Hello doctor, I am a 71-year-old male with h/o HTN and diabetes. They are well under control with Amlopres one tablet daily and Cetaphin 500 mg two tablets daily, Clopitab 75 mg one tablet daily. I have a cyst in my kidney which is asymptotic. Nephrologist did not prescribe any medicine for that. My general health is good and I walk about 4 km daily. I am planning a week-long vacation to a place which is 10000 feet altitude high. I had been to places that are higher than that height, but I did not stay there for not more than a day. In order to acclimatize to high altitude, I plan to take Lopar SR 250 mg twice a day for three days. Will this help me to stay at 10000 feet for about five days? Are these tablets contra indicated for me? I seek your valued advice in this regard. My wife has COPD, but under control with Seriflo 250 mg rotacaps daily.
Hello. I had a look at your query. And would first like to congratulate you on maintaining controlled sugar and blood pressure. Now I would agree with the entire prescription meant for you. The medicine Lopar (Lorsatan) has some side effects but it is not serious enough to cause trouble within five days. So I do not think you need to worry if you discontinue it in for five to six days. Overall, I think you should be fine. However, I am not sure that the same can be said about your wife. She has COPD (chronic obstructive pulmonary disease). The air in the hills is thin and usually lacking in carbon dioxide that the city air has in abundance. Oxygen is the respiratory trigger for the patients of COPD. So they breathe in when the oxygen content in the body is low. So when the air is thinner with lesser content of oxygen, she may feel breathless. I would suggest that the frequency of Seroflo (Salmeterol and Fluticasone propionate) should be increased. Also, it is better to carry an MDI (metered dose inhaler) inhaler instead of rotacaps. The former is more effective. She can take the MDI at least three to four times daily and also as and when required. I hope this helps.