<human>: query l have been diagnosed with mvp two months back.the bp was high with high pulse rate n severe palpitations, the medication given earlier did not suit me. i was put on ciplar 40 half tablet twice a day which resulted in murmur.now the medication given is:carca-3.125 twice a dayvalance od 500- once at nightpari cr- once at nightetirest - sos please suggest if the course of treatment is correct
<bot>: Hello, The prescription is good and do continue the same. Circa will take care of palpitation.  Collar does the same thing but has more systemic side effects , alternative would be a cardio selective beta blocker like metoprolol causes a murmur and not Collar, some misunderstanding on that part. Valance and part CR must have been started for anxiety and panic attacks if you had any, I would suggest you can taper it off over a period of time. Also, for MVP a blood thinner like low dose aspirin 75 mg is suggested.  For any clarification you can always ping back. Regards Chat Doctor. 