Dear dr. Simon, Thanks for your navigation. I'm doing fine though in the morning I still have to reinforce 40m…

Dear E. A. , how many times a day do you take IsoMak? It's better to take it twice to prevent morning chest pain. And did I tell you about Dipyridamole, I remember so. I think the angina- free days are still to come so we have to continue the treatment. Best wishes, S. M.

Dear Dr. Simon,
I'm taking two pills of IZOMAK- 40mg. They are in capsules so I can't make it 60mg a dose. My morning angina bouts, I presume, are caused by
my exposure to the cold air. and VSD reacts immediately. As to Dipyridomole I wonedr if we ever discussed it. Thanks for your optimism.
Regards
E. A.

Dear E. A. ! I agree that your morning attacks are due to the vasospasm while exposed to the cold air. You know, in our language VSD means Ventricular Septal Defect – a common type of congenital or acquired heart disease. Returning back to the pain – I think we could try to increase the evening dose of Amlodipine by 2. 5 mg. This drug has a direct vasodilatatory effect, especially in vasospastic angina. Best regards, S. M.