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Mere husband ko 2 years before suddenly se bp 180/110 ho gaya tha doctor ne telma 40 recommend ki bola 10 din khane ke liye 10 din baad dawa band karne per bp thoda kam hua per bhada hua tha tab doctor ne dawa continous ki per diastolic bp 95 ke aas pass rehta to doctor ne met xl 3d 50 6.25 bola khane ko wahi chal rahi thijisse kuch time baad bp control me aaya control bp rehne laga to doctor se pucha ye dawa half le sakte hai to doctor ne kaha haa to kuch month se dawa ye half le rahe hai, kuch din se half lene per bp low ho jaa raha hai beech me medicine nahi di per jab control me aaya to half tablet di fir bp thoda low ho gaya garmi bhi bahut hai fast bhi tha per aaj bp 96/67 tha namak ka paani diya per ab raat ko bp 115/82 hai ab ye dawa half de ya koi aur medicine le sakte hai kyuki mene study ki hai ye dawa 3 medicine combined hai half lene theek nahi aap kuch recommend kare kya karu ye dawa half lena sahi hai ya koi aur medicine half le
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Aapke husband ka BP ab 96/67 aur 115/82 aa raha hai, matlab dawa zyada pad rahi hai - garmi mein aisa hota hai kyunki pasine se paani aur namak nikal jata hai. Aise BP par teen dawaiyan full dose mein continue karna theek nahi, chakkar aane ya girne ka risk badhta hai. Lekin dose khud se half karna bhi galat hai - kaun si dawa kam karni hai ye ECG, kidney function aur home BP readings dekh kar decide hota hai.
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Aaj se subah aur shaam BP likhna shuru karein - 7 din ka record banayein, aur namak-paani jab bhi BP 100 se neeche ho. Agar chakkar aaye, dhundhla dikhe ya wo behosh jaise lagein to turant hospital le jaayein. Ye 7 din ka chart le kar mere saath Practo par consult book karein ya Synergy Multispeciality Hospital, Miraj aa jaayein - main dose safely adjust kar dunga, aap khud dawa half na karein.
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BP of 180/110 was very high. It was ideal to start dual antihypertensive medicine.
But when BP is getting into control or when it is falling below normal level, we need to adjust dose accordingly.
If he was using met xl 50, better to make it 25 rather than breaking the tablet.
You didn't mention whether u are continuing telma 40 or not. So it's little difficult to advise.
For personalized management you need to provide BP in the morning as well as in the evening. Also your husband's symptoms are needed.
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feel free to consult me on practo for further evaluation and management
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Kindly consult and give proper history
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115/82 normal hai, tablet half karna theek nahin, 15 din 50 ki jagah 25mg sirf metoprolol aur 40mg Telmisartan chalne dijiye, b.p. stable, normal rahta hai to isi dose men chalne dijiye.
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Any bP issue suddenly 180/110 ver
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आपकी उम्र ३२ साल है। हम मानते हैं कि आपके हस्बैंड की उम्र भी ३५-३६ साल की होगी।
इस उम्र में BP को हल्के में नहीं लेना चाहिए। आप अपने आसपास किसी जनरल फिजिशियन से सलाह लें। काफी सारी जांचें होंगी। अपने घर में BP चैक करना सीख लें और हर सप्ताह सारी रीडिंग लेकर डाक्टर से सम्पर्क करें।
सही दवाई और सही खुराक सैट होने में समय लग सकता है।
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Telmisartan 40mg morning and 40mg evening can be tried
Gradually taper and stop the other medicine since itcontains metoprolol which can’t be stopped suddenly
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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.
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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.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Its contain only one salt ,not 3 salt .
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Mr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
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
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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
Need few more details for further evaluation. Please consult
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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
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Dr. Zahra Fathima Khan
General Physician
17 yrs exp
Delhi
Please take full consultations. All this need to be discussed throughly with proper history ? Patients age , any other illness or symptoms taken into consideration.
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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