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High/Low BP
Hi Doctor, My husband experienced heavy nose bleeding last Monday, after which we discovered that he has Hypertension (high blood pressure) with a reading of 136/101 mmHg. Following this, he was prescribed Telma 40 (to be taken at night) and Cilacar 10 mg (to be taken in the morning).
Today, his blood pressure suddenly dropped to 108/64 mmHg. We are concerned about whether this drop is normal after starting the medication or if it indicates that his blood pressure has become too low.
Kindly advise on whether this situation is normal and if any precautions or changes are needed.
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Your husband had newly detected Hypertension and was started on:
• Telmisartan 40 mg (night)
• Cilnidipine 10 mg (morning)
Next Steps
• Monitor BP twice daily (morning & evening) for next 5–7 days
Health Tips
• Ensure adequate fluid intake
• Avoid sudden standing (to prevent dizziness)
• Continue medicines regularly (don’t stop abruptly)
• Nosebleed could have been triggered by high BP—now control is important
⸻
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It is completely normal to feel a bit uneasy when you see the numbers change so quickly, especially after the scare with the nosebleed. But here is the good news: the medication is doing exactly what it’s supposed to do.
Going from a high reading like 136/101 down to 108/64 shows that his body is responding very well to the Telma and Cilacar. While 108/64 might seem low compared to where he started, it is actually within a very healthy, safe range for most adults.
Next Steps
The most important thing right now isn't just the number—it’s how he feels.
If he feels fine: Then there is no need to worry. His body is simply adjusting to a healthier blood pressure level.
If he feels dizzy or lightheaded: This can happen in the first week or two of treatment. Just make sure he takes his time getting out of bed or standing up from a chair.
Health Tips
My advice for now:
Keep giving him the medicine exactly as prescribed. Don't skip a dose or change the timing yet. Just keep a simple log of these daily readings for the next few days. If he starts feeling very weak or faints, give me a call immediately—but otherwise, it looks like he is on the right track to getting his BP under control.
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