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I Have Experienced Progressive Orthostatic Hypertension
Question: Cardiology
Dear Doctor,
I am 78 year old from AP.I once had IHD in 1977 . Then mild BP in 1980 .Diabetes type ii in 2012, BPH in 2014 and Hypothyroid in 2011.For all this i am taking Betacard 50 mg, Amtas 5 mg, Glycomet 500 mg twice,Urimax D 0.4 mg,Thyronorm 50 mcg. All are under control.
I have experienced progressive orthostatic hypertension once in 1996 and then in 2006 and this year from 31st XXXXXXX 2020 i have experienced till tade 3 times .I have recorded the BP readings in the early morning soon after i got up from the bed. Kindly go through them and advise whether really i have this problem and do i have to discontinue Amtas 5 mg.Bcause my phisician asked me to stop Amtas 5 mg and take only Betacard 50 mg. Is it necessary.IActually i am afraid of stopping any drug.soon after after i got up from the bed slowly i went straight to Pulleys to do bcos i have frozen shoulder. slowly after 2 to 3 mts i had experienced this low
BP this year.Kindly go through the chart patiently and advise .
Dear Doctor,
I am 78 year old from AP.I once had IHD in 1977 . Then mild BP in 1980 .Diabetes type ii in 2012, BPH in 2014 and Hypothyroid in 2011.For all this i am taking Betacard 50 mg, Amtas 5 mg, Glycomet 500 mg twice,Urimax D 0.4 mg,Thyronorm 50 mcg. All are under control.
I have experienced progressive orthostatic hypertension once in 1996 and then in 2006 and this year from 31st XXXXXXX 2020 i have experienced till tade 3 times .I have recorded the BP readings in the early morning soon after i got up from the bed. Kindly go through them and advise whether really i have this problem and do i have to discontinue Amtas 5 mg.Bcause my phisician asked me to stop Amtas 5 mg and take only Betacard 50 mg. Is it necessary.IActually i am afraid of stopping any drug.soon after after i got up from the bed slowly i went straight to Pulleys to do bcos i have frozen shoulder. slowly after 2 to 3 mts i had experienced this low
BP this year.Kindly go through the chart patiently and advise .
Brief Answer:
You can stop Amtas 5 mg as advised.
Detailed Answer:
Hi,
I have gone through your query and reports with diligence. You can stop Amtas 5 and continue Betacard 50 as advised. After stopping regularly monitor your blood pressure morning and evening. After 1 week from stopping Amtas 5 if the blood pressure is stable then you can go on with Betacard alone.
Also get an ECG and Echocardiogram to know the exact status of your heart.
Hope this may help you. Let me know if I can assist you further.
Thanks.
You can stop Amtas 5 mg as advised.
Detailed Answer:
Hi,
I have gone through your query and reports with diligence. You can stop Amtas 5 and continue Betacard 50 as advised. After stopping regularly monitor your blood pressure morning and evening. After 1 week from stopping Amtas 5 if the blood pressure is stable then you can go on with Betacard alone.
Also get an ECG and Echocardiogram to know the exact status of your heart.
Hope this may help you. Let me know if I can assist you further.
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Dear Doctor i thank youvery much for your advise. i have undergone TMT and ECG in May 2017 and TMT is negative and ECG is normal.Do i have to undergo ecg and echo?My pulse rate is always between 52 and 60.I am told its bcos of Betacard.i have forgotten to tell you that i am told that i had IHD (T wave inversion) V4 V6.
Brief Answer:
First need to taper Amtas.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
Better to taper Amtas from 5 mg to 2.5 mg. After that if your blood pressure is again getting low, then you can stop taking Amtas.
I will be available on ask a doctor 24*7. You can send message to ask a doctor mentioning attention Dr Nishad BN.
Hope this may help you. Let me know if I can assist you further.
Thanks.
First need to taper Amtas.
Detailed Answer:
Welcome again.
Thank you for your follow-up query.
Better to taper Amtas from 5 mg to 2.5 mg. After that if your blood pressure is again getting low, then you can stop taking Amtas.
I will be available on ask a doctor 24*7. You can send message to ask a doctor mentioning attention Dr Nishad BN.
Hope this may help you. Let me know if I can assist you further.
Thanks.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
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