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Dose of BP Medicine
Taking Newtel AM twice daily since 3 months for hyper tension.
Current BP is 110/65. Feeling dizzy and sleepy. Also having muscle cramps.
Do I need to consult for dose reduction.
Also after starting this med . my uric acid is getting elevated. ( 7.9 )
Answers (21)
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Take tablet Once a day after breakfast only
And monitor BP 3-4 times a day
Health Tips
For better evaluation, further investigation and management..
consult with me on practo online with detailed history.
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Get serum electrolytes, serum calcium, vit d, b12, checked and share results. Instead of taking Newtel am,( telmisartan 40 and amlodipine 5), take tab telmisartan 20mg, and amlodipine 5 mg in morning.
Telmisartan does reduce uric acid as well.
Avoid beer, spinach, tomatoes, peas, beans. Repeat uric acid after 4 weeks.
For muscle cramp, take tab evion 400mg one morning and one evening for 4 weeks.
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Take tabe one time and report bp
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Switch Newtel AM (Telmisartan40mg+Amlodipine5mg) to just Telmisartan 40mg and take it twice a day.
Monitor your blood pressure
Blood test: KFT
All the best.
www.jgsr-health-education.in
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Stop medication.BP charting required.monitor your BP twice daily then consult
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need dose alteration
kindly consult
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Yes,dose reduction is required because your bp is going normal to lower side. Consult with your doctor about this or general physician physically.
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Dose adjustment required as bp in lower side. Consult treating doctor.
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Your BP is on the lower side, which may be causing dizziness and sleepiness. Dose adjustment may be needed, and uric acid can rise with some BP medicines.
Please consult me so I can review your medicines and guide you safely.
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You are taking Newtel AM twice daily (Telmisartan + Amlodipine combination).
Current situation:
• BP = 110/65 mmHg
• Dizziness
• Sleepiness
• Muscle cramps
• Uric acid = 7.9 mg/dL
Interpretation:
1. BP 110/65 with symptoms → likely over-control of blood pressure.
Even though 110/65 is not dangerously low, if you are symptomatic, the dose may be slightly high for you.
2. Muscle cramps → may suggest:
• Electrolyte imbalance (especially potassium or magnesium)
• Mild dehydration
• BP slightly low
3. Uric acid 7.9 → Elevated.
Telmisartan usually does not raise uric acid significantly, but:
• Dehydration can increase uric acid.
• BP medicines may indirectly affect kidney handling of uric acid.
So yes — dose reassessment is reasonable, especially since you are symptomatic.
This is not an emergency, but it should not be ignored.
Next Steps
✔ Measure BP twice daily for 5 days (morning & evening).
✔ Check:
• Serum electrolytes (Na, K)
• Creatinine
• Uric acid repeat
✔ Increase hydration unless restricted.
If average BP remains:
•
Health Tips
✔ Stand up slowly from sitting/lying
✔ Drink 2.5–3 liters water daily (if no kidney issue)
✔ Reduce red meat, organ meat, alcohol
✔ Avoid crash dieting
✔ Monitor for ankle swelling (amlodipine side effect)
Since you are experiencing symptoms and have rising uric acid while on antihypertensive therapy, medication optimization is important to prevent long-term complications.
I strongly recommend booking an online consultation so we can review your BP logs, lab values, and adjust your treatment safely rather than guessing the dose.
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Yes you need consultation for it
Next Steps
Book an appointment with me and will consult about it in detail
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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. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
You are taking Newtel AM twice daily for high blood pressure. Your current blood pressure reading is 110/65 mmHg, which is on the lower side. Symptoms such as dizziness, sleepiness, and muscle cramps may occur when blood pressure becomes lower than your body requires or due to electrolyte imbalance.
It is possible that your current dose is higher than needed, and dose adjustment may be required. You should not change the medication on your own without medical advice.
Newtel AM contains telmisartan and amlodipine. Some blood pressure medicines (especially those containing diuretics, if taken earlier) can increase uric acid levels. A uric acid level of 7.9 mg/dL is mildly elevated and should be monitored, along with diet modification and hydration.
What you should do:
1. Check blood pressure regularly (morning and evening readings for a few days).
2. Get blood tests done — serum electrolytes, calcium, vitamin D, and vitamin B12.
3. Maintain adequate hydration.
4. Avoid sudden standing from sitting or lying position to prevent dizziness.
5. Consult your doctor regarding possible dose reduction or single-dose therapy.
Next Steps
If dizziness is severe, fainting occurs, or BP falls below 100 systolic, seek medical attention promptly.
Health Tips
For further guidance or personalized treatment, you can consult me online anytime
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Ok
Optimise newtel dose
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Few more details needed for further evaluation. Kindly consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Stop medication
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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. 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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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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.