Hello doctor,
I am a 69-year-old female with hypertension and severe diabetes. For the last 15 years, I used to take Telma H 40 mg, and it used to be enough, but in the last three months after having a UTI, the blood pressure is almost above 150 mm Hg; sometimes it goes to 138 but mostly above 150 or 160 mm Hg in evenings, especially after lunch. Currently, I am on Nebistar H and Cilacar. After taking Cilacar, the palpitation problem has reduced. The diastolic blood pressure and heart rates are under control, but the systolic pressure is always high. I feel uneasiness in my abdomen, and my stomach churns. The blood pressure sometimes comes down and sometimes goes up and is not even. Please suggest if I need to add any blood pressure medication to keep it consistent.