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Lung Center

Emphysema/heart medications

01/26/2000

Question:

My father discovered upon having by-pass surgery seven years ago that he suffers from asthma and emphysema. The emphysema has taken such a toll but if I understand what I have read, his medications for the heart problem exacerbate the emphysema. Are there compatible medicines to treat these conditions? Thank you.

Answer:

It is true that SOME medications used in the treatment of heart conditions can make SOME lung conditions, such as asthma and emphysema, worse. Usually, doctors are able to use alternative medications with good results. Occasionally, the choices are limited, and we must decide which is the lesser of the evils, so to speak. A major consideration is to what degree the lung disease and the heart disease each contribute to symptoms, which is often not easy to decipher. If your father has not seen a lung specialist (a pulmonologist), I would suggest he do so. After that evaluation, the lung and heart specialists can usually come up with a plan that represents the best possible way to treat both conditions sucessfully.

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Response by:

University of Cincinnati Stuart Green, MD
Assistant Professor of Medicine and Pathobiology
Pulmonary, Critical Care & Sleep Medicine
Department of Internal Medicine
College of Medicine
University of Cincinnati