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Macsart H 40 Mg/12.5 Mg Tablet Health Feed

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I'm 37 year old male on bp meds since the age of 29, i've been on atenolol 50, nifedipine 10, amlodipine 5, currently on metoprolol succinate xl 50 and cilnidipine 10. I learnt from my personal experiences and also from web literature that beta blockers/calcium channel blockers can cause slow heart rate or bradycardia unlike angiotensin receptor blockers (arb' s) like telmisartan or thiazide diuretics such as hydrochlorothiazide or chlorthalidone. Can I switch from beta blockers to arb's with docs advice to negate the effects of beta blockers. What about celiprolol, carvedilol and pindolol? My last bp readings were, 130/90, 140/80 and 130/85 monitored every 7-10 days. I have undergone my lipid profile, kidney function, liver function and thyroid tests a month ago and everything seemed normal. I'm not diabetic and it doesn't run in the family as well. I do have allergic rhinitis from so many years for which I have tried levocetirizine, montelukast and fexofenadine meds as and when required. Also take placida plus for anxiety issues. I'm just asking this out of curiosity.

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MD - Medicine, DNB Medicine, DNB - Card...read more

Cardiologist•Ahmedabad
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Hi curiosity is fine, but if you try googling each and every medication you will find something which your mind wants to find. What is best for you your doctors know better than you as the beta blockers which you have mentioned you have just googled them and have no idea regarding their efficacy potency or mortality benefit. You should know that not any beta blocker can be started as there is scientific evidence behind which one to start in a particular patient and this information sadly your go...more
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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 male, 42 years old from Lucknow
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DHMS (Hons.)

Homeopathy Doctor•Patna
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Hi, Lybrate user,
telma 40 contains "telmisartan" only but 'telma h 'includes "hydrochlorothiazide" with telmisartan, required to treat oedema of feet due to retention of fluid.
Moreover, you need to assess your physical condition, first to start telma h.
Tk, care.
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Asked for male, 33 years old from Visakhapatnam
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MBBS, MD - General Medicine, DM - Cardio...read more

Cardiologist•Kolkata
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Atenolol 200 is a quite high dose. Need to consult your cardiologist whether you really need it. Have a close monitoring of your heart rate.
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Dip. SICOT (Belgium), MNAMS, DNB (Orthop...read more

Orthopedic Doctor•Noida
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
Since it is a medicine prescribed by a general physician, it is best for him to answer on this although I can tell you that I am not aware of this side effect of telmisartan. Do not hesitate to contact me if you need any further assistance.
Asked for male, 5 years old from Visakhapatnam
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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measure BP once every month on fixed dates after resting for ten minutes. Suggest no change of medicines at present
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Asked for male, 41 years old from Srinagar
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C.S.C, D.C.H, M.B.B.S

General Physician•Alappuzha
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YOu can take losartan potassium hydrochlorothiazide if losartan potassium 50 mg is not available
Asked for male, 46 years old from Visakhapatnam
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DHMS (Hons.)

Homeopath•Patna
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Hello, To avoid any side effect of medication:
Go for meditation to reduce stress in order to nourish your body conditioning the heart and to regularise your  digestive system, as well.
Take, plenty of water ro hydrate your body.
Your diet be easily digestible on time to avoid gastric disorder that triggers BP & raised heart rate. Take, low fats fluid milk (calcium, Beet juice, Hibiscus tea, Pomegranate juice (angiotensit II), Cranberry juice (anti inflamation & antioxidant ).
Al...more
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BHMS

Homeopathy Doctor•Noida
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Lisinopril is used to treat high blood pressure. The first effects of lisinopril can be noticed within one hour, but the medication can take up to six hours to reach maximum efficacy.
Since when r you taking these medicines. Oedema will take some time to go. Sleep with leg raised above your heart level. It will help in swelling
hydrochlorothiazide belongs to a class of drugs known as diuretics/"water pills. It works by causing you to make more urine. This helps your body get rid of extra...more
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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do you check BP monthly after resting for 10 minutes? If not, do that for 3 months and then post situation. Continue BP medicine meanwhile
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