Recently Answered Questions
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If I quit smoking, will my RBC, hemoglobin, and PCV levels come back to normal?
Query: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through your attached reports (attachment removed to protect patient identity). The diagnosis is polycythemia. Polycythemia can be secondary or primary. Secondary polycythemia occurs because of hypoxia, which activates the oxygen sensor and more erythrop... Read Full »
Why do I feel dizzy when I take BP medications?
Query: Hello doctor, I am a 35 year old male. I was recently diagnosed with high BP. The doctor asked me to get a lipid profile test done and the results were normal. So, he prescribed Tazloc 40 but, when I took this medicine I felt very dizzy. I am unable to work and it is affecting my job as well. I... Read Full »
Answer: Hello, I went through your post. Your age is 35, which means you are young. However, you have not mentioned how much your BP reading was raised by.Tazloc (Telmisartan) is a good drug, but unless your BP was more than 160/90, it would cause giddiness. Nortipan (a combination of Nortriptyline and Preg... Read Full »
Is one tablet of Septra daily, enough for my dad who has AIDS?
Query: Hello doctor, My father is 58 years old and weighs 49 kg and 5.8 feet tall. He is on ART medicine since the last 13 years. He has AIDS. He had seizures last year, so he is also taking Ecosprin 75 mg, Septran, and Eptoin daily. I have two questions. Many doctors are surprised that he is only having... Read Full »
Answer: Hi, Welcome to icliniq.com. Septran (Sulfamethoxazole and Trimethoprim) is an antibiotic used in AIDS (acquired immunodeficiency syndrome) patient to prevent PCP (pneumocystis pneumonia) infection. It is prevention dose, that is, prophylaxis (treatment dose, which is two tablets three times a da... Read Full »
Are my kidneys damaged if I have high uric acid and albumin levels?
Query: Hello doctor, I am a 44-year-old male with a BMI of 26. During a recent health checkup of blood and urine, the following readings were observed. I have mentioned only the ones who have the higher readings. Protein 1+ detected in dipstick, serum uric acid at 9.2 mg/dL, MPV at 12.5 fL, FBS at 112 mg/... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all your reports (attachment removed to protect patient identity). The main problem is with the serum lipid profile which is HDL (high-density lipoprotein), LDH (lactate dehydrogenase), cholesterol, serum uric acid, urine albumin-creatinine ratio whic... Read Full »
Query: Hello doctor, My BP was 150/80 mm of Hg when I took the tablet Telmisartan 40 mg. The doctor prescribed Cilacar 5 mg. However, it had increased to 185/90 mm of Hg in the evening. I had a subconjunctival hemorrhage in my left eye. So I increased the dose of Cilacar to 10 mg. I am wondering if I shoul... Read Full »
Answer: Hello, Welcome to icliniq.com. Regarding your concern, I would suggest increasing the dose of Cilacar (Cilnidipine and Telmisartan) to 10 mg daily or increasing the dose of Telmisartan up to 80 mg daily. This will help maintain your blood pressure under control. I would also recommend performing s... Read Full »
My BP is well under control. Can I decrease the dosage of my medicines?
Query: Hello doctor, I am a patient of hypertension and anxiety, taking treatment for the last two years. Presently, my BP is well under control (average BP 115/70) and pulse varies between 75 to 95 BPM. Presently, I am taking Telma CT (80 + 12.5) and Embeta-XR 50 daily & Esnax Plus (Escitalopram + Clo... Read Full »
Answer: Hello, Welcome to icliniq.com. If you are taking this medication regularly and the blood pressure and pulse readings are current or latest, then it would not be a good idea to change the medications or dosage of some of them. Your weight (BMI) should also be within healthy limits with no 'centra... Read Full »
Is my missed period side effect of T-press (Telmisartan) medication?
Query: Hello doctor,I have always had regular periods in about 26 to 27 days, but I got my periods early in just 23 days last month. I missed my periods this month. It has been 46 days already, and I still have not got my period. I was prescribed T-Press (Telmisartan) medicine for high blood pressure (hype... Read Full »
Dr. Manisha Raghunath Auradkar
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Missed periods can be due to different causes like stress, hormonal imbalance, pregnancy, and some medicine’s adverse effects. You did not mention your age. Are you married? Do you have any children? Is this the first time your periods ... Read Full »
My blood pressure is not under control despite taking Telma 40 mg tablet. Kindly help.
Query: Hello doctor,I had a blood pressure of 172/115 mm of Hg for around four months, and I consulted a doctor. He prescribed Telma 40 mg, and after taking the medication, my blood pressure was down to 140/110 mm of Hg. However, I am continuing the same medicine, and my blood pressure values are not withi... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Your medical history shows that your current therapy is not very effective in controlling high blood pressure. For this reason, I recommend adding a calcium channel blocker to your treatment. In this regard, Amlodipine ... Read Full »
What is the significance of a fluctuating blood pressure?
Query: Hello doctor, My father has been suffering from hypertension for more than 12 years and has been taking medication. For the past six to seven months, his blood pressure has been very much under control with Ayurvedic treatment. So, he very gradually decreased and stopped taking the medicines. Around... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query, and I have seen the reports (attachment removed to protect patient identity). Firstly, I think that the Atorvastatin dose you are getting may be too low. A dose of 20 mg may be needed at the least, and Clopitorva (Atorvastatin plus Clopidogrel) ... Read Full »
Can Amlodipine result in tinnitus?
Query: Hi doctor, I have high blood pressure for the last four years. According to my doctor, it happens from genetic since both parents are suffering from it. Usually, I have a problem with diastolic blood pressure. It has reached 95, and even more since the systolic stays with 130 or max 140. Since that... Read Full »
Answer: Hello, Welcome to icliniq.com. It is rare, but yes Amlodipine can cause tinnitus, and it is worthwhile to change it to other medications. The best alternative option is ARBs (Angiotensin II receptor blockers) like Telmisartan. The equivalent dose would be 40 mg once daily, and it would take a week... Read Full »