Q. Can I take Telmisartan-Cilnidipine instead of Losartan for high blood pressure?

Answered by Dr. Mahmoud Ahmed Abdelrahman Abouibrahim and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 08, 2018 and last reviewed on: Dec 19, 2023

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 blood sugar medicine Metformin and thyroid medicine Levothyroxine Sodium 25 mcg?

MBBCH
General Medicine Internal Medicine

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 combination is stronger than Losartan alone. We can add other medications in order to achieve the target blood pressure (below 140/90). Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Your blood sugar level is within normal.


Related Questions:

Heart Valve Regurgitation

.. of the blood in the opposite direction due to improper closure of the heart valves. This article discusses why it occurs .. ...   Read full

MRI shows stroke and brain changes. Is it due to untreated sleep apnea?

On the other hand, you should know that other risk factors such as uncontrolled high blood pressure, dyslipidemia, diabetes, age, migraine if present, smoking contacts, obesity, sedentary life, etc ...   Read full

Why do I feel giddy while standing or walking?

.. called postural hypotension. It is very common in hypertensive patients. I suggest you Telma H (Telmisartan and Hydrochlorothiazide) once daily. Consult your specialist doctor, discuss with him or her and take the medicine with consent.   Read full


Related Video

 

Comprehensive Medical Second Opinion.

Submit your Case

Related Questions & Answers


I had high BP and a low heart rate. Is my ECG showing infarction?

Query: Hi doctor,I had high blood pressure, low heart rate. Is my ECG showing infarction? I have no chest pain. At the time of ECG, my blood pressure was 168/100 mmHg and heart beat 46 beats per minute.  Read Full »

I have high blood pressure and feel chest pain. Please help.

Query: Hello doctor,I feel pain on the left side of my chest. I have no sugar but high blood pressure. My age is 50 years. I am 67 inches in height and my weight is 171 pounds.  Read Full »

My mother cannot sleep due to BP medicines. Please help.

Query: Hello doctor, I am posting this query on behalf of my mum. She was said to have a high blood pressure three years ago and placed on medication by the doctor here. But, the problem is, she does not sleep at nights when she is on medication. She would have to stop taking her medicines for five to six ...  Read Full »

Ask your health query to a doctor online?

Ask a Family Physician Now
* guaranteed answer within 4 hours.
Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.
 
Ask a Doctor Online  
  2178 Doctors Online