Is Telma-am & Natrilix Effective For Bp?

Hi, From the query, I got you BMI is 22.4 kg/m2 which is classified as normal. You are on three kinds of anti-hypertensives. Telma AM contains Telmisartan an angiotensin II receptor blocker and Amlodipine, calcium channel blocker and Natrilix SR contains indapamide which acts as diuretic. Telmisartan is an angiotensin II receptor blocker decreases the blood pressure by preventing the angiotensin II hormone to bind to its receptors which constricts the blood vessels and increase the blood pressure. Amlodipine is a calcium channel blocker reduces blood pressure by decreasing the peripheral vascular resistance by preventing the contraction of the smooth muscles in the blood vessels. It also acts on the cardiac muscles. Indapamide is a diuretics acts in the kidneys by increasing the excretion of the sodium and water from the body through urine. Decreases blood pressure by volume reduction. Lichen planus pigmentosa is abnormal discolouration of the skin. There is no definitive cause for the pigmentation, possible viral infection is unconfirmed theory. Avoid sun exposure, exposure to infective agents, topical corticosteroids, emolients, etc. are helpful in this condition. Melacare forte contains hydroquinone, mometasone and tretinoin which helps in quick skin renewal. It prevents skin swelling, redness and itching. Photoderm spf 50 protects the skin from ultraviolet rays. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pradeepraj, General & Family Physician