Q. BP has not come under control after taking Telma and Cilacar. Why?
Hello doctor,
My dad is having a persistent BP of 150/95 mmHg even after taking Telma 40 in the morning and Cilacar 20 in the evening. What should be done and how much risky is this BP?
Hi,
Welcome to icliniq.com.
Telma is Telmisartan and your dad is taking 40 mg once a day. If he has been on it for over two weeks and the kidney function is stable, then it can be increased to 80 mg in one dose or divided dosage, that is either 80 mg in the morning or 40 mg morning and 40 mg evening and he is to continue in Cilacar 20. Ideal BP should be less than 130 for the systolic (top number) and less than 85 for the diastolic (low number). If the BP is not controlled to the above recommendations then other medicines are to be added.
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