Hello XXXXXXX,

Thanks for the query.

That is a huge list of drugs.

I would like to know whether he is taking all the drugs now, or he has taken them at different times in past.

Most of the medications prescribed to him are bronchodilators in tablet form, syrup form and as nebulisation (inhaler).

I think he is suffering from chronic respiratory problem and hence has been prescribed these medications by different doctors at different point of time.

In addition, there is atorvastatin, which is a cholesterol-lowering agent, so maybe there is a problem of high cholesterol too.

Here is my advice for you.
1. XXXXXXX a medicine specialist and not a GP.
2. Get is complete blood count done.
3. Liver function and renal function tests need to be done.
4. X XXXXXXX chest and ECG is very important, as he is complaining of palpitations.

With above investigations you will get a clear picture what exact is his illness.
Based on that a particular set of medicines can be prescribed.

The prescribed medication may be needed to be taken life long, but definitely it won’t be such a huge list.

Thank you

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Hello ,

Thanks for the follow up query.
These medicines are almost of same group or are complementary to each other, so there may not be any interaction between them, but the liver has to metabolise all of them. Hence his liver will be at great stress.

Regarding palpitation breathlessness and fall in blood pressure.

There are certain disease, like chronic obstructive pulmonary disease, where the disease starts as a respiratory problem and later involves the heart. He might be suffering from this.

Chest x XXXXXXX and ECG is must to diagnose this.

Prostate problem is age related and is quiet common in older age group. Pus in urine collection might indicate good health.

Thank you .

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