Recently Answered Questions
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Does Cilnidipine cause frequent urination at night?
Query: Hello doctor, I had my blood test and found the following abnormal readings: 1. FBS- 106 (70-100) mg/dL. 2. HbA1c- 6.6% 3. S. Creatinine- 1.22 (0.6- 1.2) mg/dL. 4. ESR- 27 mm/hr. On another blood test taken the same day, the reading showed serum creatinine as 1.06 (0.7- to 1.30) mg/dL. Five days lat... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I saw your history and investigations. To sum up your history, you are hypertensive with pre-diabetic blood sugar and a history of kidney stones. Your kidney function test is normal, you should not worry about the s... Read Full »
How should I control my BP in winter?
Query: Hi doctor, I am a 35 year old male. In winter, My BP increases to around 160/105 mmHg; however, in summer, it is normal at 130/90 mmHg. I do not feel any problems yet such as headache. Now, I feel some shortness of breath. How should I control my BP in winter season? I have already started taking le... Read Full »
Answer: Hello, Welcome to icliniq.com. I had gone through all the details posted. To determine if your blood pressure rises during winter, it's essential to record it multiple times while avoiding hot beverages, smoking, and maintaining a calm state. If there's uncertainty, considering ambulatory blood pre... Read Full »
Can I take Telmisartan-Cilnidipine instead of Losartan for high blood pressure?
Query: Hello doctor, I have high blood pressure 171/90 with pulse rate 79, blood sugar under control after medication (fasting is 120 and PP is 146). I am taking high blood pressure medicine Losartan Potassium 50 mg. Can I start Telmisartan and Cilnidipine tablets instead of Losartan Potassium with my bloo... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. From what you mentioned, you have uncontrolled elevated blood pressure which requires upgrading of your medication. Losartan has the same efficacy as Telmisartan as both are from the same group. I suggest that you change Losartan to Telmisartan or Cilnidipine as the... Read Full »
Can Cilnidipine be used instead of Amlodipine to control BP?
Query: Hello doctor, Currently, I am on Telvas AM and BP is well controlled. My question is, I want to shift to Cilnidipine instead of Amlodipine. Heard from many patients and clinical trials that Cilnidipine is useful in sympathetic nervous system hyperactivity as it is dual type CCB. I have that. Will it... Read Full »
Answer: Hello, Welcome to icliniq.com. Regarding your concern, I would explain that Cilnidipine is a good alternative for treating hypertension, especially in patients with uncontrolled hypertension or after a stroke. It may be more effective that Amlodipine and with fewer adverse effects (less edema). Yo... Read Full »
Is Cilnidipine the right choice for high BP with pedal edema?
Query: Hello doctor, My wife is 70 years old. She is a diabetic for 15 years, has mild BP for more than 20 years, and hypothyroidism for eight years. All are under control. She is taking Glycomet 500 mg twice a day, Thyronorm 50 mcg, and Cilacar 10 mg at breakfast time. I recorded her BP readings on Omro... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your question. The recording and monitoring that you are doing are quite commendable. Coming to the query, the change from Amlodipine to Cilnidipine was justified as Amlodipine is known to cause pedal edema that is swelling of the feet. From you... Read Full »
What is the best medication to reduce high blood pressure?
Query: Hello doctor, I seek your medical advice regarding my wife's hypertension. She is 70 years old and diabetic. Her Hb A1c is always below 6. She used to have mild BP before a few years, and her systolic reading was 140 to150 and diastolic 80 but not higher readings in both. Our physician at that time... Read Full »
Answer: Hello, Welcome to icliniq.com. Her sugar readings are fine, so she should continue with the same. However, her BP readings are elevated. Our target blood pressure is systolic 110 to 130, and even 130-140 is fine but less desirable. And diastolic anything less than 90 mmHg, does not matter how much... Read Full »