Hello.

I wonder if anyone can advise me the best way forward.  Today I went to a well known hospital in Chiang Rai that I have been to several times before. I have developed a nasty chest infection from a recent cold. I saw a new doctor who prescribed 5 different medications. I asked if all were ok to take with my medical history and named it again. When I got home I looked up each one on the internet and one has a warning that has worried me. PUROXAN 400MG (DOXOFYLLINE) . It says in Contraindications patients with  acute myocardial infarction . I had a heart attack nearly 4 years ago and have heart failure. Do you think I should telephone the hospital or re attend. Or am I just worrying about nothing. Any advice would be appreciated.  For reference I was also prescribed. Rotuss cap 10/100mg. Prednisolone 5mg @30mg pper day. Flemex 375mg. And Augmentin 1 GM Tab. Thanks for reading any comments would be appreciated.  

Augmentin is the drug that will cure your chest infection here, why you've been prescribed the others is anyones guess.

 

So, my guess is that the Puroxan is prescribed to help you breathe easier as it appears to be an asthma treatment. It sounds to me like this is a symptomatic treatment where the Augmentin is the actual treatment. If your breathing was really bad you would be admitted and on oxygen.

 

It looks like a case of polypharmacy, when the doctor is throwing everything including the kitchen sink at you. I would get a second opinion from a specialist because of your recent health record. Doctors are not gods and can be challenged!

If you live in Chiangrai it might help to post a question in the Chiangrai forum asking for recommendations

for a GOOD general practitioner who has a clinic ( most clinics open around 5 after dr. finishes at hospital.

If you can find a doctor you trust you can go to his/her clinic when ill.  

Self diagnosis is far better than witch doctors in many hospitals here!


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Acute myocardial infarction means a current heart attack not a past one.

That said, these are some very serious drugs you have been given, including ones normally resetved for sevete asthma. If the precribing doctor was not a pulmonary specialist it might be worth getting a second opinion from one.

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