However, his blood pressure of 150/100 remains high, especially given his history of heart bypass and paralysis. His current dose of Metxl (metoprolol) is already quite significant. Rather than simply increasing it, which might lower his heart rate too much, his doctor may prefer to add a different class of blood pressure medication or adjust his current therapy to protect his heart and kidneys better. Please consult his cardiologist or physician soon to safely review and adjust his medications, including Metxl and Ecosprin AV (aspirin/atorvastatin).

While a cough is not a common side effect of most of her medications, there are a couple of possibilities. Olmax 3D contains olmesartan, which can occasionally cause a dry cough. Additionally, Ecosprin AV contains aspirin, which can sometimes trigger respiratory sensitivity or a cough in some individuals. Her other medications, Glyciphase SR (metformin), Maxgalip AT, and Depran H, are very unlikely to cause this. Please have her evaluated by her doctor to rule out other causes like an infection, and safely review her treatment plan before making any changes.

Ecosprin AV 75 contains aspirin and atorvastatin. At your age, high cholesterol, especially post-Covid, is often temporary and can be managed with lifestyle changes like a healthy diet and exercise. You likely will not need this medication for the rest of your life. While there are no dangerous withdrawal effects from stopping it after one month, please do not discontinue it without consulting your doctor first. They will re-evaluate your lipid profile to safely guide you on whether it is appropriate to stop.

I understand how troubling these dizzy spells and head pressure must feel, especially when you are trying to focus. While Ecosprin AV (aspirin and atorvastatin) can occasionally cause mild dizziness, experiencing these symptoms specifically while walking after two years of stable use makes a direct medication side effect less likely. Instead, this could be related to blood pressure changes, inner ear balance, or neck-related nerve issues. Since you have a history of nerve concerns, please do not stop your medication.

It is wonderful that your health has improved, but your dizziness when standing up suggests your blood pressure of 105/60 may now be a bit too low. While a further reduction in your metoprolol or Ecosprin AV 20 might be necessary, please do not change your doses without consulting your cardiologist. Because of your past heart procedure, any medication adjustments must be carefully supervised to keep your heart safe. Please contact your doctor's office to discuss this. In the meantime, try to stand up very slowly to help minimize the dizziness.

Both Ecosprin AV 75/10 and 75/20 contain the same two active ingredients: aspirin, which helps prevent blood clots, and atorvastatin, which lowers cholesterol. The only difference is that the 75/20 strength contains 20 mg of atorvastatin instead of 10 mg, providing stronger cholesterol control. This is a very common dose adjustment and is generally very safe. While serious side effects are rare, the higher atorvastatin dose can occasionally cause mild, temporary muscle aches or slight stomach upset. Please feel reassured that this transition is typically very smooth, but do let your doctor know if you experience any unusual or persistent muscle pain.