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Envas H 5mg/12.5mg Tablet Health Feed

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MD, DM - Cardiology, MBBS Bachelor of Me...read more

Cardiologist•Surat
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It is generally not used as first line of treatment.
Hypertension at 22 years also needs detailed investigations to find out secondary etiologies
if not done you should have creatinine, electrolytes, usg abdomen with renal doppler done. Also get bp checked in both arms and legs.
You can start taking telmisaratan with chlorthalidone 40/6.25 once a day and increase to 80 mg if necessary.
Asked for female, 58 years old from Delhi
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Internal Medicine Specialist•Hyderabad
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They are 2 different categories but they act in almost same way except telmisartan can cause dry cough. Dosage depends on the bp reading.
80 people found this helpful
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My friends mother died recently. It all started early in the morning. She forgot to take her high BP tablet the night before. Early morning she started vomiting with severe headache, nausea and her lower body below vest was sort of paralysed. My friend gave her two 25 mg tablets Enam-25 and she was rushed to the nearby hospital. There ECG did not show any heart attack. Later they checked sugar, electrolyte, lipid profile. All reports were normal. An echo test was done showing normal valve functioning but 40% LV diastolic contraction. The heart specialist said it's with in the normal range but suggested that treatment be started. She was injected and a tablet was given. After taking tablet she vomited and then collapsed. Nothing worked out and she was declared dead. Now my friend is worried that was it a mistake to give two 25 mg tablets to control BP? Did that dose mislead the heart specialist? The doctors were informed that she had been given two tablets. Was one tablet enough and would that have given true information in echo test or ECG? Could anybody explain. Please tell.

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MBBS, DNB (General Medicine)

General Physician•Delhi
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Two tablets of enam 25 (enalapril) would not cause death of a patient- moreover, your friend's mother wasn't told to have low blood pressure when she reached the hospital. The sudden collapse that you have detailed was perhaps an episode of arrhythmia (irregular heart rate) - which causes sudden cardiac deaths. Its very difficult to come to terms with such a tragedy in life - but I can tell you only one thing out of my own experience - its never anybody's fault! she was in the hospital and still...more
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General Physician (AM)

Alternative Medicine Specialist•Chandigarh
CRAETEGUS Q (Homeo) 8-10 drops in little water twice a day , KALI IOD 12X (BIOCHEMIC) 4 pills 4 times a day.
Asked for female, 52 years old from Sambalpur
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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The current dose is not enough. You can first try and increase the dose to 5 mg once a day, if after 3 days BP still remains high then you should consult your treating physician for make it twice daily or seeking an alternative medication. Also ensure lifestyle changes like daily exercise for 30 mins like risk walking, healthy and low salt diet.
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Asked for male, 56 years old from Kota
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I was diagnosed with dm 2 about two years back. Iam on amaryl-m1 bd & has hba1c of 7. I started feeling extra sensation under the feet, heaviness in foot, leg, thighs from about a month or two, some pain in hip area and finally difficulty in lifting one leg about 2 weeks days back along with knee weakness in one leg although other leg has been affected to a lesser extent till date. I never experienced very sharp pain & 2 weeks back had mild pain in my buttocks for about a week. The loss of movement in the 2 directions direction in the leg & knee weakness was quite quick about 10-12 days back. Now I do not feel any pain but had some falls primarily on account of knee weakness or weakness in right leg. Mri scan, ct scan were ok but problem was reported in nerve conduction test in both legs but mainly in right leg. Was diagnosed with peripheral neuropathy or diabetic amyotrophy which correlates with my overall symptoms. Doctor put me on 8 day course of prednisone (40mg-10mg) with insulin. My sugar with amaryl m1 as on now is under control & I take light food with reasonable physical activity & sugar levels now seems to be ok 92 fasting /140 pp. Also started visiting a physiotherapist from today. As of know there is appears to be some improvements in my walking (can walk 15-20 min at a stretch inside home) though weakness in one leg & knee persist. I cannot drive due to difficulty in movement of my right leg when trying to move it sideways while sitting. It is also not possible to lift the right leg against gravity when laying down though backward lifting & movement on sideways when lying on one side are intact. Have been prescribed pregaba m 75 (hs, neurkind+. Have no pain of any type. My questions 1) has peripheral neuropathy reached a plateau ie. Stopped or not 2) is pregabalin needed in my case as I have no pain, i. E. Whether it play a role in nerve regeneration or is overall beneficial in such situation 3) can I expect improvement in my right leg in 1-2 months time with sugar control & exercises.

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Diploma in Family Medicine, Fellowship i...read more

General Physician•
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1. Peripheral neuropathy is a on going process even in normal individuvals as age advances due to deficiency of vitamins mainly b12
2. In your case pregabalin is needed for some time 3. Nerve regeneration is impossible for anyone 4. Definitely you can expect improvement in the right leg in 1-2 months with good control of sugar & exercises.
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Asked for male, 54 years old from Jodhpur
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MBBS (Gold Medalist, Hons), MS (Obst and...read more

Gynaecologist•Kolkata
Continue diabetic drugs. Get a check up to find out the cause of ed at this age. And then we can treat it easily.
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MBBS, MD - Medicine, DM - Cardiology, Fe...read more

Cardiologist•Delhi
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Envas is a good medicine, if your blood pressure is not controlled you can increase the dose after consulting your doctor.
Asked for male, 31 years old from Bangalore
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MBBS, PGDCC

Cardiologist•Delhi
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Hi,
Your bp is definitely high & you need to increase the dose of Envas. Make it 5mg twice daily after monitoring your bp.
Thanks
Asked for female, 29 years old from Jabalpur
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BHMS

Homeopathy Doctor•Hooghly
At first I told, you, tsh hormone is that hormone which stimulate thyroid to secretion of t3 & t4 hormones. Now t3 & t4 hormone are protein in which iodine is combined .in t3 iodine is 3 & in t4 iodine is 4, presence of t4 is more than t3, t4 converted in t3 later. But you have no problem of thyroidthyroid ,next the tab which is prescribe by your Dr. Nm-5 mgmg which is nitrozepam combination which is work as a sedative & anti anxiety, I don't know you suffering from this type of problem or not, ...more
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