Suggest Remedy For Hypertension
Hello.
My wife age 31 yrs ,Height 5.2 inch ,weight 72 kg .She is suffering from hypertension .Due to disagreement in opinion between us she became anxious.On 30.09.2015 her BP was 160/90 & is prescribed PRAZOPRESS XL 2.5 & Telma-AM (Telmisartan 40 mg, Amlodipine besylate 5 mg) .She is also taking Thyronorm-12.5 mcg.The doctor prescribed both hypertension medicine saying that BP will not come in control but gradually I will wean off the medicine.she is also taking Irozorb plus.o
On 30.10.2015 her BP was 130/82.
Report of test carrird on 30.10.2015 are as follows:-
Haemoglobin-12 & Sugar fasting -88.T3 = 107,T4=9,TSH=4.19 .Her Thyroid test was ok but doctor suggested to take for 1 month & then stop it.
From Last 1 week she is complaining that headache & dizziness with problem in eye.We consulted Eye specialist & prescribed -1 in R & L both but she is complaining headche & dizziness (Chakkar)
Eye doctor suggested that headche may be due to setting of glass but i could not understand about dizziness may be due to raising of BP but her BP is now normal 120/80.
Seeing the situation I consulted another doctor who told that BP has fallen down due to intake of these two hypertension medicine,so stop prazopress XL 2.5 & continue Telma-AM.Due to dizziness & frequent urination we stopped Thyronorm & BP medicine for 2 days before meeting new doctor.The new doctor approached on 12.11.2015 that there is no problem of high bp because bp has not rise drastically even sudden stoppage of medicine.
So at present take Telma-AM & after 7 days I will see bp & then I will judge.
So from 13.11..2015 she is taking Telma AM but she is feeling dizziness. May please advise & set action plan for me.Should I change doctor ,I am in dilemma. I am living in XXXXXXX a small town so I may consult some doctor at XXXXXXX if u will advise.
with Regards XXXXXXX XXXXXXX
Follow the advice of your latest doctor.
Detailed Answer:
Hello, Sir.
I can certainly understand your concerns.
I apologize for the delayed response owing to my hectic work schedule.
I have gone through your query in detail.
This isn't a major issue unless properly managed.
First and foremost, stopping the intake of PRAZOPRESS XL seems to be a good move.
The dizziness could possibly be related to the effect first dose hypotension secondary to the 3 anti hypertension medications.
It is advisable to go with the opinion of your latest doctor. Watch for 1 week while on TELMA AM to decide the further course of action.
It is not advisable to stop thyroid medications abruptly. This can cause rebound elevation of blood pressure.
It is advisable to continue thyronorm 12.5mcg .
Post your further queries if any.
Thank you.