Question: Dear Mr. Shedu

Long time not being in touch with you

Since i wrote to you last time i have been checked for sleep apnoea and was told i do not suffer with this condition

For my blood pressue I was started with Ramipril 1.25 mg , once a day. This did not work as i was getting readings of 165//110 mainly in the middle of the night. MY GP increased it to 5 mg. My BP was still not controlled, i had hiogh readings during day and night. Finaly, after a month, i saw a cardiologist and he started me on 10 mg of Ramipril. During this time my heart was checked- treadmill test and myoview test and i have been told my heart is ok. During the myoview test, whilst i was on a treadmill, my BP increased to 180 so they had to stop the test. The 10 mg of Ramipril (5 in the morning and 5 in the evening) was not working at night. So i went back to the cardiologist and he gave me indapamide, 1.5 mg to take one pill at night. BP was still high,but not that high as before . At night the BP was 148/94 and pulse was 86. On 18 April at 14.12 pm my bp was 134/84 with pulse 109!!! this was at rest. I had to stop the indapamide as i was getting very dizzy, extremely weak and not able to breath (breathing was a bif effort as i had no energy left). I went back to my GP and instead of indapamide they gave me amlodipine 5 mg. On 1st of May 2015 at 5.24 am my bp was 173/110 with pulse 92. I went back to my gp to tell him the BP tablets are not working but he said i need to drink a glass of red wine in the evening to relax. I dont think this is a good idea given the fact that i take olanzapine 2.5 mg for my previous psychotic episode of 5 years ago

Last week i went to romania to visit my family and went to see a cardiologist. She replaced ramipril with Telmisartan 80 mg (to be taken in the moring ) and amplodipine was increased to 10 mg (to be taken in the evening). MY BP is now stable even during the night but i do feel very very weak, a little bit dizzy and my pulse is not falling below 90 (even at rest). One our ago my pulse was 108, at rest. I am seeing the cardiologist in romania again tomorrow- she placed a holter machine on me. I am really worried about my pulse now. I have to mention that if i go up the stairs my hearts start bitting very very fast and i can feel it bitting in my throat.

Please advise me what to do to decrease my pulse. Do you think the pulse is a reaction of the medication. Before taking the BP tablets my pulse was beteen 70-80. Also, why do i feel so weak? MY sugar level is borderline so i am on diet now- just has been discovered last week. Also, i would like to remind you that i am overweight ( 90 kg and height 1.64 cm). My blood test results were fine, with the exception of vitamin D which is very low.

Given my high pulse, is it advisable to exercise? if yes, what kind of exercise is good for me?

Thanks a lot and i will keep you updated
I would like to mention also that i had ECG done and heart eco and everything came out fine.

Regards

XXXXX

Dear Mr. Shedu

Thanks a lot for your reply

Please let me know if nebivolol is for blood pressure? How about my pulse? What can i do to decrease it?

Many thanks

Good night

XXXX

Hi

My doctor here in romania prescribed me yesterday Nebivolol (2.5 mg in the morning, 2.5 mg evening) and to increase to 5 mg morning and 5 mg evening if required. The pulse is lower now (and the BP). However, i forgot to ask her if it matters that i take olanzapine 2.5 mg for my 2010 psychotic episode.

Many thanks for your brilliant advice

Regards

XXXXX

Dear Mr. Shedu

I took my blood pressure now. 2 hours after telmisartan and Nebivolol and the BP is 107/72 with pulse 85. Is the 107 reading not too small? Should not be around 120 under medication? I am worried now that i take too much medication:-)
i would like to add that the readings when i woke up were 130/89 and pulse 96 ( last night i took first tablet of Nebivolol)
Many thanks

XXXX

Thanks a lot Mr Shehu

Sorry for misspelling your name so many times

Regards

XXXX