Dear Dr. Matthew Mintz, I was diagnosed with ESRF due to Hypertension, and had a Renal failure in 1990 and had a Transplant done in 1991 March 5th. I was taking Hypertension medication for several years and continue to do so, I was on a regiment of 6am Aten 25mg, 9am Telma 80mg, 2pm Aten 25 mg, 5pm Amologuard 2.5mg, 10pm Telma 80mg and SOS Amologuard 2.5mg. I visited another Nephrologist recently and was advised to change to: Stop Aten 25 mg completely and take Telma 80mg, 1-0-1 take Amologuard 2.5mg 0-0-1, and in case the pulse is above 80 and BP above 140/90 then take a MET XL 25 1-0-0. As I was having mild chest discomfort I visited a Cardiologists and he has told me taht 80mg of Telma twice a day was not advisable and changed to the following: CILACAR T 10 + 40 1-0-1 (this has a combination of Clinidipine & Telmisartan) 1-0-1 Nondon 2.5mg at 5pm (Nevibolol) q.d. 5pm But since my BP dropped to 110-75 I stopped Nondon 2.5mg and continued with Cilacar T b.i.d however my BP keeps dropping to 110-75 and makes we tired and lethargic and afraid that I could get dizzy. I would like you suggest if I should take a lesser dosage of Cilacar T as this contains 10mg of Clinidipine whereas just 2.5mg Amolguard was all I was taking before. Now that I have stopped Aten 25 mg and stopped Telma (Telmasartan) kindly let me know if I can take Cilacar T (5 Clinidipine and 40mg) q.d. at 6am and then 10pm Nondon 25 mg. Awaiting your reply. Regards Bobby