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High Blood pressure
My bp is continuously high it is 160/110 when 1st checked... Then after taking prescribed medicine Amlodopine 5 it becomes just 150/100 and now I am taking TelmaH (40) everyday but still pressure is not in control. BTW I have pcos and taking krimson 35.Can it increase bp?
Answers (51)
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Regarding Krimson 35 (cyproterone acetate + ethinyl estradiol, often prescribed for PCOS symptoms like irregular periods, acne, or hirsutism) and its potential to increase BP: Yes, it can contribute to elevated blood pressure in some people. This is because combined oral contraceptives like Krimson 35 contain estrogen (ethinyl estradiol), which can cause fluid retention, affect blood vessels, or exacerbate hypertension, especially in those with risk factors such as PCOS, obesity, smoking, or a family history of BP issues
If your BP issues started or worsened around the time you began Krimson 35, that could be a clue, but correlation isn't always causation—your doctor can help determine if switching to a non-estrogen option (e.g., progestin-only for PCOS) might be better.In the meantime, general tips for BP (not a substitute for professional care): Monitor it regularly at home, aim for a low-sodium diet, exercise moderately, manage stress, and avoid alcohol/caffeine excess. If your BP spikes acutely (e.g., severe headache, chest pain), seek emergency care.
Next Steps
Multiple sources note that it should be used with caution or avoided if you have uncontrolled high BP, as it may worsen cardiovascular risks like heart strain or stroke
Health Tips
If your BP issues started or worsened around the time you began Krimson 35, that could be a clue, but correlation isn't always causation—your doctor can help determine if switching to a non-estrogen option (e.g., progestin-only for PCOS) might be better.In the meantime, general tips for BP (not a substitute for professional care): Monitor it regularly at home, aim for a low-sodium diet, exercise moderately, manage stress, and avoid alcohol/caffeine excess. If your BP spikes acutely (e.g., severe headache, chest pain), seek emergency care.
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You need regular treatment for hypertension. You are on the right track. You should also be investigated to find any cause for hypertension (even though it is very rare to find a cause).
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28 yr old female and Hypertension is alarming
not a normal finding, needs evaluation
But no need to worry. I am here to help.
U can contact anytime
Next Steps
Get ECG , USG - whole abdomen and KUB
Baseline profile includes - CBC, RFT, VIRAL MARKERS and urine complete examination
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In a young female with hypertension proper evaluation needs to be done for the cause of hypertension. Consult a general physician for proper evaluation.
Next Steps
Salt restriction, physical activity of 150mins per week and strength training of 75mins per week will help with pcos and hypertension
Dietary modifications
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Try DASH diet
Repeat BP measurement
If routinely BP is increased need to control with some other drugs
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That’s okay
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Yes , krimson can increase BP, in pt with pcos
You should consult a gynecologist to change medicine for pcos.
Need more evaluation to rule out any other cause as it can lead to permanent damage to kidney and brain also
Next Steps
Visit GP for further evaluation and also gynecologist for other line of treatment for pcos
Health Tips
Avoid extra salt intake
do daily exercise
follow proper diet charts
avoid taking medicine from the pharmacy by itself.
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Avoid fried and spicy food
Water intake mor3
Do connect and consult
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Please consult a doctor for BP review and management. Do not ignore persistently high readings.
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Krimson will not increase bp.
Your blood pressure will take some time to settle with medicines. Kindly keep on monitoring your blood pressure daily and contact a practitioner after a week of it persists beyond 150/100. In case of higher value like 180/110, kindly contact a practitioner as soon as possible.
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This will settle down soon
Relax
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Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
Based on what you have described, your blood pressure readings remain in the stage-2 hypertension range. An initial BP of 160/110, reducing only slightly after Amlodipine 5 mg, and still remaining around 150/100 despite taking Telma-H 40 mg daily, indicates that your blood pressure is not yet adequately controlled.
Yes, Krimson 35 can increase blood pressure. Combined oral contraceptive pills containing estrogen (ethinyl estradiol) are a known cause of raised or uncontrolled BP, especially in women with PCOS. In patients with persistent or poorly controlled hypertension, continuing estrogen-containing pills is not recommended and alternative options for PCOS management should be considered.
