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Bp never down
Hi
My mother is taking medicine for BP: benidin 4mg one time in morning after food along with telma 40
Minipress Xl 5 mg one time after food in night along with telma 40
Last couple of days i noticed bp is around 175/100 , 170/90 something like that
Today only one time in morning she taken
All above medicines along with telma H 40 instead of telma 40
Still bp is now I checked 174 shall I give one more telma h in night? But my previous doctor told one time for telma h 40 only for quick reply posting here 🙏 please suggest ???
Answers (30)
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Connect please
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Dr. Nikita Srivastva
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
6 yrs exp
Ghaziabad
Hello
Firstly, since you have mentioned it has occurred only in the last 3 days , I hope she has had enough sleep. If she is facing lack of sleep , it can lead to increased bp readings.
Secondly, medicines need to be titrated and customised since some are long acting and some are short.
Thirdly , we may need to run some tests as other organs involvement need to be ruled out if it’s not the first case
Fourthly, apart from medicines , adherence to diet and exercise are equally important .
Please book a consult with ur choice of physician to include all the above points
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"Managing high blood pressure can be challenging, especially if it remains high despite medication. It’s crucial to review the medication regimen and ensure it's appropriate for her condition. The combination of Benidin, Telma, and Mini Express XL may need adjustment. Additionally, lifestyle factors like diet, exercise, and stress management play a significant role in blood pressure control. Since your mother’s current treatment doesn’t seem to be effective, I suggest a detailed review of her medication and lifestyle factors. As a general physician, I can help assess her situation and provide tailored advice. For a thorough evaluation and customized treatment plan, consider booking a consultation with me. Together, we can work towards better managing her blood pressure and improving her overall health."
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Please don't give medicine on your own or even after an advice on Tele-consultation.
She should have a proper consultation with a General Physician in your area and the dose of medicine titrated against the response on BP reading.
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Benidipine is a very short acting medication. Your mother's bp medications need to be titrated by adding long acting tablets so that we can achieve optimal control throughout the day.
Kindly please consult, we can add.
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How are u checking BP. Get it checked by manual pressure meter. Smtimes the digital monitors are faulty. Also check whether ur mother is really taking medicines or forgetting sometimes. Also the timing of medicines should be kept fixed almost. Do follow these and ask your mother to go for 10-15 min walk daily. This will help
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NO,
CONSULT SAME DOCTOR AND TAKE HIS/HER GUIDANCE
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Consult treating doctor
And you should change there drug with tab Amlo + atenolol OD in the morning and monitor BP
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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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Minipress XL 5mg is not recommended for lowering BP. Better options are available. Amlo 10 + Telma 80 + Chlorthalidone 12.5 can be used as a single morning tablet in your case.
Spironolactone 12.5 can be added if the above options don't work.
Next Steps
Consult a General Physician for proper dose escalation and modification of prescription.
Health Tips
1. Use low salt substitutes. Eg, Tata Salt Lite or Tata Salt Superlite.
2. Ensure 150 mins of Moderately Instense exercise per week.
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You should do BP charting every day to see if BP rise is persistent and sustaining then only a medical opinion can be provided
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No.
- Try to consult a doctor.
- Are there any other symptoms like chest pain or dizziness etc...?
- Lifestyle management and take proper diet.
- Avoid Red meat and walk for at least 60 minutes in a day.
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Her BP is still high even after using 3 different antihypertensives.Consult with the treating doctor
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According to my opinion the medications your mother is using is okay, may be the BP is not controlled because she is not adopting life style modification..
1)avoid red meat.
2) avoid salt.
3) regular walking for 45 minutes.
4) decrease carbohydrates intake.
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No,
Consult treating doctor.
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
Kindly consult
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Dr. Aditya Prasad Padhy
Urologist
12 yrs exp
Bhubaneswar
Connect please
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Dr. Vikram Pratap
General Physician
12 yrs exp
New Delhi
You should visit an MD MEDICINE for the same
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Davra Kaushalkumar Dilipbhai
General Physician
6 yrs exp
Ahmedabad
Need consultation
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid cold and sour food
Avoid fried food and spicy food
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
Will help you
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
According to your query and sign and know about the disease and cause and it's best Treatment as you have mentioned as above .
Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow any medicine or advise after consultation only from a good doctor.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
please keep positive attitude to fight any disease and any problem of your life
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take bp readings two times a day.
For 3 days.
Let's evaluate completely
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Dr. Bijli Nanda
General Practitioner
7 yrs exp
Noida
1.Continue same dose and monitor BP
2.Reduce salt intake
3.include more salads on diet
Next Steps
inform your physician
Health Tips
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Dr. Zaheer Ahmad
General Physician
9 yrs exp
Bareilly
No.
Kindly connect ur treating doctor.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Vamshi Krishna Koppula
General Physician
5 yrs exp
Karimnagar
Kindly consult physician
Anti hypertensive drus can cause sudden fall of blood pressure
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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.