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BP medicine causing side effects ?
Hi , I had BP of 130/91 in Abpm measurement on November 4,2025.. for two months I tried reducing it by taking less salt diet , walking , sleeping on time ... In fact BP reading came down to 120/80 by December first week ... but one episode of serious cough and my BP shot up to 140/100 ( had mutton biriyani made at home consequently three times as well ) ...... during gag end of December taking less salt resulted in extreme tiredness in my body ... now in jan after consulting doctor I started taking 5 mg cilindipine ... but after taking medicine I am feeling very difficult to work ... want to lie down and sleep .. initially had eye irritation and eye redness once had flushing as well ... all that is gone now still have tiredness triggered (??) after three of taking medicine ... anything I am doing wrong here or is it medicine side effect ... first of all should I be on medication if BP is 130/91 as per Abpm ... I have mild concentric lvh...
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DASH diet ( dietery approach to stop HTN)
And switching your BP meds help
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You could be having postural hypotension. B.p. 130/91 is not high, one time 140/100 reading does not need medicine to correct it. You can stop clindipine.
Follow salt restricted, low fat , low sugar,diet, avoid excess of tea coffee, alcohol, tobacco use. If overweight, reduce weight.
Do regular physical exercise, learn to relax.
Get serum lipid profile, Thyroid profile and blood sugar done and share results.
Follow life style measures for 4 weeks and then get b.p. checked.
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You are 37 years old with:
• ABPM: 130/91 mmHg
• One spike to 140/100 during illness + high salt intake
• Now on Cilnidipine 5 mg
• Experiencing fatigue, flushing (initially), eye redness
• Known mild concentric LVH (Left Ventricular Hypertrophy)
This changes the context significantly.
Important Point:
If LVH is present, you are not just a “borderline BP” case.
LVH means your heart has already responded to pressure overload.
According to hypertension guidelines:
• ABPM ≥130/80 is considered hypertensive
• Presence of target organ damage (LVH) → treatment is indicated
So yes — medication is justified.
Now about your fatigue:
Cilnidipine (a calcium channel blocker) can cause:
• Fatigue
• Vasodilation-related tiredness
• Flushing
• Mild hypotensive symptoms
Especially in the first few weeks.
Your extreme tiredness after strict salt restriction + medication suggests:
• Possibly BP dropping lower than your body is used to
• Overcorrection
• Autonomic adjustment phase
You are likely not doing anything wrong.
This may be dose-response or drug sensitivity.
Next Steps
✔ 1. Check Home BP Properly
Measure:
• Morning (before tablet)
• 2–3 hours after tablet
• Evening
If readings are consistently:
•
Health Tips
✔ Do not go extreme low salt — moderate restriction is enough
✔ Avoid binge high-salt meals (like repeated biryani episodes)
✔ Maintain consistent sodium intake
✔ Continue walking
✔ Avoid sudden stopping of medication
✔ Monitor BP weekly, not hourly
Your key issue is not just BP number — it is LVH at 37 years, which needs structured cardiovascular risk management.
Because this involves early target organ damage, medication choice and long-term strategy must be optimized rather than trial-and-error.
I recommend booking an online consultation so we can review your ABPM pattern, LVH report, and current BP log in detail and decide whether to adjust or change therapy safely.
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This side effect is due to medicine you take .but this is common with this medicine in first 1 to 2 weeks ,its depends person to person .if you not tolerate after 1 week or 2 week , go for your physician and he should change the drug .
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Do the following,
1. Blood pressure test first when you are lying down and then after standing up to check for a significant drop (orthostatic hypotension) which can be from the medication.
2. Take your tablet at bedtime (this usually helps)
3. Blood tests: KFT and CBP
4. Urine microscopy to check for protein and blood
5. Switch your clinidipine to Telmisartan 20mg taken once a day at bedtime
All the best
www.jgsr-health-education.in
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Your bp falls under stage 1 hypertension since you have mild LVH as well. You’re taking medicine Cilnidipine which has side effects of fatigue, flushing as you mentioned.
Monitor your bp for a week, notice if it’s falling below or upto 100/60. If this continues for more than a week, visit your doctor. He might change the medicine if the side effects continue to bother you.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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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. Kamal Kumar
General Physician
7 yrs exp
Rewari
Your BP 130/91 with mild LVH means treatment is usually needed because heart is already affected. So starting Cilnidipine 5 mg is reasonable.
Should you be on BP medicine?
Yes — because LVH is present. Even borderline BP with organ changes usually needs medication to protect heart long-term.
Tiredness and weakness can happen in the first few weeks due to BP lowering or medicine effect. It often improves with time.
Do not take extremely low salt — moderate intake is fine. Monitor BP at home.
If weakness continues or BP goes too low, medicine dose or type may need adjustment.
For proper guidance and dose review, text me on Practo.
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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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