Guidance & Next Steps
• Your BP likely requires dose adjustment or combination therapy, as single-drug control is often insufficient at this stage
• Blood pressure should be monitored twice daily (morning and evening) and readings recorded
• Strict salt restriction, avoidance of caffeine, smoking, alcohol, and unnecessary painkillers (NSAIDs) is advised
• Stress management, adequate sleep, and regular physical activity are important
• Further evaluation may be needed to rule out secondary causes of hypertension and to assess kidney function and electrolytes
When to See a Doctor Immediately
Seek urgent medical attention if you experience:
• BP readings ≥180/120 mmHg
• Severe headache, vomiting, or blurred vision
• Chest pain, breathlessness, or palpitations
• Dizziness, fainting, confusion, or weakness
• Sudden swelling of face, legs, or rapid worsening of symptoms
For a more detailed and individualized assessment, you may connect with me on my WhatsApp number: 85271646 seven seven for this concern or any future medical queries.
Through WhatsApp consultation, you will receive detailed medical consultation, medicine prescriptions with correct dosing, dose adjustments tailored for you, and personalized guidance on diet, exercise, and relevant supplements.
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PCOS leads to BP resistance. So, it will eventually settle down. Don't worry.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Need some more details kindly consult
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Yes. The medicine you’re taking may cause slightly raised BP readings. Still such a high blood pressure at your age will need further evaluation before declaring it to be primary HT. Also the medicine needs to be optimised for proper control of BP. For this a detailed assessment and consultation is advised.
Health Tips
Try restricting salt intake.
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At your age hypertension is uncommon and must have some specific reason.. we have to work on it.. consult me on practo
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Continue Telma H
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Yes, Krimson 35 (combined oral contraceptive) can increase blood pressure, especially in women who already have hypertension or PCOS.
Your current readings (150/100 despite medication) indicate poorly controlled hypertension.
PCOS itself is also associated with insulin resistance and higher BP risk.
Next Steps
• Stop Krimson 35 after consulting your gynecologist and switch to a BP-safe alternative (e.g., progesterone-only option).
• Re-evaluate BP treatment: you may need dose escalation or combination therapy (e.g., Telmisartan + Amlodipine).
• Get tests done: RFT, electrolytes, urine protein, ECG, and thyroid profile.
• Maintain a home BP log (morning & evening for 7 days).
• Consult a physician/cardiologist soon.
Health Tips
• Avoid excess salt, packaged food, caffeine.
• Ensure proper sleep, weight control, and regular walking.
• If BP stays ≥160/110, seek urgent medical care.
Do not adjust or stop medicines on your own.
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✓Krimson-35 can significantly raise BP in PCOS patients ..(Estrogen pills raises BP)
✓BP 160/110 at 28 years is NOT normal
Risk of stroke, kidney damage if ignored
✓under gynecologist's guidance
Switch to non-estrogen medicines for pcos
Next Steps
To rule out true secondary causes of raised BP and organ stress.following tests are must
✓24-hour ambulatory BP monitoring
✓Serum electrolytes, creatinine
✓thyroid profile
✓Fasting insulin / HbA1c
✓Urine albumin-creatinine ratio
Health Tips
✓Continue Telmisartan till bp remains below 140/90
✓if raised further u can add Chlorthalidone 12.5 mg OR Amlodipine 5mg ..under physician 's guidance
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Kindly go for work up for secondary hypertension
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Firstly does high BP runs in your family and your duration of elevated blood pressure.
If it’s a sudden increases get an RFT done .
If it’s a family thing get ECG and lipid profile done .
Consult if you have any further questions
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion*
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Take Telmikind beta , OD daily and go for 2 D ECHO . bcoz continue high BP can cause concentric left ventricular hypertrophy (LVH) and also cause Arrhythmia so firstly go for 2 D ECHO
Next Steps
2D ECHO
Health Tips
Don't use white salt only use pink salt , Don't try heavy exercise in gym Try to brisk walking only
Take regular medicine for BP
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You can add Amlodipine 5 mg to telma h 40 ,if needed increase the dose to 10 after a few weeks.BP not responding to 3 medicines indicate that you have either resistant hypertension or secondary hypertension especially at your age group.You may have to consult a cardiologist for a thorough clinical examination and appropriate management
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> rule out secondary causes of htn
> workup for htn complications
> lifestyle changes
> medications
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Yes, its hormone
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Yes , crimson 35 can raise BP ..
