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Should I Reduce BP Meds After Lifestyle Changes? (46, Male)

Dr Karthiyayini Mahadevan |1060 Answers |Ask -Follow

General Physician - Answered on Aug 24, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Asked by Anonymous - Aug 16, 2024Hindi

Health

Hi Doctory I am 46 years old male and have been taking BP medication for the past 10 years. Recently, I was prescribed Telvas LN 40, taking one tablet every morning after breakfast. Over the past year, I have made significant lifestyle changes, including joining a gym, swimming regularly, and altering my diet. As a result, my weight has decreased from 93 kg to 86 kg. For the last three months, I have been taking only half a tablet of Telvas LN 40 in the morning and have been regularly monitoring my blood pressure at home. It consistently falls within the normal range, and sometimes even as low as 110/70 in the morning. Given these changes, should I continue taking half a tablet? Is there a possibility of reducing it further? I also take Roseday 10 mg daily at night for cholesterol, but my lipid levels are normal—total cholesterol is 137, triglycerides are 94, and HDL is 48.8. Can I also consider reducing my cholesterol medication? Please guide me.

Ans: Now Cholesterol level is normal
Start dietary discipline with early dinner by 6pm
Avoiding animal protein and fatty food for dinner
No deep fried food. once in a while you can have it, but have during the first half of the day
Continue your exercices
Stop the medication for two months following these disciplines.
Recheck you Cholesterol level and see

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 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.
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Doctor , I am 54 years old , 86 Kgs and 6 feet 1 inch tall, pure vegetarian, in 2017 I was diagnosed with high BP it was monitored by a MD physician in Mumbai and I was started with telma 40 1 tab daily in 2020 my BP shot up against inspite of daily mediation all tests including cardiac were perfect , medicine was changed and I was given olmesartan 40 along with 5 mg , S numlo 5 mg my BP is around 130/80 sometimes 130/90 , is this combination fine or should I reduce the dosage , doctor says let the dosage be the same continue in same way walk 20 min a day and maintain minimum salt intake, also since 2017 we started using sendha namak instead of regular iodised salt , daily morning 1 a to z , every month d3 60 k and twice a week b12 meganeuron of plus please advice if all this fine or need to change/add anything at present everything is good

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Dear Dr.Hadge, I am 58 years old, non alcoholic & non smoker. My recently conducted StressEcho is found negative. Moreover, I am a daily walker (5 km in 50 minutes) and very limited intake of salt. To control hypertension, I am on Metaprolol(25 mg/evening) and Telmisartan (20 mg/morning). Also taking Thyronorm(25 mch) and atorvas(10 mg) daily. On the advise of Cardiologist, I have reduced dose of Telmisartan to 20 mg (earlier it was Telma-H/40mg) however still experiencing low BP (some time in the range of 100-60). Please guide how to mange BP and Cholesterol for a long term. Also guide how to avoid occurrence of any cardiac complications since we have genetic history (paternal side) of cardiac arrest/death.

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