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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are There Alternative HT Medications To Avoid Arms Pain And Chest Discomfort?

I am taking talsartan 40 R (telsartan 40 + Ramipril 5) and Nebstar-H (nebevolol + Hydrochlorothyzide) last two months. But I have a severe side effects when I walk. My both upper arms pain and chest discomforts occurs when I walk. My has gradually increased and now I cannot walk fast now even for 100 m. Please help. Suggest alternative HT medicine. My B.P is under control by the said medicine(130/80) but walking I cannot avoid.
Tue, 20 Jun 2017
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General & Family Physician 's  Response
Hello, Thanks for posting your query on Healthcare Magic...
* Brief Answer: Take care, your chest discomfort may be a symptom of ischemia.
*Explanation: My opinion is that as long as your blood pressure is controlled , it is not preferred to change your medications . your complaint may be related to another condition . chest discomfort or pain especially with exertion plus or minus sweating and nausea are manifestations of ischemic heart disease, and that you should be aware of.
I suggest my patients the following : general and local cardiac examination, electrocardiogram and echocardiography be needed.
The information provided by you is not sufficient to provide a good opinion.
If someone comes to me with this condition I would ask them about age and smoking history.
*Conclusion: I suggest you check with your general physician and do the investigations i suggested.
If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.
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Are There Alternative HT Medications To Avoid Arms Pain And Chest Discomfort?

Hello, Thanks for posting your query on Healthcare Magic... * Brief Answer: Take care, your chest discomfort may be a symptom of ischemia. *Explanation: My opinion is that as long as your blood pressure is controlled , it is not preferred to change your medications . your complaint may be related to another condition . chest discomfort or pain especially with exertion plus or minus sweating and nausea are manifestations of ischemic heart disease, and that you should be aware of. I suggest my patients the following : general and local cardiac examination, electrocardiogram and echocardiography be needed. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about age and smoking history. *Conclusion: I suggest you check with your general physician and do the investigations i suggested. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.