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Dr Hemalata Arora | Answer |Ask -Follow

General Physician - Answered on Jun 07, 2023

Dr Hemalata Arora is a senior consultant who practises internal medicine at Mumbai’s Nanavati Max Super Speciality Hospital.
In a career spanning over 24 years, she has focused on managing infectious diseases, critical illnesses and lifestyle disorders.
Dr Arora completed her MBBS and MD from the King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in Mumbai.
She is ECFMG certified, accredited by the American Board of Internal Medicine, Diplomate of the National Board and a DNB faculty.
She was honoured with the Paul Bunn award for her promising performance in the field of infectious diseases at SUNY Upstate Medical University, New York.... more

Question by Prakash on Jun 07, 2023Hindi

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I am 55 year old, taking TELPRESS 40 - AM for the last 4-5 years to control BP and is okay and controlled. Do I Change the Medicine or stop the medicine gradually? please advise.

Ans: Hello. If the BP is controlled but not low, it likely means it is controlled because of the medicine. To be able to control the BP without the medicines, you will need to make lifestyle changes to reduce salt, reduce weight (if high), improve sleep, increase exercise and reduce stress. If these are done side by side, you may see your BP coming a bit lower than normal and that is a sign that you can reduce your medicines.
Changing the medicine is only needed if you are experiencing any side effects from it. For eg, Telpress 40 AM has 2 molecules, telmisartan and amlodipine. Telmisartan can cause increase in potassium and needs to be stopped when you have fever or diarrhea/ dehydration to prevent kidney damage. Amlodipine can cause swelling in the feet. However if tolerated well, these can be taken for life without any problems. All the best.

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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I am 54 years now. since last 5 years my bp is 100/135. I am taking telmisartan & amlodipine combination tablet. should i change medicine or it is ok.

Ans: Hi,
Since its been 5 years, it is not advisable to change the medicines without a proper diagnosis. At the same time, I strongly advise you to meet an Ayurvedic doctor and take a proper treatment plan to slowly reduce dependency on medicines.

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My wife is 56 year old, she was taking TELMA - AM for the last 5-6 years to control BP and was okay and controlled. 6 months back her BP reduce to 110/70, her regular physician advise to Take TELMA-20, the BP is controlled but some time reduce to 110/70. Do we stop the medicine gradually? please advise.

Ans: If her usual BP is now below 120 , you could try stopping the medication but need to monitor her BP after stopping the medication. we also need to find out why the BP has now decreased. Is she otherwise well. Has she started taking any other medication?

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Question by Sishir - Jul 24, 2024Hindi

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I was taking Telma 40 AM for three months as advised by my Dr. During that time my BP dropped to 90/60 during the day time also. So my Dr. reduced the dose and advised me to take Telma 40. After starting Telma 40 and daily monitoring, my BP has gone up to 130/100 in the morning time after getting up. I have done all the necessary tests and all the reports are fine. What would be the best suggestion for me to do? Kindly advise.

Ans: Shishir,
Your age and other comorbidities/health issues you may have are not clear to me. How much you weigh and your height etc are not known).
However, please remember that anti-hypertensive medications are always supportive to lifestyle modification. Please do following:
1. Get a comprehensive blood test done which should include lipid profile, kidney function test and thyroid profile etc.
2. Ensure your weight is within normal range: for male, ideal weight is height in cm- 100 . for example, if you are 170 cm then your weight should be 170-100 or 70 kg. Thus enusre you have weight in normal range.
3. Do lifestyle modifications. eat healthy- fruits and vegetables, reduce salt in diet and walk at least 30 min per day for atleast 5 days a week. No more than 2 days of break.
4. Monitor BP twice in a day and prepare a chart for 10 days.

Based upon this information, a personalised lifestyle modification can be done.

With this information, and for your routine check up, visit your physician on regular basis.

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Asked by Anonymous - Sep 20, 2024Hindi

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I am 42 years male. During some small ailments Doctor checked my BP the upper side was almost 140 or 145 that days on digital bp cuff. When I visited to Doctor he advise me to use Telma 20 daily one Tablet. Than I started the same. After 2 to 3 months use I stopped the medicine. Now after 3 weeks after stop of medicine my bp is still on 130/90. As my age is now 42, may I continue the medicine or stopped?

Ans: BP medications should be judiciously used after good evaluation. Once started it should be followed up with Physician if there is a need to reduce the dosage

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I am 56 years of age. Since last two years I have regularly taking one tablet of Telmasartan 40, after being advised by the Doctor. However still my BP remains in the region of 160/100 to 150/90. Do I need to change the medicine and for that matter, consult a doctor.

Ans: Yes, you definitely another medicine added to Telmisarten. If it is still not controlled, the dose of Telmisarten could be doubled and other medicine could continue in half strength.
It has been found that combination medicines in less than full strength are better than higher dose of single medicine.

Dr Chandrakant Lahariya
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