Recently Answered Questions
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Can I have normal BP after taking antihypertensive drugs?
Query: Hi doctor, I am 62 and male. I am on anti-hypertensive medication for years, my current BP is in the range of 140 to 150 (sys)/60 to 70 (dia). Is this BP good enough for my age? Any suggestions, please? Read Full »
Answer: Hello, Welcome to icliniq.com. Diastolic BP is fine, but systolic is mildly elevated. According to recent evidences and guidelines, lower is better. If BP is persistently elevated above 140, then it is better to add some other medicines to keep it atleast below 140 consistently and preferably belo... 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 »
Does Metoprolol cause hair loss?
Query: Hello doctor, I am 44 years old and diagnosed with preliminary hypertension. All my tests including ECG, TMT, 2D echo, brain CT scan, pulmonary embolism (to rule out the cause for sinus tachycardia), 48 hours Holter monitor, chest X-ray, lipid profile, and kidney and liver function tests. TMT, 2D ec... Read Full »
Answer: Hello, Welcome to icliniq.com. From the description it appears, you just have hypertension and no other problems. Firstly, just for hypertension, now beta blockers are not given as a first line medicine. It is given after calcium channel blockers (Amlodipine), ACE (angiotensin-converting enzyme) inh... Read Full »
My mom has been suffering from head spinning. Why?
Query: Hi doctor, My mom is suffering from sciatica pain. She is 45 years old. Her doctor suggested complete bed rest for two months. It has been a month for now. She is facing trouble to take breath properly (night times). She is having head spinning and a sensation of falling from bed. She is having hi... Read Full »
Answer: Hi, Welcome to icliniq.com. The possibilities for her head spinning are as follows. Probably, your mom is suffering from benign paroxysmal positional vertigo (BPPV). It can be controlled by a tablet like Vertin16 mg (Betahistine) or Stugeron (Cinnarizine) at bedtime or twice daily. The second po... Read Full »
Can I take Atenolol 50 mg even if I have dizziness and low BP?
Query: Hi doctor, I am on medication Atenolol 50 mg for the last 2 years. Nowadays, I am going through low blood pressure. Yesterday, my blood pressure was 115/65 mmHg. I am also having dizziness. I had gone through dizziness and low blood pressure of 110/65 mmHg last month and it remained for four to five... Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to ask a few questions. Do you ever complain of chest pain associated with palpitation? Is there any family history of heart disease?Since how long you are taking Atenolol? Do have complained of shortness of breath or edema over legs and... Read Full »
My blood pressure is up to 197/100. My doctor keeps giving me Bystolic. Is that safe?
Query: Hello Doctor, My blood pressure is up to 197/100 mmHg. My doctor keeps giving me tablet Bystolic and asked to take it for 10 days. Is that safe? I am a 53 year old male, usually great health. Read Full »
Answer: Hi, Welcome to icliniq.com. Your blood pressure is very high. Given your age, you are very susceptible to paralytic attacks and heart attacks and you should not ignore it at all. Tablet Nebivolol (Bystolic) is not enough to control your blood pressure. You need to get some basic tests... Read Full »
Is there any BP medicine without side effect?
Query: Hi doctor, I am a cardiac patient since 16 years after a massive MI followed by an angioplasty. Thereafter, I was taking medication to control high BP along with Aspirin as well as for cholesterol. Recently, I have another mild attack and did my second angioplasty. My BP is fluctuating between 150/9... Read Full »
Answer: Hi, Welcome to icliniq.com. Nebistar - Nebivolol is a beta blocker and is associated with dizziness and erectile dysfunction. I would suggest you shift from Nebistar 5 mg to Carvedilol 6.25 mg twice daily for two weeks and thereafter increasing the dosage to 12.5 mg twice daily optimum ... Read Full »
Can BP tablets cause high uric acid level?
Query: Hi doctor, I am 35 years old. Height 166 cm, weight 76 kg. My uric acid level has come to 8.9. I did this checkup one year before and it was 8.4. At that time I had stopped eating all pulses for at least one month. I am pure vegetarian. I do not have any symptom of gout or any other stuff. I do hav... Read Full »
Answer: Hi, Welcome to icliniq.com. You seem to have high uric acid levels but asymptomatic hyperuricemia does not need treatment. You may have a family history of hyperuricemia which explains why you have it despite being a vegan. Also, being obese or losing too much weight can increase blood uric acid l... Read Full »
Query: Hi doctor, I am a 76-year-old woman, and my blood pressure fluctuates to 160/70 mm Hg, 167/67 mm Hg, and 179/59 mm Hg. My doctor advised me to take the Floricot tablet. Is it fine to continue taking this tablet? Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. I understand your concern. You have high blood pressure, which requires medication to be controlled, and the target is to achieve blood pressure below 130/80 mm Hg. High blood pressure and uncontrolled diabetes cause many complications that affect the kidneys, eyes, he... Read Full »
Shall I try lifestyle modification to control BP?
Query: Hi doctor, I am 59 years old. My height is 5'8" and weight is 95 kg. I am not a diabetic or hypertensive. But, I have had anxiety attacks. My recent BP check showed 140/100 mmHg and the two follow up checks showed 160/100 mmHg and 140/100 mmHg. My doctor prescribed my Telma 20. I am also on Thyronor... Read Full »
Answer: Hi, Welcome to icliniq.com. It is good to know that you are aware of lifestyle modification for controlling BP. Medicines are not the only treatment for hypertension. Following lifestyle modifications can be tried. Reduce your weight to BMI (body mass index) less than 25. Decrea... Read Full »