### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Sir,cardiologist prescribed-MYONIT SR 2.6 MG-INAPURE 5--TELSATAN 40 MG---LASILACTONE 50 MG.MAY I  KIDLY KNOW THE USAGE AND FUNCTION.18 YEARS BACK CABG WAS DONE TO ME .NOW IT IS FOUND THAT OUT OF 4 GRAFTINGS RT.SIDE IS COPLETELY BLOCKED AND LT.SIDE 3 GRAFTINGS ARE PATIALLY BLOCKED.DOCTOR NOT SUGGESTED ANY OPERATION EXCEPT MEDICAL MANAGEMENT.ALSO SUGGESTED-PROLOMIT XL100-ILDAMEN 8MG-INDUR30-RANOZEX-NIKORON.NOT ABLE TO WALK SHORT DISTNCE UPTO 100MTRS.HEAVY EXERTION,BELCHING AND BREATHLESS NESS.MAY KINDLY SUGGEST FURTHER.MY AGE IS 67  YYYY@YYYY (VARANASI SREERAMAMURTHY)

### output:

Hello sir, your symptoms fit in classic angina and the breathlessness is due to the heart.  Now your doctor wanted to optimize your medication to make sure that your heart gets enough blood supply and limit in symptoms occur.  Proposed, Nikolai, Reynolds, Imgur, Mont Sr and others, are to help relive the symptoms, telmisartan is for blood pressure, lacilactone to remove extra fluid maybe because your heart pumping has gone low.  Sir many meds are similar to each other and different brand names, so I would like that you review it with your doctor, so he can cut down on unnecessary ones, as so much pill burden will be bad for your stomach.  Lastly if symptoms persist think about revascularization that is either angioplasty or reoccurring do bypass. I would be able to help you better If you can send the angiogram and the complete prescription with the med list and when you take which medicine. Hoping I could help Regards 