she should continue with the same. Always the dosage will require changes depending on the report s and patient s clinical condition, so do visit your cardiologist regularly. If you can send the latest reports, I can help in titration. However, randomly changing meds which is keeping her in good health is not wise. Lethargy may be due to low pumping of the heart please do mention on follow up, also it d3 plus calcium may help at her age Regards 