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Bp 180/110
My bp remains normal after taking ctd t am 12:40:5 but today I feel palpitation and headache I consult with doctor .my bp was 180/110 .he added ciplar LA 40 twice a day.clonz 0.25 twice a day alongwith ctd t am 12:40:5 .is it ok
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180/110 with headache and palpitation is a genuine spike, so adding a beta blocker like Ciplar LA 40 is a reasonable step - it will control both the BP and the palpitation. The combination with your CTD/telmisartan is safe. My reservation is Clonazepam 0.25 twice daily: it only masks anxiety, causes dependence and daytime giddiness at 59, so it should be short term only. Do not check BP repeatedly through the day - twice daily, seated, same arm, and write it down.
Next Steps
Continue as prescribed and keep a BP diary for 2 weeks, then review. Get ECG, kidney function, electrolytes and thyroid done for the palpitation. Rush to the ER if you get chest pain, breathlessness, one-sided weakness, slurred speech or vomiting with severe headache. Happy to review your readings on Practo or at Synergy Multispeciality Hospital, Miraj.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine.
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Please continue the medicines as prescribed and don’t take any extra doses. Recheck BP after 10–15 minutes of rest. If it is still ≥180/120, or you have severe headache, chest pain, breathlessness, weakness, vision/speech changes or worsening palpitations, please go to the ER immediately.
Next Steps
Otherwise, follow up with your doctor today for BP review and ECG.
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Continue only CTD T AM 12.5/40/5,and clonz (.5) odhs. For 15 days
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The elevated BP may have caused those symptoms.180/110 is significantly higher BP.The doctor has rightly prescribed you the 3 combination pill , which should help in reducing the BP.Continue monitoring the BP for a few days
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Continue same no need for a change
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Yeah okay
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Switch to Tab Amlong AT 5/25 OD
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Yes its okay dear , get yourself bp charting morning and evening done
Take medicine on time
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You can continue the ctd t am because those are 3 itself different combinations. And regarding ciplar la 40 and 0.25 clnzpm they're pretty helpful for palpitations and anxiety respectively.
Next Steps
For the next 3–7 days, record BP morning and evening, after 5 minutes rest, taking 2 readings each time.
Record the pulse along with BP, especially when you feel palpitations.Review the log with the treating doctor and adjust the long-term regimen based on the average BP.Because this was 180/110 with headache/palpitations, get an ECG, and check renal function/electrolytes if not recently done.
If BP repeatedly approaches ≥180/120, or there is developing chest pain, breathlessness, neurological symptoms, visual disturbance, confusion, or severe/worsening headache, you need urgent assessment for target-organ involvement.
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Continue prescription.
Regularly monitor Blood pressure twice a day
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Good prescription.
Continue medicine
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CTD is not the primary drug for hypertension.
Your BP is fairly high.
You should consult a General Physician in your area. You should be prepared for multiple visits.
One First line drug has to be used.
Few investigations are required.
You should keep a twice daily record of your BP. The dose of medicines will be adjusted accordingly.
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Consult and provide detailed history
So that can give you better treatment plan and advice
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Kindly consult and share your past history an other details related to hypertension
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Recheck BP and pulse after resting.
If there is chest pain, breathlessness, severe/worsening headache, weakness/numbness, confusion, visual disturbance, difficulty speaking, or fainting, go to the emergency department immediately.
Continue the prescribed medicines unless the treating doctor advises otherwise.
Arrange follow-up soon to review BP readings and the cause of the palpitations; an ECG may be appropriate.
Health Tips
Avoid excess salt, caffeine/tea/coffee and decongestant medicines for now. Do not take extra doses of antihypertensive medication to bring the BP down rapidly without medical advice.
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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After taking medicine it should be in range then ok.
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Kindly consult me
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
need more information
kindly consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
No problem, you can take it, because they are different molecules, which would lower b.p., by different mechanisms.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Saketh Kumar Vaidya
General Physician
7 yrs exp
Hyderabad
Along with CTD T, take Tab Met XL 25 also
Next Steps
Consult physician
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Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
I need to know about your symptoms in detail
Kindly connect with me for consultation
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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.