Question: Dear Doctor,
I am 36 year old , Weight 94 kg
height 5ft.5in. Obese
G6PD deficient.

I am having high blood pressure problem and I am having anxiety issues in the past.
For Anxiety I was taking Pexcep cr 12.5 and loanzep 0.25 and later after 3 years I stopped as it felt better.


Currently I am taking telmikind 40 in morning at around 11:00 a.m. and nebicard 5 in the evening at around 6:00 p.m.
My problem is that I I get very tensed and my pulse increases when it comes to my health and maybe I have white coat hypertension issue that is my blood pressure comes High when I visit doctors office or when I am tensed about my health.
It was all fine until Recently when I check my mother in law blood pressure I got tensed when I check my own pressure at home. Since then I feel head heavy and my Currently my pressure is showing 175 /100.

My doctor advice me to take telmikind 40 twice a day with 12 hour gap along with nebicard 5 in evening.
He told me to relax and stop worrying about high BP and anxiety.

He also told me that if reduced by 10 to 15 kg is my blood pressure will be reduced significantly.

When I said that may be due to stress or anxiety my blood pressure must be increasing he told me that white coat hypertension will increase the systolic blood pressure and not the diastolic pressure.
Since my diastolic pressure is close to 100 you have to take blood pressure medicines..

So can this be because of anxiety? Or should I again start anxiety medication.
And is my current medication good enough.

Thanks
Regards
Zubin

Dear Doctor,

As you suggested renal artery Doppler scan. I understand that it is related to blood flow in kidneys. I would like to state that I had recently done normal sonography of abdomen and that time my kidneys were normal as per reports. So is it ok.
Also does anxiety increases blood pressure??
It increases systolic or diastolic or both??
Thanks.

Dear Doctor,
I visited Md and he told to change Telmikind 40 to Tazloc CT 40 in morning and nebicard 5 in evening.
Also gave etibliz 0.5 half in morning and 1 at night.

Thanks

Dear Doctor,

First of all thank you so much for your advice.
My only query is now that I am taking Tazloc CT 40 in morning at 11.30 after breakfast and Nebicard 5 in evening 6.30. I do get a relief after I take those medicine but not completely.
My doc says it will take time to adjust but I get irritated when my head gets heavy.
He also told me that I can take nebicard 5 in morning with Tazloc CT 40 and Nebicard 5 in evening 6.30pm.

When I asked that if I take nebicard 5 two times in day with Tazloc CT 40 will it be a high dose??? He told me Nebicard is mild.

For stress i am taking Etibliz 0.5 half in afternoon and 1 at night.

Thanks