Brief Answer:
Arrhythmia and Management of Side effects

Detailed Answer:
Dear XXXX

Thanks for contacting Ayurveda with your health concern and following guidelines are worth mentioning.

1. ADR [adverse drug reaction] of Cordarone [Amiodarone] itself is ventricular arrhythmias, or exacerbations of arrhythmias [which might be happening], also since you are taking the medicine for last 10 years, thus check with:
. Thyroid Profile: as the drug cause thyrotoxicity [hyper or hypothyroidism]
. Liver Function Test: as the drug causes liver injury.
. Second opinion from a Cardiologist.

2. Nausea and Gastrointestinal upset [Dysentry/Constipation] occurs because of oral medication, thus if the drug is assumed to be the cause of the same, you can incorporate following guidelines:

Take: old brown rice, moong/masoor dal, dry ginger,garlic,pomegranate, banana, cumin,coriander,curd,milched warm milk, papaya,cucumber,radish,bottle gourd,black grapes,musk melon,dates-raisins, pear,honey

Avoid: newly harvested rice, urad dal, XXXXXXX betel,sugarcane products, citrus/bitter foods, late night awakenings,excess water drinking,peas,potato, spicy food,fast food.

. Take Tab Amoebica twice daily with water
. Panchamrit Parpati: 500 mg
Fried Asafoetida [hinga]: 250 mg
Fried Cumin seeds: 500 mg... with honey three times
. Abhya Arishta 15ml with equal amount of water at bed time.

PS.
. All the said medicines is/are available at Ayurveda Medical Stores
. You may consider a Consultation and Examination with a Gastroenterologist to rule out any internal cause of the same/said problems.

3.
. consume guava empty stomach [in morning], not only it treat palpitations but provide a soothing effect, grape juice is another
. Add 1 spoon honey, half lemon juice in a glass of water and take at night [before retiring to bed]
.Intake of fresh vegetables and fruits relieve a person suffering from heart palpitations.
. Avoid caffeine beverages [soft drinks,alcohol,coffee and tea, [These increase the occurrence of heart palpitations]

4. Others
. Flax seed oil contains omega 3 fatty acids, magnesium-rich diet or magnesium supplements; carnitine in small doses.

5. Tablet Abana [Himalaya] helps to reduce the frequency and severity of angina attacks and improve heart function,the herbs in this formula have long been used as heart tonics and are now establishing a reputation for themselves in the United States as well.
PS.
Take 1 tablet of Abana with Arjuna Arishta [Baidyanath] thrice daily.


Dr. Munish
Naimittika

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Brief Answer:
Dosage and Cardiac Supervision

Detailed Answer:
Dear XXXX

Thanks for reverting back.

1. regarding stoppage of Cordarone, under no circumstances you should discontinue or stop the drug without consulting your attending Physician.
PS. because of the life-threatening nature of the arrhythmias treated, potential interactions with therapy, and potential exacerbation of the arrhythmia, initiation or discontinuation of therapy with Amiodarone should be carried out in the hospital.
2. Yes you may adjust Arjunarishta of Dabur with Baidyanath.

a. Arjuna arishta should be taken with equal amount of water, otherwise taking it singly can/may result in gastric irritation and to be taken after meals.
b. Abana is given:
. as an adjuvant in patients with risk factors.
. cardiovascular and cerebrovascular conditions.
. adverse effects: not reported
. contraindications: no absolute contraindications
. Special precautions: It is advisable to take Abana under medical supervision, if the pre-existing medical conditions are long standing [10 years in your case] and refractory to other modern medicines.

Action:
. Abana reduces the sensitivity of the heart to adrenergic stimulation.
. Abana improves the contractility of the heart by exerting a positive inotropic action. Thus Abana produces cardio protection

3. Initially 2 tablets of Abana with 15ml+15ml [Arishta+water] for 2 months and thereafter 1 tab twice daily with same dose of arishta as maintenance dose.


Dr. Munish
Naimittika

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Brief Answer:
Examination & Preventive Aspect

Detailed Answer:
Dear XXXX

Thanks for reverting back.

1. As mentioned earlier that 'Abana' should be taken under medical supervision:
i. if the pre-existing medical conditions are long standing [10 years in your case] and
ii. refractory to other medicines, so in best Interest remain under Doctor Supervision

2. the symptoms could be due to the said medicines but other way around it could be due to stoppage of Cordarone resulting in exacerbation of arrhythmia causing weakness, fatigue,dizziness, fainting [ since the heart may not be able to pump an adequate amount of blood to the body with each beat due to the arrhythmia's effects on the heart rate]

PS. make an appointment with Cardiologist for relevant Examination [heart disease, any defects in valve] and EKG [electrokardiogram], for any change in the pattern of arrhythmia, these could be the side effects of medicines or due to discontinuation of the drug, since treatment will depend on the
i. origin of arrhythmia:[atrial/ventricle] and/or
ii. heart rate: [tachycardia/bradycardia]

3. Make sure to avoid/control following provoking/aggravating factors:
. Alcohol, blood sugar,caffeine,high blood pressure, thyroid profile, mental stress,
tobacco.

4.
i. Arjuna is a CARDIOTONIC i.e. coronary vasodilator, protects the heart, strengthens circulation, and helps to maintain the tone and health of the heart muscle.
Dose: 6 teaspoons of Arjuna Arishta with equal amount of water [6+6=12], to be taken twice daily after meals

ii. you may go through : himalayacentroamericana.com/himalaya_researchpapers/.../abana086.pdf
'Abana in the Treatment of Hypertension and Ventricular Extrasystole'

Initially 2 tablets thrice a day for 1-2 months and later 1 tablet thrice a day for 1 month [with regular follow up with EKG and Evaluation of symptoms]

5. Diet: fiber rich,calcium, soy products and foods rich in omega-3 fatty acids.


PS. Ayurvedic herbs should be used cautiously because they are potent and some constituents can be potentially toxic if taken in large amounts or for a long time, Ayurvedic herbs can interact with other herbs, foods and drugs. A qualified healthcare professional should be consulted before taking.


Dr. Munish
Naimittika

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Brief Answer:
Ayurveda & Homeopathy

Detailed Answer:
Dear XXXX

Thanks for reverting back

1. Since Homeopathy medicine doesn't contain strong chemicals so chemical interactions are not possible, since it doesn't treat illness directly rather stimulates body natural healing mechanisms thus possible drug-drug interactions are negligible, but your attending Doctor should be well informed about two simultaneous system of medicine.

2. Since the disease is chronic [10 years], thus treatment/management will depend upon the severity, complexity, duration and suppression of the disease.

3. combining two different -pathy has one problem- one may not know the beneficial/adverse effect of the system, so assess the results before you wish to change anything and consult your health professional for further necessary Action.


Dr. Munish
Naimittika

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