Next Steps
USG A+ P , consult gynecologist for other medicines for PCOs
Health Tips
lifestyle modifications..
1.go for walk atleast 30 min.
2. meditation
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Inspite of antihypertensive if you are having high BP then you are having resistant hypertension and you must rule out adrenal mass.
For this go for either UsG and or CT abd and also go for urinary metanephrine.
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Krimson 35 - duration of use??
Need to know weight and BMI to comment.
For further evaluation kindly consult
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Ideally blood pressure tablets should not be changed to different ones without a good reason. So the amlodipine could have been simply increased to 10mg.
Now that you are on TelmaH 40, please continue that. Get an ambulatory blood pressure test done and that is much better way of knowing your blood pressure control along with having a blood test for kidney function and an ECG.
Yes the pcos meds have a marginal effect on blood pressure. You can still carry on the meds.
All the best.
J G S R clinic
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Dr. Ishwa Vaderia
General Physician
1 yrs exp
Rajkot
Can help but
Need more history
Kindly consult on 9three28010077 for appointment
Text/audio/ video consultation available
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Dr. Saurabh Tripathi
General Physician
9 yrs exp
Kanpur
Better consult near by physician
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Needs proper evaluation
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Dr. Mohit Pawar
General Physician
4 yrs exp
New Delhi
Make a proper thrice a day Bp chart and get it checked manually also
Next Steps
Consult
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Rise of Blood pressure is a multi factorial outcome. Stress, diet, sedentary lifestyles, genetics, BMI, sleep patern and behaviour or nature or your personality all have a combined effect.
Next Steps
So don't look for answers in the BP medicine try and change the other factors also by 5-10 percentage
Health Tips
Reduce salt in diet and start walking outside for 20 minutes max in the morning and continue same medications and enjoy the difference in the readings
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Dr. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Kindly consult
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Dr. R H Anand Hari
General Physician
5 yrs exp
Kollam
Yes ,krimson got a side effect of increasing bp
Also add more lifestyle modification to maintain ur bp
Contact for better advise
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Dr. Gaurij Hood
General Physician
18 yrs exp
Valsad
Pls connect for further discussion and solution.
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Dr. Shahbaz Khan
General Physician
4 yrs exp
Delhi
Consultation should be taken with a GP as more evaluation is needed don't self medicate
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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. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Hypertension in young adult
Need proper evaluation
Next Steps
consultation
Health Tips
regular exercise
if over weight,weight loss adviced
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Aishwarya
General Physician
6 yrs exp
Bikaner
This probably is because of the hormonal condition you have and the medication you currently are under.
Next Steps
Try to make some lifestyle changes, starting with a healthier diet, focusing on protein and fibre. Also add some movement to your daily activities.
Health Tips
And before you panic, please get your baseline hormonal test done along with a USG abdomen and pelvis.
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Dr. V R Tindwani
Family Physician
51 yrs exp
Ahmedabad
It seems you are over weight also in view of pcos you have
Regular exercise reduced oil and sugar in diet needed besides Combined pill with Amlodipine 5, and Telmisartan 40, both together needed to control BP
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Dr. Anmol Kudal
General Physician
5 yrs exp
Nashik
Evaluate for secondary hypertension (mandatory)
Especially because:
Age <30
Resistant to 2 drugs
Investigations
Renal function tests, urine R/M
Renal Doppler (renal artery stenosis)
Serum potassium (hyperaldosteronism)
TSH
Plasma aldosterone/renin ratio (if suspected)
24-hr BP monitoring
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Dr. Abeed Ahmed
Diabetologist
11 yrs exp
Hyderabad
You are come under diagnosis of young hypertension.. need to work up for kidney causes thyroid diseases . Renal artery doppler..you are already at-risk now again you started on ocp pill further increases risk .. risk of CSVT
Next Steps
Work up for htn viist doctor directly
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Dr. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
Persistent BP ≥150/100 mmHg at your age is dangerous and increases the risk of stroke, heart, and kidney damage. Please seek early in-person medical review.
Next Steps
Stop Krimson 35 after consulting your gynecologist/physician.
Consider non-estrogen alternatives for PCOS (e.g., progestin-only pills, metformin, lifestyle measures).
Health Tips
Strict lifestyle measures: low-salt diet, weight reduction, regular exercise, stress control.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take medications
Take anti hypertensives
Brisk walk 30 minutes per day
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes
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