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

### input:
I have been taking generic Norvasc for several years now. Soon after I started taking it my ankles swelled and along with itching. I cut back my pill to half, and I don t seem to experience the swelling so much. But every several months the swelling and itching act up and by morning of course swelling is gone and with lots of itch cream and moisturizers the itching goes away. I do have terrible dry skin also. When I started seeing brownish red spots on the top of my foot and around my ankles I asked my Pulmonologist about them and he said I should ask my primary doctor. I went to a new primary doctor and when I asked her she abruptly told me it was a circulatory problem and I should go to a Cardiologist. I googled the problem and it seems like it could be Petechiae; if so do these spots ever go away? I am 69 yrs old and have had Pulmonary Fibrosis for 10 yrs now.

### output:

Hi, thank-you for providing the brief history of you. As you are having peripheral edema after taking the medicine novas, it is one of the adverse effect of the Chat Doctor.  Also, this medication is given to reduce the blood pressure. Besides, your cardiologist you should meet and get a thorough cardio assessment done once again by which some change in medication can be possible, so you do not develop peripheral edema.Also, If you have Pulmonary fibrosis you need to do regular breathing exercises as Pulmonary fibrosis needs to be controlled by active breathing mechanisms in my clinical practice, patients with Cardiorespiratory problems and vascular issues are commonly assisted with the help of physical therapy and a proper Cardiorespiratory endurance training and general body conditioning helps to a majority of them.regards Jay In