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Start direct with telista 80 safe for me
Age: 63 years
Height :5'6"
Weight : 60 kg
FBS: 100 mg/dL
PPBS: 109 mg/dL
Total Cholesterol : 254 mg/dL
LDL: 174 mg/dL
Triglycerides : 114 mg/dL
HDL: 57 mg/dL
SGPT: 52 U/L
Uric Acid: 6.3 mg/dL
Urea: 21 mg/dL
Creatinine: 1.09 mg/dL
Na⁺: 132 mmol/L
K⁺: 3.7 mmol/L
Urine ACR: 46.77 mcg/mg Creat
Average BP over the last 7 days: 156/86 mmHg
I have never taken any BP or cholesterol medication before.
I previously have diagnosis with herpes zoster followed by post-herpetic neuralgia and is still taking Gabantin GRS 300 mg and Symbal 20 mg.
Considering my current condition and these ongoing medicines, is it safe to start Telista 80 mg and Razel EZ 10 mg?
Since this is my first BP medication, is starting directly with Telista 80 mg appropriate, or would a lower dose be preferable?
Answers (18)
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Starting directly with Telista (telmisartan) at an upper-end strength is generally not standard practice for someone who has never taken blood pressure medication before. For a treatment-naive patient, medical guidelines typically advise beginning with an initial, lower strength to assess tolerance and response.While your average blood pressure of 156/86 mmHg indicates hypertension that requires clinical management, initiating therapy at a high strength increases the risk of a sharp drop in blood pressure, leading to symptoms such as dizziness, lightheadedness, or fainting. Gradual titration allows the cardiovascular system to adapt safely.
Next Steps
Consult with a healthcare provider before starting any new medication or altering your treatment plan.
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This information is for general knowledge and should not be taken as medical 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. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Start with Telista 40mg - Morning after breakfast.
Rosuvastatin 10mg - after dinner at night.
Repeat Lipid profile and creatinine after 2 months.
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You can take antihypertensive tab Telmisartan 40
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Please do consult doctor in person needs detailed evaluation and management
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Thank you for giving full details. Telmisartan is a good first choice for you, more so because your urine ACR 46 shows early protein leak. But starting straight at 80 mg is not needed - I would begin with Telista 40 once daily in the morning, recheck BP after 2 weeks and step up to 80 only if readings stay above 140/90. Gabantin and Symbal have no clash with telmisartan. For LDL 174 with your age, a statin is justified; rosuvastatin 10 mg alone usually brings it down enough - the ezetimibe combination (Razel EZ) can be kept for later if target is not reached.
Next Steps
Please do not self start - get one physician visit for the prescription. Keep a home BP diary morning and evening. Repeat creatinine, potassium and lipid profile after 4 weeks of starting. If you get chest pain, severe giddiness or sudden weakness of one side, straight to hospital emergency.
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You can take Bp and cholesterol meds with anti hypertensives
and razel EZstart Telmisartan stared at 40mg dose and need meds for high LDL
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IN LITERATURE MAXIMUM DOSE IS 40 WITH LOTS OF SIDE EFFECTS N FOOD RESTRICTIONS
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Evaluation needed
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Get an in person evaluation.
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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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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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 you
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
As such it is always desirable to start b.p. medicines in low dose and increase dose after monitoring. Your lipid profile is deranged, adopt life style measures as well.
Please consult a physician physically for clinical examination.
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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.