New medication

[Aoki]

Would very much welcome advice. I was diagnosed with heart failure in spring 2018 following very serious brush with sepsis. I surprised all by staging a good recovery and was taken off specific medication at the end of that year though remaining on Loratidine and Felodipine for blood presure . Having not had any follow up since then I asked for a hospital referral though feeling pretty well and had an echocardiogram in February which my GP didn't seem to think showed anything much to worry about . The hospital doctor however took a very different view and has prescribed hydralazine and isorbide mononitrate which I was on for a few months after the initial diagnosis and made me feel rather ill. I was very glad to be taken off. I have now done a bit of research and am not happy with the sound of these pills which sound rather drastic with many side effects and being particularly for angina which I don't have. In fact I don't have any symptoms except a bit tired and breathless espescially after getting covid last autumn. (My GP thinks this probably accounts for the decline in my EF reading which was 30-35 at the time of the Echocardiogram back in February. ) The hospital doc has apparently recommended the hydralazine and nitrate because I was also left with stage 3 kidney failure after the sepsis. But I can't see anything to suggest that this medication is particularly good for kidneys. Meanwhile another class of BP medication ARBs are apparently good for kidneys. Why hasn't he recommended them? My GP says it's up to me. I'm baffled. Has anyone any experience with these meds?