On Cardace 2.5 Mg. Having Chest Pain. ECG And Chest X-ray Done. What Are The Use And Side Effects Of S-numlo And Telvas?

Posted on Sun, 29 Jul 2012

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

Sun, 29 Jul 2012 Answered on

Tue, 14 Aug 2012 Last reviewed on

Question : my hubby was taking cardace -H 2.5 mg in the morning and esam 2.5mg in the night, from last sunday evening he was having chest pain, in the morning he went to the first aid dept in the plant and there his BP was ckecked, it was 165/120 the doctor asked him to take 5mg each of both the tablets. on wednesday he went to JSPL hospital,underwent a series of check-up,ecg,chest x-ray and tmt,PP and Lipid profile P was 120 and total cholostrol 4 and the rest of test cardiologist said was ok The BP on 27th was 170 /90 THe changed his drugs to S-Numlo for morning and Telva-S40 12.5mg for night.today after taking the Numlo tab today he felt very uneasy, burning in the chest and also blowtedness.I would like to know these medicines,its side effects and also about tablets he was taking for the past 10 yrs now.

Answered by Dr. Mayank Bhargava (19 minutes later)

Hi XXXXXX
Thanks for posting your query.
S- Numlo and Esam ia the same medicine and contain S-amlodipine. You have not mentioned the amount of S-Numlo. I don't know why your Physician has changed the medicine with the same content.
S- amlodipine/ Amlodipine is one of most common culprit medicine for causing gastric upset.
In my day to day practice, I have seen a lot of patient taking these medication and also taking acidity lowering medicines simultaneously. Just stop of these medication improves patient's condition.
So you should contact with your physician/ cardiac physician and ask for another medication for blood pressure control.
I think this will solve your query.
Let me know your query if you have.
Take Care,
Dr. Mayank Bhargava

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mayank Bhargava (30 minutes later)

S-numlo 5 is given in the prescription,he was taking Esam in the night, if S-numlo is same as Esam, is it ok for him to have S-numlo in the morning? what acidity lowering medicine should be taken?I would like to know about Telva-5 and cardace tablets.Is it ok to continue with the previous medicines?

Answered by Dr. Mayank Bhargava (13 minutes later)

Hi XXXXXXX
My opinion is to stop S-numlo/ Esam and go for different medicine.
When S-Numlo/Esam is the main culprit medicine then stop it first.
Acidity lowering medicine means proton pump inhibitors such as pantaprazole/ rabeprazole/ esmoperazole and H2 antagonists such as Famitidine/ ranitidine/ lafutidine.
If we compare Proton pump inhibitors (PPI) and H2 antagonists then PPI are the best.
You can go for Telva/ Cardace as these are the safer medicines and not related with gastric problem.
Take care,
Dr. Mayank Bhargava

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mayank Bhargava (16 minutes later)

I would also like to know which of these medicines are suitable for taking in the morning, and which in the night?

Answered by Dr. Mayank Bhargava (5 minutes later)

Hi,
As such there is no categorization between BP medicine between day/ night use.
You can use anyone as advised by physician but the basic strategy is control of blood pressure.
Take care,
Dr. Mayank Bhargava

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mayank Bhargava (45 minutes later)

Doctor,
Which is the better one, Cardace or Telva?

Answered by Dr. Mayank Bhargava (35 minutes later)

Hi,
Both have same effects while Telva has lesser side effects.
Thanks,
Dr. Mayank Bhargava

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar