Amlozaar-H Tablet Health Feed

If diastolic is always below 80 and systolic rises to 150 on most of the evenings then recheck after 15 minutes of rest. If still above 140 then add Tab. Amlong 2.5 in the evening around 6 pm.
As for your second question. All three drugs are almost same on action potency and lil different in side effects. So doesn't matter which one you take until your kidneys are fine.

She requires change a slight change in medications, a combination of medications, hopefully she may have already had echo, ecg, kidney function tests etc to find any causes that may be leading to this hypertension. Also please ensure she is taking lifestyle measures like salt control in diet, daily 30 mins of walking and eating a healthy diet (you can take detailed diet precautions for the same)

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.

Very unlikely the cause may be by amlodipine, rather change your daily lifestyle like drinking adequate water daily, no or less junks, more of fibers and less carb diets. That will help you a lot. Also get one physician consultation regarding hypertension any change of dosages/ compositions.

Little bit difference. Side effects like swelling over legs is less with S-Amlodipine, Also efficacy is little superior of S-Amlodipine but if her BP is controlled with Amlodipine you can continue with that.

You can take both together in combination at the same time and record your bp and pulse rate so that any alteration can be done if required.

Yes it is safe to use these medicines in diabetic. But what is reason for swelling. If not investigated then get her tests done. With these medicines and in elderly keep checking her electrolytes periodically.