I am 52 yr old. I have been BP medication from last 20 years. My BP generally remain 120-130/85-90. Presently I am taking Telma40+Amlong 2.5. Do these medicines have side effects since i have been taking it from last 10 years ?

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: You might need to either increase the dose of Telma Beta to twice daily or add another drug called a diuretic. Ideally your BP needs to be consisitently below 140. Even if you do not have any complication now it is important to keep the BP under control to prevent long term complications (Strokes, kidney disease, heart attack, etc)

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?

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.