Download FREE Practo app
Get ₹200 HealthCash
High bp 180/110
Can ciplar LA 40 be taken twice alongwith ctd t am 12.40.5 for high bp.ciplar twice a day can lower the pulse dangerously
Answers (15)
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+137
Ciplar LA 40 is a long-acting propranolol - it is designed for once a day, so taking it twice is not the right way to chase a BP of 180/110. Yes, it can pull the pulse down too much, and with CTD-T-AM (telmisartan + amlodipine + chlorthalidone) already on board, propranolol is a poor add-on for pressure control anyway; it is mainly for tremor, migraine, palpitations or after a heart attack. A BP of 180/110 at 59 means the current combination needs re-titration by a physician, not a self-doubled beta blocker. Do not stop propranolol abruptly either - it must be tapered.
Next Steps
Keep Ciplar LA 40 once daily, check pulse at home (if under 55/min or you feel giddy, hold it and inform your doctor), and note BP twice daily for a week along with a kidney function, electrolytes, ECG and urine test. Bring that record to a physician consult - on Practo or my OPD at Synergy Multispeciality Hospital, Miraj - and we will fix the combination properly. Chest pain, breathlessness, severe headache or slurred speech at these readings means go to emergency now.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Taking ciplar 40mg twice can lower pulse to dangerous levels. In place of ctd am( containing telmisartan, amlodipine, chlorthalidone, I.e., 3 different molecules in one pill), take molecules separately so that titrating dose, as per b.p. levels is more convenient.
Please share details of your b.p. problem, then I can help you further.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Yes Ciplar 40 twice daily with the other medicine can lower the pulse and bp drastically
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Yes it can reduce you heart beat to a low level occassionally.
Next Steps
on get tensed.. a constant watch on heart rate is needed. if it's drops below 50 please contact your doctor
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult treating doctor, BP IS NOT AT ALL A MATTER OF OPEN PLATFORM
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Yes,its cause.dose adjustment needed by your prescribed doctor,if you feel any symptoms.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Some times can be happen, but Ciplar LA 40 is not cardio selective , any other side effects it can cause , better your drugs has to revise again, kindly take consultation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help u
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.