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Hypertension
I'm 53 years male.With medicine Metolar XR 25 and Cilacar 10, my BP sometimes 150/92. Whether it needs any modifications. Specific advice from specialists is the appreciated. Regards.
Answers (26)
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Your BP isn’t coming under good control with the current medicines. We may need to either add another tablet or adjust the dose, but this decision should be taken after doing a few important tests.
Next Steps
Get LFT, RFT, and Lipid profile checked.
Keep a regular log of your BP readings at home.
Lifestyle tips-
Reduce salt in your food as much as possible.
Try to exercise or walk daily.
Focus on good sleep and stress management.
Once we have your test results and BP records, we’ll know the best way forward for your treatment
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Your BP is near to control
But you consult your physician if need to alter your medication
You need to have change on your life style
Regular exercise like brisk walking for 30 minutes daily
Diet control specially low fat and low salt no added table salt
Regular investigation of KFT LFTlipid profile CBC to know if you are keeping a healthy with life style changes
Next Steps
See your physician
Health Tips
Regular investigation of blood chemistry
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Your BP control is inadequate.
Please consult a General Physician in your area for a physical examination. A few investigations may be required, especially directed towards Lipid profile, Kidney function tests and Heart.
I think there is no place for Tele-consultation in your case.
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Even with the medication the bp is not controlled, so we need to add more medicines or modify the ones on which you are currently on. But these need to be done after some tests.
Next Steps
Health Tips
improve lifestyle via exercising and reducing salt intake.
hope it helps
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A few more tests like RFT and LFT are necessary to see the severity. Usually physicians start with amlodipine or any sort of calcium channel blocker for that matter. I need to know your family and medical history for further advice.
Kindly reach out directly for further queries
You can also visit me at my hospital for further discussion in person.
Timely consultations can save you from developing irreversible harm to your health!
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Hi,
Your current medicines (Metolar XR 25 and Cilacar 10) are standard BP control drugs, but if your readings are still around 150/92, that means BP is not fully controlled. Target BP for most people is usually below 140/90, and if you have diabetes/kidney issues then even lower.
What you can do:
First confirm with regular home BP monitoring (morning and evening for a week) to be sure it’s consistently high, not just one-time readings.
Lifestyle: reduce salt, avoid excess tea/coffee/alcohol, daily 30-40 min walk, good sleep, weight control.
If despite this BP stays above 140/90, your doctor may either increase the dose or add another group of medicine (commonly a diuretic or ACE/ARB).
So, modification may be needed, but only after your doctor reviews your regular BP chart and checks for other risk factors. Please share readings with your treating doctor for proper adjustment.
I hope it help you
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YOU HAVE UNCONTROLLED HTN YOU NEED TO UNDERSTAND THE COURSE OF DIS. WE CAN TALK ABOUT IT ,HTN NEED TO CORRECTED WITH MANY WAYS LIKE LIFESTYLE CHANGES PHYSICAL ACTIVITY TO REDUSE THE RISK OF COMPLICATION ASSOCIATED WITH IT
Next Steps
Health Tips
AVOID MULTI DRUG REGIME IF NOT REQUIRED
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Slight fluctuations in blood pressure sometimes is not a matter of concern. It can occur due to stress or increase in the activities. Proper exercise, sleep and diet can help. But if u notice a constant increase in value, please notify your consulting physician, who may change your medication or increase the dose. Try to do meditation and perform activities which give u relaxation
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A reading of 150/92 mmHg is still above the target.
Next Steps
Keep a BP log (check at least twice daily for 1–2 weeks) to see the consistent pattern.
Continue medicines regularly, avoid excess salt, maintain healthy weight, exercise, and limit stress/caffeine.
If your average BP remains >140/90 despite medicines, your doctor may need to adjust dose or add another tablet.
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-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ...
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Your BP 150/92 is above the normal range. Please continue Metolar XR 25 and Cilacar 10 as prescribed. Do not stop or change medicines on your own.
Next Steps
Monitor BP twice daily for a week and note down the readings.
If your BP remains high, your treatment may need adjustment. You can consult me directly on Practo with your BP chart for a more detailed review and medication guidance.
Health Tips
Reduce salt, oily food, stress, and try light exercise.
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If you have any co morbidity like previous stroke or MI then your target BP is below 130/80,else below 140/90.
Next Steps
You can replace those 2 tablets by TAB. TYMIST BETA C 25, ONE TABLET DAILY,it has both those drugs, you are using currently and additional telmisartan 40 MG in a single tablet.
Health Tips
AS I DO NOT KNOW YOUR DETAILED HISTORY, CONSULT YOUR DOCTOR BEFORE REPLACING THE MEDICATION.
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