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Bipolar depression
Hi i am facing a hypertension problem doctor prescribed me mirtaz 7.5 mg with tryptomer 75 and zolfresh 5 mg due to persistent sleep disturbances my bp reading 140/100 taking all medicine i add ciledge 10mg+ramistar 1.5mg still blood pressure not control so now 130/90 so i decided to reduce to 50mg tryptomer because I am afraid of stroke i can sleep calmly after taking 75 mg. Is there any alternate medication is not requested by me
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Definitely particular in cases of HTN or other cardiovascular issues, Amitriptyline should be avoided,there are other medications options too for sleep disturbances
You must consult your psychiatrist and discuss it with your medical records of BP medications too
Accordingly medications dose will be optimised,
Along with it you must follow certain lifestyles modifications as
Relaxation exercises as well walk in a day
Avoid oily caffeine rich diet
Sound sleep for 7-8 hours
Reduce screen use
Drink water, maintain hydration
Include salad fruits in diet
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Hi, please do consult your psychiatrist for adjustment of your medications. Medications such as tryptomer may cause increase in blood pressure but there may be other causes as well. Adding antihypertensives such as ramistar or ciledge without proper medical review may lead to problems like low blood pressure. Hence, please talk to a psychiatrist and general physician.
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Consult psychiatrist.
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Don't change dosages by yourself.
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It don't appear to be. Simple issue which can be resolved on this platform. It's in your best interest if you consult a psychiatrist in person and discuss mental and physical issues simultaneously. I hope it would give some results.
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consult a psychiatrist in person
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This combination of psychaitric medications need to be revisited for the symptoms you express. Kindly get a second opinion from an astute psychiatrist. Good luck
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Tryptomer (Amitriptyline) can sometimes increase blood pressure, heart rate, and cause palpitations, especially at higher doses. In patients with hypertension, it must be used cautiously. If BP remains high or side effects occur, alternatives like Mirtazapine alone, Trazodone (low dose), or non-sedating sleep stabilizers may be considered after medical review.
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Don’t change the dose on your own.
Your BP is still high, so medicine needs review by your doctor. Keep checking BP daily and avoid stress, caffeine, and late screens.
If severe headache or chest pain happens — go to emergency.
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Dr. Abhijeet Kishor Tripathi
Psychiatrist
3 yrs exp
Damoh
Consultant Psychiatrist for change in medication.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.