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Blood Pressure medication
I started the medicine to control the blood pressure at the age of 37 with Telma H 40 , Pressure is under controlled by medicine ( 120/80) mm. After one year another doctor changed to Telvas 40 inplace of Telma H 40 and he said that telma h 40 was high power with respect to telvas & will monitor the pressure. After use of Telvas 40 for last 1 month pressure is remain same , feel well , no problem.
My concern changes of medicine from telma to telvas will be problem in future or will get back to original telma h 40 ?? ..please advise...
NB: I was diagnosed with hypertensed while I started the medicine before 1 year . Noticed that my pressure is fluctuating while getting tensed and feeling palpitations on that particular moment it reached 170/100 mm, not remain constantly. However, doctor prescribed to start the medicine .. is it really needed to continue whole life ??
Answers (19)
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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Need few more details
Kindly consult
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Telvas is also Telmisartan.
It is more on Doctor's whims and fancies rather than concrete medical evidence.
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Better to continue to save your self un necessary complication.
Follow doctors advise.
Low salt diet.
Add walkas exercise.
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Both the medicines are combination of arb and different types diuretics.As your BP is normal, continue with the same medicine.When the BP is controlled with a specific tablet,practice is to continue indefinitely unless your doctor has some concern , substitute with a different tablet.Bp medicines are mostly taken lifelong.
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Need few more details
Kindly connect.
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No problem with change of medicine., both contain telmisartan H is telmisartan with hydrochlorthiazide,, I.e. a diuretic, whereas telvas is telmisartan with chlorthalidone, another diuretic molecule.Antihypertensive meds are usually for life. The dose may reduce or increase, the molecule may remain same, another added or may be changed.
Choice of meds and their continuity depends on b.p. levels, circumstances ( for example any heart attack, pregnancy etc)), tolerance to med and development of any side effects.
Next Steps
Take salt restricted, fat free diet. Stay relaxed physically and mentally relaxed, do regular physical exercise. Thus the requirement of meds may go down to minimal.
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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no need to worry . The doctor has started you on the 1st line or beginners medication for blood pressure control.
Avoid oily food, sugar, excessive salt, do 30mins of walking daily and meditation twice re day to maintain good cortisol level in body which contributes to your blood pressure.
Next Steps
if anything happens consult me here about your blood pressure
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated.
Do consult.
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Dr. Sadiq Basha
General Physician
5 yrs exp
Kadapa
You are good with telma 40 that's no need to worry as your bp is maintaining.if you want to know if your bp is fluctuating you can undergo 24hrs bp monitoring in nearby hospital.
Next Steps
you can connect with me as I'm a clinical cardiologist I can guide you through
Health Tips
to help you keep your bp low take low salt diet and go for regular brisk walk for 30 mins.
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Dr. Rajendra Yadav
General Physician
11 yrs exp
Jaipur
Hi,during anxiety,if your bp was fluctuating,and if it was only during stress,it may be due to panic attack,
If ur are having panic attack related hypertension,no need to continue antihypertensive medicine,for proper diagnosis,you have to go for some investigations .
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Start yoga and use meds regularly
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Dr. Mithravinda Rajana
General Physician
8 yrs exp
Kolkata
Accurate diagnosis of hypertension can't be made from isolated or intermittent BP readings, as blood pressure naturally fluctuates throughout the day. It can also rise temporarily due to pain, anxiety, or stress.
To confirm whether you truly have hypertension, the most reliable method is Ambulatory Blood Pressure Monitoring (ABPM). You can get this done at most corporate hospitals on an outpatient basis—admission is not required.
A portable monitor is attached to your arm and worn for 24 hours, including during sleep. It automatically records your BP at regular intervals. At the end of the period, a detailed report is generated showing your average blood pressure throughout the day and night. This helps in accurately diagnosing hypertension.
Next Steps
ABPM and hypertension medication if required.
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Dr. Tannu Gupta
General Physician
2 yrs exp
Sri Ganganagar
There is no need to worry
You can continue the current medicine prescribed to you, its ok to take it to keep the bp normal
Just keep monitoring your bp and take medicine daily , don’t skip the medicine
Avoid high salt, fried food , packed snacks and have plenty of fluids
Next Steps
Continue the medicine and keep monitoring bp
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Kindly connect
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Dr. Rahul kumar
General Physician
2 yrs exp
Ambala
In the start of treatment for hypertension if your taking telma40 You have to take this medicine regularly and Do exercise , less salt intake , don’t take much stress or overthinking too
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