Recently Answered Questions
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Query: Hi doctor: I have been prescribed a combination of Amlodipine 5 mg and Valsartan 80 mg after being diagnosed with high blood pressure. If I take the medicine continuously, my blood pressure can drop to 56/100 mmHg or something similar, and if I stop, it can rise to 90/150 mmHg? I want to know how t... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. Thank you for your query, As long as your blood pressure without any medication is below 160/100 mmHg that means your blood pressure could be controlled with monotherapy. So I recommend you that take only Valsartan 80 mg once daily before breakfast. Then monitor the bl... Read Full »
Will changing BP medication help with my tinnitus?
Query: Hello doctor, I have been suffering from tinnitus for the past one month. Sometimes mild and sometimes severe. I did a hearing test and the result is no hearing loss. I have an appointment with an ENT in two days to carry out more tests. However, I have been doing a bit of research so I have a few ... Read Full »
Answer: Hi, Welcome to icliniq.com. As there is no hearing loss evident in conventional hearing test, go for high-frequency audiometry and matching test. Which type of sound are you perceiving ringing or buzzing, pulse-like or noise type? Does it change with neck movement to the left and right. Tinnitus ca... Read Full »
Will cardiac and BP medication cause increased urinary output?
Query: Hi doctor, Before two months, I had one stent put in the complete blocked artery. Scans showed heart muscle damage from an old heart attack this was caused by me not taking my BP drugs. So for the first time in my life I have stuck to taking all my prescribed drugs, these were Aspirin 75 mg, Amlodip... Read Full »
Answer: Hello, Welcome to icliniq.com. All the medicines you are taking are essential medicines and should not be stopped except in case of severe allergy. None of these medicines cause increased urination. Amlodipine is a blood pressure lowering medicine, it can be changed to some other medicine. This medi... Read Full »
How to overcome the side effects on increasing the dose of Amlodipine?
Query: Hello doctor, I am currently taking Amlopin-M at night and Omnitan-H in the morning. My blood pressure taken at home is consistently in the range 140-150/85-90. Last time my doctor increased the medicine dose suddenly and it did not suit me and caused palpitations, dizziness, and weakness. Please s... Read Full »
Answer: Hi, Welcome to icliniq.com. Blood pressure (BP) is controlled with lifestyle modifications and dietary modifications. Following are the measures to control BP: 1. Avoid smoking and other addictions. 2. Reduce salt intake in the diet. 3. Reduce fatty foods, junk foods, saturated fats (Mediterra... Read Full »
My stress test showed abnormality. Is there any health issue?
Query: Hi doctor, Shortness of breath and rapidly reaching maximum heart rate has been my concern for many years. I turned 50 this year. It is impacting my ability yo exercise, so thought it was time to investigate. I just had a cardiac catheterization test. No blockages were discovered. However, they were... Read Full »
Answer: Hi, Welcome to icliniq.com. First, you need to be started on medicines called as diuretics like Torsemide 10 mg once a day in the morning and also Amlodipine should be replaced with Beta blockers like Metoprolol XR 25 mg once a day. Both drugs will help you in relief of symptoms and also other benef... Read Full »
I am suffering from ED. Is it due to BP drugs?
Query: Hi doctor, I am a doctor practicing in a rural area and aged 55 years. I am having high blood pressure for last seven years. My blood pressure was 180/100 mmHg before treatment and now I am on Telmisartan H 40 mg once daily. My BP fluctuates between 128 and 135 systolic to 85 and 90 diastolic. I do ... Read Full »
Answer: Hello, Welcome to icliniq.com. Regarding your ED (erectile dysfunction), definitely your age can be a factor. But, if ED developed suddenly, then this could be caused by anxiety. It is one of the most important causes of ED. Yes, some ARBs (angiotensin receptor blockers) can cause ED as a ... Read Full »
I have been suffering from cough for the past four days. Kindly help.
Query: Hello doctor, I have been suffering from cough for the past four days. I am on Valsartan and Amlodipine, but there were no beneficial effects seen. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I reviewed your query. I want to know your reason for taking Valsartan (angiotensin II receptor blockers) and Amlodipine (calcium channel blocker). Do you have hypertension? I suggest you to follow a few instructions mentioned below. Tak... Read Full »
My blood pressure is erratic. Can you help ?
Query: Hello doctor, I am a 30 year old. Recently, I started having high blood pressure. It goes up and down a lot. At some times, it is 170/90, and at others, it is 130/80. Recently I have done a blood test, where my Hb was 10.52, cholesterol was 152, triglyceride was 165, HDL 28 and LDL was 91. The other... Read Full »
Answer: Hello, Welcome to icliniq.com. Your pulse rate is high. Please do a free T4, T3, and TSH (thyroid stimulating hormone) test. For your BP (blood pressure), you can take Met XL (Metoprolol) 50 one tablet, once daily at around 8 AM and tablet Stamlo (Amlodipine) 5 one tablet at around 5 PM. Your Hb... Read Full »
Why am I not able to control my BP with medicines?
Query: Hi doctor, I have a resistant hypertension. Even five drugs failed with a lot of side effects. I was safe on Methyldopa for 2 years with Hydrochlorothiazide. Now, there is no supply of this medicine. I started Nebivolol 5 mg with Chlorthalidone last night. I have the feel of chest tightening and sli... Read Full »
Answer: Hi, Welcome to icliniq.com. With all your details, you come under stage 3 - severe hypertensive group. First, I would suggest you to look for the cause of grade 3 hypertension. Conditions like pheochromocytoma can lead to resistant hypertension. To rule out pheochromocytoma an MRI of the abd... Read Full »
Am I taking enough medicines to manage hypertension?
Query: Hi doctor, For controlling my hypertension, I was prescribed Benicar 40/12.5 mg once in the morning, Amlodipine 5 mg twice a day and Clonidine once in the evening. These were prescribed after ECG and blood work. Even, after taking the medication, my BP is usually 160/85 mmHg. What to do further... Read Full »
Answer: Hello, Welcome to icliniq.com. I want to highlight a few important points here: Amlodipine should be used once daily. Instead of taking 5 mg twice daily you should take 10 mg once daily, which is the maximum dose. Clonidine on the other side can actually cause rebound hypertension, which can expl... Read Full »