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High-Low BP
Hi Doctor,
My husband experienced heavy nose bleeding last Monday, after which we found that he has hypertension with a reading of 136/101 mmHg. He was prescribed Telma 40 (night) and Cilacar 10 mg (morning).
He also has high uric acid and was taking Febustat 40 along with Vitamin B12 and Vitamin D supplements.
Today, his blood pressure dropped to 108/64 mmHg. Concerned about this, we have stopped the BP medications, and he is now taking Febustat 20 mg (half tablet).
We would like to understand if this drop in BP is normal after starting the medication or if it is too low. Could these medications be causing the low BP?
Kindly advise on whether this is normal and if any precautions or medication adjustments are needed.
Answers (17)
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130/100 is not that high to cause nose bleed. Nose bleed might be due to other reasons. Take a consultation for assessment for a proper prescription.
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Your husband had Hypertension (136/101) and was started on:
• Telmisartan (Telma 40)
• Cilnidipine (Cilacar 10)
Next Steps
• Restart BP medicines after consulting doctor, but likely:
– Dose adjustment needed (e.g., reduce one drug)
• Monitor BP:
– 2 times daily (morning & evening) for 5–7 days
• Check for symptoms:
– Dizziness
– Weakness
– Fainting
Health Tips
• Ensure proper hydration
• Avoid sudden standing (prevents dizziness)
• Maintain low-salt diet
• Regular follow-up
⚠️ Red flags:
• BP
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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 detailed discussion
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Hi.
High blood pressure is associated with nose bleeding. But not causative factor. It’s a big myth that high blood pressure can itself cause nose bleed.
There could be other causes of nose bleed.
Also, 136/101 as such is not sooo high even to associated with nose bleed
At this blood pressure of 1st reading, I would definitely have gotten atleast one more reading before staring him on two anti- hypertensive meds.
Certainly he doesn’t need tab cilacar at this stage.
You need to stop it.
May continue with telma.
Continue to monitor BP at home at least 3-4 hourly.
I would in all my honest opinion suggest you to see a cardiologist for dose adjustment and need for medications itself.
108/64 is LOW BP by all means
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The b.p has fluctuated and come to lower side of normal as well.
Just take telma 40 in morning, check b.p morning and evening for 3 days. If o.k., just continue same. If it goes high, add Dilawar 5mg.
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This is drug-induced BP fluctuation (initial overtreatment effect). Starting two antihypertensives together can cause a sudden drop in BP; 108/64 is on lower side but acceptable if no symptoms like dizziness.
Next Steps
Do
-Home BP monitoring (twice daily charting)
-RFT, electrolytes
-ECG (baseline)
-Serum uric acid follow-up
-Do NOT stop all BP meds abruptly
-Reduce to single drug initially:
-Tab Telmisartan 40 mg, once daily at night
-Hold Cilacar 10 mg temporarily
-Review BP after 5–7 days
Health Tips
-Mild BP drop is common after starting treatment
-Watch for symptoms: dizziness, fainting, weakness
-Adequate hydration is important
-Avoid frequent self-adjustment of medicines
-Regular follow-up is key to stabilize BP
contact me anytime on practo for further consultation
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Yes husband BP management needs urgent attention with regular follow up till BP is within normal limits .please consult.
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Nose bleeding is a symptoms of high BP ..
So it is essential to give medications to decrease the BP
BP of 108/64 mm hg is absolutely normal
Next Steps
please dont discontinue medications ..also kindly perform ur cr Lipid Profile as derangement of these conditions can cause increased BP...currently please don't discontinue the antihypertensive medications
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Although 108/64 MMHG is normal . You BP adjustments are due to Hypertension medication you should not stop or adjust BP medication dose on you own without proper consult . And you have also adjusted febustat dose from 40mg to 20 mg without proper consultation .
Next Steps
Consult your doctor or any doctor for dose adjustment
Health Tips
Be aware of low BP symptoms like feeling dizzy , lightheaded, fainting,or weak
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BP drop to 108/64 can happen after starting medicines and is not dangerous if no symptoms (giddiness, weakness, fainting).
However, don’t stop BP meds suddenly. Dose adjustment may be needed instead.
Monitor BP twice daily and restart meds after doctor review. Please consult me for proper adjustment and guidance.
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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. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Have BP medicine continue and have a regular BP monitoring
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Dr. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
Not stop by own.consult with your doctor.and take regularly bp reading.
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Dr. Sumit Verma
General Physician
4 yrs exp
Kanpur
Take only Telma 40 and measure the BP for 5 days. Don't stop sudden medicine for BP
For more discussion you can contact me directly on practo
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You should not stop medicine without asking treating Dr.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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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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