Your symptoms of dizziness, confusion, and thirst could indeed be related to an electrolyte imbalance from your water pill, Amifru (furosemide/amiloride), especially while you are also taking warfarin and Penidure. I recommend seeing your primary care physician. They will likely order a simple blood test to check your electrolyte levels and kidney function, and check your INR. Treatment typically involves adjusting your medication dose or safely correcting your salt levels. Please contact your doctor soon so they can help you feel much better.

It is generally very safe and highly recommended for your mother to get her second Covishield dose. Her medications, including formoterol/budesonide (Combihale FB), fexofenadine/montelukast (Fexast Plus), and thyroxine (Thyrox-50), do not interfere with the vaccine. Please ensure she continues all her daily medicines as prescribed to keep her asthma and other conditions stable. For the annual flu vaccine, we recommend spacing it about 14 days apart from her COVID-19 vaccine to easily track any mild side effects. A quick check-in with her doctor before the appointment is always a great step to ensure she is feeling her best on vaccination day.

Amifru 40 Tablet, which contains Furosemide (a loop diuretic) and Amiloride (a potassium-sparing diuretic), is used to remove excess fluid from the body in conditions such as heart failure, liver disease, or kidney problems. It can help treat high blood pressure (hypertension) and reduce swelling in the legs, ankles, and lungs (oedema). This medication also helps maintain normal potassium levels while increasing urine output.

A blood pressure of 160/80, combined with a pounding heart, shortness of breath, and dizziness, suggests her condition is not fully controlled by Amifru (furosemide/amiloride) and Abflo (acebrophylline). These symptoms could stem from her underlying heart or lung condition, or they could be side effects of the medications, such as a rapid heart rate from acebrophylline. Since her symptoms are not improving, please seek immediate medical attention or contact her treating physician. A doctor needs to evaluate her vital signs and adjust her treatment plan safely.

Swelling on one side of the face with pain behind the ear may be due to infection of the gland, lymph nodes, ear, or a dental problem. Do not press or massage the swelling, as this can worsen it. Monitor for fever, difficulty opening the mouth, or spreading redness. Seek medical care immediately to identify the cause and start appropriate treatment.