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

### input:
Sir, I am Mrs  Vanaja Devadoss, 62 years of age, diagnosed for Diabetes II and high BP. I am on a regular dose of Glycomet SR 500 ( 1/2-0- /1/2 ) and Covance 50 , 1 per day morning  along with supplements for iron deficinecy ( Bisfer XT 1 per day ) , Mecoblend ( 0-1-0) and also Eltroxin 100 (1 morning). About a month back, on a visit to our native place , a village in Tamil nadu with mosquito menace, I developed dry cough which became noisy and worse ( barking type ) and one day morning, it was palpitation with heart beat 190 p.m. I was on observation with  monitor and adenosin injection IV in ICU,  and was discharged that evening with the following additional medicines to take for a long time : Calaptin 40mg ( 1-1-1) , Pantocid ( 1-0-0) , Rabium DSR 20 (0-0-1) Montec LC ( 0-0-1) and Teczine ( 1/2-0-0) . More than a month over, the cough is still not subsiding and becomes aggravated on lying down especially by night leading to loss of sleep- too many medicines now- what shall I do ?

### output:

Hi, Thank you for your query. I can understand your concerns. It seems that you had an attack of paroxysmal supra-ventricular tachycardia (palpitation with heart beat 190 p.m. controlled with adenosine injection IV)-now on oral Clapton (verapamil 40 mg) three times a day. Since you have cough at night while lying down. Your basic problem is cardiac(incipient left heart failure). You need to undergo 2-D Echocardiography to evaluate pumping action of your heart and diuretics like furosemide may help. Regards 