Worried about high BP despite Telmisartan: What should I do (56 years old)?

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.

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.

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

Ans: Increase the medication.
You need atleast two medicines and modifications in lifestyle by diet and physical activity.
Follow DASH diet.

Ans: Medicines cannot do the work
There needs to be certain lifestyle modification
Particularly dietary discipline, sleep and activities
Early dinner by 6 pm
No animal protein in the dinner meal
Add fruits and salads in to your meal portions
No added salts in the diet particularly no preservatives, chutneys, dips, sauces, pickle and Papad
Sleep time to be scheduled
Stress-Meeting stress at the right way and right place with your mind