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admin 14.01.2016

If the above diagnoses are inconclusive or if a treatment regimen has already been started, a biopsy of the affected skin (i.e. Spray tub and bathroom floor with disinfectant after each use to help prevent reinfection and infection of other household members. Wash feet, particularly between the toes, with soap and dry thoroughly after bathing or showering. If you have experienced an infection previously, you may want to treat your feet and shoes with over-the-counter drugs.
Dry feet well after showering, paying particular attention to the web space between the toes. Try to limit the amount that your feet sweat by wearing open-toed shoes or well-ventilated shoes, such as lightweight mesh running shoes. After any physical activity shower with a soap that has both an antibacterial and anti-fungal agent in it. Source: By Alvin Chumari for Health Xchange, with expert input from the Department of Cardiology, National Heart Centre Singapore (NHCS), a member of the SingHealth group.
Heart attack (myocardial infarction) patients may possibly require long-term medication to reduce the risk of recurrence and control risk factors. If you’ve suffered a heart attack (also known as a myocardial infarction), you may need to take life-saving medication long term.
Dr Fam Jiang Ming, Associate Consultant, Department of Cardiology, National Heart Centre Singapore (NHCS), a member of the SingHealth group, describes the most common types of heart medication and their possible side effects. Examples of antiplatelet agents are aspirin [tablet or enteric coated (EC) capsule], clopidogrel, prasugrel, ticagrelor and ticlopidine. Tricagrelor: This agent has been known to cause shortness of breath but this effect usually subsides with continuous treatment. Ticlopidine: Your doctor may recommend tests, especially during the first three months of treatment, to monitor your response to the drug.

ACE inhibitors reduce the production of angiotensin II in the body – a substance that causes blood vessels to constrict – hence improving blood flow and lowering blood pressure.
Similar to ACE inhibitors, angiotensin II receptor blockers (or ARBs) work by reducing the effect of angiotensin II in the body. Examples of ARBs are candesartan, irbesartan, losartan, olmesartan, telmisartan and valsartan. If lightheadedness is a problem, take your time to get up after sitting or lying down so that your body has time to adjust to the change in posture.
ARBs are often introduced when a patient is unable to tolerate ACE inhibitors due to dry cough. Used to treat heart failure and hypertension, aldosterone antagonists can lower blood pressure by blocking the hormone aldosterone.
Should you experience trouble breathing, upset stomach or throwing up, severe dizziness and are in danger of passing out, see a doctor immediately. Beta blockers help to relieve the heart’s workload by reducing its need for blood and oxygen. Examples of beta blockers are acebutolol, atenolol, bisoprolol, carvedilol, metoprolol, nebivolol and propranolol.
Shortness of breath, fainting spells and male impotence are all possible symptoms associated with the use of beta blockers.
These lower your risk of a heart attack and stroke by reducing the amount of LDL (or ‘bad’) cholesterol, while increasing the amount of HDL (or ‘good’) cholesterol in your blood. Fat-binding agents – Bind fat with bile salt to form a non-absorbable complex eventually expelled from the body as waste. Miscellaneous such as ezetimibe – Prevents the absorption of dietary cholesterol in the small intestines. Do inform your doctor or pharmacist if you notice side effects or are unable to take the medication regularly.

Antiplatelet agents can thin the blood (making platelets “less sticky”), hence reducing the risk of blood clots. Should you develop unexplained fatigue, headaches, bruises, or fever, chills and sore throat (or any sign of infection), seek medical attention immediately. ARBs block angiotensin II from working on its receptors which results in the relaxation and widening of blood vessels and thus lowering of blood pressure. Women should also take note of period changes such as heavy bleeding, spotting or bleeding between cycles. They can also be used to prevent chest pain (angina) and reduces its severity and frequency. Ezetimibe is typically used in combination with a statin when the LDL level is not reduced sufficiently by statin therapy or when it is necessary to reduce the statin dose due to side effects.
Also, inform your doctor if the medication gives you nausea, diarrhoea or an upset stomach.
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