Amlopres-AT 50 Tablet Health Feed

Yes please continue both clopidogrel and ascard 75 mg. These are blood thinners required lifelong after cabg surgery. If discontinued then the risk of graft blockage is high.

No beta blockers does not affect diabetes and Propanol and Atenolol are both similar medications.
You need to understand about high blood pressure. 
Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal.
Many factors can affect blood pressure, including:
1) The amount of water and salt you have in your body
2) The condition of your kidneys, nervous system, or blood vessels
3) Your hormone levels
4) your lifestyle - smoking, ...more

Hi, Having tremulousness, there are multiple causes for it, you have to be examined and if necessary blood test will be done. You better meet a neurologist nearby and they will examine and suggest the treatment based on tremor intensity and your functional status.

In addition to above, a longer acting (la) preparation of propranolol is worth trying. Good luck for your presentation.

Stop atenolol and monitor bp for 3 days morning afternoon and night. Get his complete health checkup done. Including usg abdomen and chest x-ray. Then discuss online with reports or visit my clinic at noida. Reduce salt in diet and ask him to take warm water to drink. Stop cold water or cold drinks.

propranolol or other betablockers group of medicines have minimal side effects compared to other medicines you had been taking
continue with medicines even if bp gets normal because these betablockers reduce the risk of getting heart attack or stroke
second fear, safety for diabetics, these medicines do affect blood sugar levels and lipids too but it's so minimal that your dose of Medicine for diabetes will not be affected.

Please consult in the OPD with good physician or adut. Cardiologist. Never a medicine must be added or switched without proper clinical exam. Your BP is responding but HR high for age. It should have gone down. You might be having few extra beats.

Yes valsartan can be used in the place of telmisartan.
It's available in strengths of 80 mg /160 mg.
I recommend 80 mg to start with.

If you are afe below 40 metoprolol is very effective. Age over 60 you can try higher dose amlodipine if bp uncontrolled.

Probably too strong medicine. Full effect of amlodipine will come after 30 days, your BP may become below 100 next month due to too much medicine. Suggest stop medicine. Measure BP only once every month on fixed date after resting for ten minutes, start medicines if BP 160 on 2 occasions, or if always above 140.