Q. What is the treatment for raised blood pressure and heavy feeling in head?
Hi,
I am a 65-year-old female. My sugar level before three months was fasting 180 mg/dl, postprandial 253 mg/dl and HbA1C 8 %. After having medication, the test done a few days back showed fasting 93 mg/dl, postprandial 80 mg/dl, HbA1C 7 %, triglycerides 259 and VLDL cholesterol 51.80. Also, the blood pressure is 200/100 mmHg.
I am taking the following medications:
- Glycomet GP 2 (one tablet in the morning and one tablet in the evening daily).
- Galvus 50 (one tablet in the morning daily).
- Tricinod 10/6.5 (one tablet morning daily).
- Cilamet XL 50 (one tablet evening daily).
- Neurokind LC (one tablet afternoon daily).
- Ecosprin AV 75 (one tablet evening daily).
- Trika 0.5 (one tablet evening daily).
In the past, I was on Met XL 100 (one tablet in the morning daily), Met XL (one tablet in the evening daily), Stamlo 0.5 (one tablet in the morning daily), Ecosprin AV 75 (one tablet evening daily) and Gemer 1 (one tablet morning daily).
Currently, my blood pressure is high and feeling heavy on in one side the of head and weak. Kindly suggest whether the medicine given above are correct and whether I can continue with the same or not.
Hi,
Welcome to icliniq.com.
Your sugar is well controlled. In fact, you need to decrease the dose of Glycomet GP 2 (Glimipiride and Metformin) to Glycomet GP 1. Major problem is that you have accelerated bloodstream pressure. Instead of Tricinod (Telmisartan, Clinidipine, Chlorthalidone), better would be taking tablet Telvas 3D (Telmisartan and Hydrochlorothiazide) once a day and if needed, add Prazopress XL (Prazosin) 5 mg at bedtime that will bring down your blood pressure.
You have mildly increased triglycerides. For this, you can increase exercise daily or you may add tablet Fenofibrate.
For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
Thank you doctor,
As suggested, I will switch from Glycomet GP 2 to 1 and Telvas 3D and Prazopress XL 5 mg. Also, shall I discontinue to take Galvus 50 for blood sugar and Cilamet XL 50 for BP?
Hi,
Welcome back to icliniq.com.
No, you cannot stop Galvus (Vildagliptin) at this point. We need to wait for few weeks and recheck blood sugar (postprandial and fasting).
You can decrease Cilamet (Clinidipine and Metoprolol) to 25 as stopping will cause an increase in heart rate. So, decreasing to 25 for few weeks and then half of 25 for few more weeks and then stop.
For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
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