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High Bp query
Had bp 2023 age now 45 Male weight 133kgs ,tab ws prolometxl25 & as arm ws big no cuff fitting,so wl checkd on smart watch . Then switched to Telmisartan 40 in 2024 checked on smartphone,felt fine normal heartbeat was 95 some times 110 after walking. 2025 brought bp monitor digi on that 220.100 showed felt normal no c.pain breathless,went doc he checked 200.100 gav nicardia 20 mg said evening come?i cme 180.100 he said admit to nursing h to check,in 2.5days bp 140.80.becoz I didn't check with doc machine and was doing on watch body got used to 200.100 . God kept safe. I vwas put on telma h and metxl50 n ecospirin 75 . Pressure is flucation 160.90 and other time 130.90 or 140.90.why my pressure high after 2 tabs .it is bcoz 1 year no check on doc machine. Also I used to do 24 mins walks 6 days a week now do 30 mins 5 days a week so walking increase but still bp this much I haven't checked latest with doc last was 3 weeks back 160.90 . will Magnesium can help much dose?
Answers (18)
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Uncontrolled hypertension means, either you need more medicine or b.p. checked up by another instrument.
Cross check b.p
With another instrument. If still high, you can take telma 40 in morning, 20 in evening.
Get thyroid function tests, kidney function tests and serum lipid profile done and share results.
Answered
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You have uncontrolled hypertension probably related with metabolic syndrome it would be best if u can consult me . Would need better family personal and dietary history and asses other risk factors for metabolic syndrome
Next Steps
medications prescribed to you telma h and metxl first need to know if were prescribed once or twice a day , might even change the combination if needed . add statin with ecospirin
get regular blood tests including lipid profile hscrp hba1c cbc lft kft
Health Tips
review for further info
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You have long-standing, uncontrolled Hypertension with wide fluctuations (130/90 → 200/100+).
Key clarifications:
• BP did NOT stay high because you didn’t check on a doctor’s machine — that is a misconception
• Your body does not “get used to” high BP in a protective way; it only increases long-term risk
• Fluctuation despite medicines (Telmisartan + Hydrochlorothiazide + Metoprolol) suggests:
– Suboptimal drug combination/dosing
– Strong contribution from weight (133 kg), salt intake, stress
Next Steps
A. Accurate monitoring (very important)
• Use a validated digital BP monitor (upper arm cuff)
• Check twice daily for 7 days and maintain a log
• Avoid smartwatch readings (not reliable for BP)
B. Medication optimization (with physician)
• You may need:
– Dose adjustment OR
– Addition of a third/fourth drug (very common in such cases)
Health Tips
• Target weight reduction (even 5–10% helps significantly)
• Strict salt restriction (160/100
• Headache, chest pain, vision issues
⸻
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This is uncontrolled hypertension with fluctuating BP due to inadequate control, obesity, and possible wrong measurement earlier (watch readings unreliable). Your BP is still high (140–160/90) despite medication, meaning treatment needs optimization.
Next Steps
-Do Investigations: CBC,RFT,LFT,Lipid profile,HbA1c,ECG,Echo,Kidney ultrasound for ruling out complications
-Check BP with proper upper arm cuff machine (not watch)
-Tab Telmisartan 40 mg – once daily morning
-Tab Metoprolol (MetXL) 50 mg – once daily
-If BP >140/90 persist → add Tab Amlodipine 5 mg once daily
-Magnesium can be taken: Tab Magnesium glycinate 200–400 mg once daily for 2–4 weeks (supportive only)
-Regular follow up with physician
Health Tips
-Weight reduction is key (target gradual loss)
-Low salt diet (
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There will be some fluctuation with bp, but if its always above 160/80, it means your medication is not adequate, it needs titration. Also the underlying cause should be found. Have you done echo anytime? Its my suggestion along with renal function test and urine routine.
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