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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat High BP?

  i am 32 year male. i am having hypertension. now i am taking TELISTA-H & RAMISTAR 2.5 mg TAB MORN AND NIGHT RESPECTIVELY. Still my blood pressure is maintaining 90/140 mmHg. i have taken doppler test twice. one report is showing about renel artery stenosis and another is showing normal. i want to reduce my blood pressure low. for my problem what to be done. Other body condition is normal. i am a smoker.pls give me a sujjestion to solve my problem.
Fri, 22 Mar 2019
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Cardiologist,  's  Response
Hello,

Regarding your concern, I would explain that it is not safe taking Telista H and ramistar concomitantly, as telmosartan and ramipril may have a lot of interactions.

Coming to this point, I would recommend stopping Ramistar and switching to lercanidipine 10mg daily, in order to help control your blood pressure values.

Regarding the renal arteries, I would recommend an angio CT scan of the renal arteries, to help examine them better, considering the controversial results of the two ultrasounds.

You should discuss with your doctor on the above treatment options.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
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How To Treat High BP?

Hello, Regarding your concern, I would explain that it is not safe taking Telista H and ramistar concomitantly, as telmosartan and ramipril may have a lot of interactions. Coming to this point, I would recommend stopping Ramistar and switching to lercanidipine 10mg daily, in order to help control your blood pressure values. Regarding the renal arteries, I would recommend an angio CT scan of the renal arteries, to help examine them better, considering the controversial results of the two ultrasounds. You should discuss with your doctor on the above treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist