My Father Mr XXXXXXX K MANDAL Is Heart Patient With

Posted on Wed, 7 Aug 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 7 Aug 2019 Answered on

Last reviewed on

Question : My father Mr XXXXXXX K MANDAL is heart patient with bifascicular block. Recently due to suspected UTI (( urine routine was ok but culture showed Kleibsella oxytoca) went wrong. He was prescribed Dytor5 in morning for pressure and 2 times nitofurantonin. He took Nitrofuratonin 100 at night 10 pm on Wednesday . started head spinning from 4:00 hrs and throughout morning then again took Nitrofuratonin 100 at noon and head spinning increased with eyes blurring. We stopped the medicines after consulting local doctor. Now he is taking Vertigon 25 and vertistar 8 .His head spinner reduced but remaing. Did he has brain stroke not diagnosed. He had previously history of stroke 15 years before. .

He was checked 7 days ago by Cardiologist Dr Arup DASBISWAS with echo and ecg ok.

Regular medicine he takes-

Calaptin40 thrice

clopitab75

actor 10

seroflow inhaler

Answered by Dr. Bhanu Partap (1 hour later)

Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

After reviewing the medical details provided by you I would like to tell you that it’s just the side effect of nitrofurantoin and doesn’t go with stroke scenario.

You can discuss with your doctor and take ciplox TZ for UTI instead of Nitrofurantoin.

Also if possible give some grapes juice to patient daily for a week.

Kind Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhanu Partap (39 minutes later)

11 hrs after taking Vertigon/ vertistar slight head spinning starts. Then after taking Vertigon/vertistar the symptomms resolves within 1/2 hr.
Local doctor prescribed to take vertigon/ vertistar thrice daily upto tomorrow-/ Friday that will cover total 6/ 7 days of Medicine course.
Eyes blurring only occurred on the date of starting dizziness near about 17:00 hrs 5 hrs after taking Nitrofuratonin. After that day eyes blurring symptoms is not there.

Can he continue medicine vertigo/ vertistar upto Friday thrice daily?
Another thing his BP remaing 15 less on sphygmomanometer than digital. We have tried 2 digital Bp . Local doctor saying not to flood digital. Is it right?

Answered by Dr. Bhanu Partap (28 minutes later)

Brief Answer:
Hello again

Detailed Answer:
Yes that’s the recommended dose.

Digital bp monitors require calibration time to time and can be less accurate. If you know how to take blood pressure with manual meter than it is more reliable.

Kind Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj