I understand your concern. You're already on multiple antihypertensive medications but still experiencing **130/90+ BP, palpitations, dizziness, and chest heaviness**, even though all tests are normal. Let me explain clearly and guide you properly.
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## ð Summary of Your Case
* **Age:** 33 years (young hypertension â often linked with stress/anxiety)
* **Current Allopathic Medication:**
* ð **Cilnidipine 10 mg à 2**
* ð **Telmisartan 20 mg morning**
* ð **Metoprolol 25 mg evening**
* **BP:** ~130/90+ (diastolic constant high)
* **Symptoms:** Palpitations, chest heaviness, dizziness
* **Tests:** TMT, MRI, blood reports â all normal
* **Homeopathy:** Rauwolfia serpentina helpful but not completely
* **Ayurveda:** Currently **Arjuna 500 mg twice daily** (3 months). Doctor advised **HT-Kot twice daily**, but not available.
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## â Is Long-Term Use of Arjuna Safe?
âï¸ **Yes, Arjuna is safe for long-term usage** when taken in recommended dose.
âï¸ **It strengthens heart muscles (Hrudya Rasayana), reduces palpitations, anxiety, cholesterol**, and mildly lowers BP.
âï¸ **Does NOT act as a strong blood thinner like aspirin**, but it mildly reduces platelet aggregation.
ð **Before major surgery**, it is advised to **stop Arjuna 5â7 days prior**, just as a precaution.
ð *So yes, you can continue Arjuna until you get HT-KOT.* No harm in long-term use.
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## ð Can You Switch to HT-KOT Now?
Yes ð, you can **shift to HT-KOT**, if available now.
**HT-KOT contains Arjuna + other herbs** which help better in hypertension control.
â ï¸ **DO NOT STOP allopathic medicines suddenly.** Continue them until doctor reduces dose based on BP improvements.
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## ð¿ Best Ayurvedic Combination for You
âï¸ **HT-KOT (Maharishi Ayurveda)** â 1 cap twice daily after meals
OR if still unavailable:
âï¸ **Continue Arjuna 500 mg twice daily** +
âï¸ *******Vati (1 tablet at night)** â *only under Ayurvedic supervision*
âï¸ ******Vati (Patanjali)** â 2 tablets at night (helps stress-associated BP)
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## â ï¸ Why Your Diastolic BP Stays High
| Cause | Impact |
| -------------------- | ------------------------ |
| Stress/anxiety | â Palpitations & BP |
| Poor sleep | â Sympathetic activity |
| Sedentary lifestyle | â Diastolic pressure |
| High sodium diet | Water retention |
| Too much screen time | Triggers stress hormones |
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## ð Daily Routine to Follow (Very Important)
### ð Morning
* Warm water + **5 Tulsi leaves**
* **Arjuna (or HT-KOT)** after breakfast
* **10â15 min deep breathing (Pranayam)**
### ð§ Evening
* **Metoprolol + Arjuna**
* 20 min **brisk walk**
### ð Night (Before Sleep)
* *****Vati or ****Vati** (only if recommended)
* **No mobile 1 hour before sleep**
* **Left side sleeping**
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## ð« Yoga & Breathing (The Most Effective for Diastolic BP)
ð Do *slow pranayams*, **not forceful**
| Practice | Duration |
| ---------------------- | -------- |
| Anulom Vilom | 10 min |
| Bhramari | 7 times |
| Shavasana (Relaxation) | 5 min |
âAvoid Kapalabhati (forceful breathing)
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## ð´ Diet Guidelines
âï¸ Use **low salt diet (Rock salt preferred)**
âï¸ Avoid:
* Tea, coffee, energy drinks
* Pickles, papad, processed foods
âï¸ Include:
* Warm cow milk + 1 tsp ghee at night
* Soaked almonds (5) daily
* Banana (once daily)
* Beetroot, carrot, coriander water
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## ð Final Summary
| Question | Answer |
| -------------------------------- | --------------------------------------------- |
| Can I continue Arjuna long-term? | âï¸ Yes, absolutely safe |
| Is Arjuna a blood thinner? | Mild only â stop 5â7 days before surgery |
| Should I switch to HT-KOT now? | âï¸ Yes if available |
| Can it fully control BP? | Used with correct routine + stress management |
| Main cause for your symptoms | Likely **stress-linked hypertension** |
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## ð¹ Next Step for You
1. Continue Arjuna or shift to HT-KOT when available.
2. Start **stress-relieving routine** as above.
3. Monitor BP twice daily in relaxed condition.
4. Review medication with your physician after 4â6 weeks.
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## ð§¿ If you'd like
I can design a **7-day starter routine with food + yoga + medicines with exact timings** to reduce BP & palpitations faster.
Would you like me to prepare that for you? ð
Advice- self medication is hazardous, always consult ayurvedic doctor before taking ayurvedic medicine.
Consult me personally for details.
Next Steps
book consultation with us for more details.
Health Tips
kindly follow the advice.