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DASH diet ( dietery approach to stop HTN) And switching your BP meds help

You are 37 years old with: • ABPM: 130/91 mmHg • One spike to 140/100 during illness + high salt intake • Now on Cilnidipine 5 mg • Experiencing fatigue, flushing (initially), eye redness • Known mild concentric LVH (Left Ventricular Hypertrophy) This changes the context significantly. Important Point: If LVH is present, you are not just a “borderline BP” case. LVH means your heart has already responded to pressure overload. According to hypertension guidelines: • ABPM ≥130/80 is considered hypertensive • Presence of target organ damage (LVH) → treatment is indicated So yes — medication is justified. Now about your fatigue: Cilnidipine (a calcium channel blocker) can cause: • Fatigue • Vasodilation-related tiredness • Flushing • Mild hypotensive symptoms Especially in the first few weeks. Your extreme tiredness after strict salt restriction + medication suggests: • Possibly BP dropping lower than your body is used to • Overcorrection • Autonomic adjustment phase You are likely not doing anything wrong. This may be dose-response or drug sensitivity.

This side effect is due to medicine you take .but this is common with this medicine in first 1 to 2 weeks ,its depends person to person .if you not tolerate after 1 week or 2 week , go for your physician and he should change the drug .

Do the following, 1. Blood pressure test first when you are lying down and then after standing up to check for a significant drop (orthostatic hypotension) which can be from the medication. 2. Take your tablet at bedtime (this usually helps) 3. Blood tests: KFT and CBP 4. Urine microscopy to check for protein and blood 5. Switch your clinidipine to Telmisartan 20mg taken once a day at bedtime All the best WWW.JGSR-HEALTH-EDUCATION.IN

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Your bp falls under stage 1 hypertension since you have mild LVH as well. You’re taking medicine Cilnidipine which has side effects of fatigue, flushing as you mentioned. Monitor your bp for a week, notice if it’s falling below or upto 100/60. If this continues for more than a week, visit your doctor. He might change the medicine if the side effects continue to bother you.

Need a few more details please consult for further evaluation and treatment

Your BP 130/91 with mild LVH means treatment is usually needed because heart is already affected. So starting Cilnidipine 5 mg is reasonable. Should you be on BP medicine? Yes — because LVH is present. Even borderline BP with organ changes usually needs medication to protect heart long-term. Tiredness and weakness can happen in the first few weeks due to BP lowering or medicine effect. It often improves with time. Do not take extremely low salt — moderate intake is fine. Monitor BP at home. If weakness continues or BP goes too low, medicine dose or type may need adjustment. For proper guidance and dose review,  text me on Practo.

You could be having postural hypotension.  B.p. 130/91 is not high, one time 140/100 reading does not need medicine to correct it. You can stop clindipine. Follow salt restricted, low fat , low sugar,diet, avoid excess of tea coffee,  alcohol, tobacco use. If overweight, reduce weight. Do regular physical exercise,  learn to relax. Get serum lipid profile, Thyroid profile and blood sugar done and share results. Follow life style measures for 4 weeks and then get b.p. checked.