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Got high bp
Headache and feeling like head spinning, was diagnosed with high bp 159/107. Even after taking Amlodiphine for 5 days high bp around 172/105. What to do next? Should I continue Amoldophine. Doctor suggested to add telma 40 mg. But even after temla bp still high. 168/102. What to do next
Answers (16)
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This is the uncontrolled hypertensin this can be cause of Stress/anxiety Excess salt intak Kidney problem Obesity/lack of slee Thyroid problem Smoking/alcohol Wrong BP checking techniqu Secondary hypertension (kidney/hormonal causes) taking spicy and junk food you should come our clinic will examine than go through investigation after that will advise u medication and explain about exercise and diet
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Start telma
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Avoid fried and spicy food
Water intake more
Do connect and consult
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Need to take detail history
Should add on drugs slowly not immediately
Do consult to get a proper treatment plan
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Patience needed.
Dose of medicine to adjust take time.
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We have to do routine checkup ur lft rft sugar bp..heart status...your age..any debility..pt inr aptt..glomerular status..kidney status..any adrenal disorder if any shud be rule out..bre..electrolyte status..after considering all they will prescribe medicine alteration or dose increase or adding up..
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-Your BP readings are significantly high and persistent despite starting medications, which needs proper medical review
-Headache and giddiness can occur due to uncontrolled hypertension
Next Steps
-Continue BP medicines exactly as prescribed and do not stop amlodipine or Telma on your own
-Consult physician/cardiologist soon for dose adjustment or additional medicines if required
-Tests like kidney function, urine routine, thyroid profile, ECG, electrolytes, and possibly renal Doppler may be advised
-If BP goes above 180/120 or you develop chest pain, severe headache, breathlessness, weakness, or vision changes, visit emergency immediately
Health Tips
-Reduce salt intake strictly and avoid smoking, alcohol, excess caffeine, and gym stimulants
-Monitor BP twice daily and maintain a BP diary
-Proper sleep, stress reduction, and weight control are important for BP control
-Contact me anytime on Practo for further consultation
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Needs thorough review .please consult .
Settle your high BP as early as possible.
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As your BP is significantly high,You may need a triple therapy with Max tolerable dose.Not responding to therapy is an indication for tests to rule out resistant hypertension or secondary hypertension
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Your BP is definitely on the higher side, but don’t panic in many young patients this can be brought under good control with the right evaluation and proper medication adjustment 👍
Since it’s staying elevated despite treatment, a detailed consultation would help identify the exact reason and manage it correctly. You can book a consultation, I’ll guide you step by step.
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"A blood pressure reading of 168/102 mmHg while on dual therapy (Amlodipine + Telmisartan) is classified as Uncontrolled Hypertension. The fact that your BP remains high despite medication, combined with symptoms like headache and head spinning (vertigo), is a concern. This could indicate 'Resistant Hypertension' or 'Secondary Hypertension,' where an underlying issue—like kidney dysfunction, a salt-heavy diet, or high stress—is preventing the medicine from working effectively."
Next Steps
To review your reports, check for secondary causes, and finalize a safe 3-drug regimen to prevent a hypertensive emergency, please book a full consultation session via my Practo profile."
Health Tips
Uncontrolled BP at age 28 needs a thorough investigation into 'why' it isn't coming down. Please book a full session today so we can adjust your treatment plan.
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A thorough evaluation is needed. Kindly consult for complete treatment
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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
Make a BP chart and consult
Need few more details for further evaluation. Kindly consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Yes
Add on medications
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