The decline in your heart's pumping function (LVEF) to 30% on ultrasound and 19% on the nuclear scan suggests your heart muscle has weakened and enlarged due to scarring from your 2018 heart attack. Your current medications?including Ecosprin, clopidogrel, atorvastatin, metoprolol, and Fruselac?are standard, crucial therapies to protect your heart. However, with these new changes, your treatment plan needs a careful review. Please consult your cardiologist soon; they may optimize your dosages or introduce newer, highly effective medications to help strengthen your heart and improve your overall well-being.

While spironolactone?one of the active ingredients in Fruselac?is sometimes used to treat facial hair, Fruselac also contains frusemide, a strong fluid-clearing medication. Taking this combination pill solely for hair growth is not recommended, as frusemide can cause unnecessary dehydration and chemical imbalances when you do not have swelling. It is much safer to speak with your doctor about using spironolactone alone, or exploring other targeted treatments specifically approved for PCOS symptoms.

Fruselac DS (furosemide/spironolactone) is a strong fluid tablet. While it reduces swelling, taking it daily for thyroid-related fluid buildup should only be done under your doctor's close supervision, as the primary treatment is thyroid hormone regulation. Common side effects include dizziness, frequent urination, and muscle cramps. For weight gain and tiredness, gentle activities like daily walks, eating a low-sodium diet, and staying hydrated can help.

Daily fluid needs vary depending on age, body size, activity level, climate, and health. On average, adults should aim for about 2.7 litres per day for women and 3.7 litres per day for men, including water from drinks and food. Individual needs may differ, especially for people with kidney, heart, or hormonal conditions, so it’s best to follow medical advice if you have health concerns.