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Natcocil-M Tablet Er Health Feed

Health Query

My echo reveals LA of 49 mm with EF of 68% with normal valves. Is this matter of concern. My bp is 130/85 am on Telma H 40 and metoprolol 12. 5 mg bd.

Dr. Rajiv Bajaj95%(3025 ratings)

MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi

Probably nothing much wrong if you are able to do all activities normally, but get another echo check next year from a different centre.

Asked for male, 45 years old from Bangalore

I am hypertensive and diabetic type 2 I take Metoprolol with Telmisartan in the morning and Enalapril at night, I use to drink alcohol before and stopped from a year now, since I had rapid heart beat and anxious persona I preferred beta blockers but when I took Atenolol I find it cool but my doctor gave me Metoprolol vs Atenolol, Metoprolol gave me vivid dreams and disturbed sleep can I have a good advice please My creatinine levels are 1.54 now after re check its 1.23 any good suggestion please I take Tenglyn M 1/2 + 1/2 for diabetes.

Dr. Rajiv Bajaj95%(3025 ratings)

MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi

Enalapril and telmisartan should not be combined. Atenolol causes less sleep disturbances than metoprolol. They have never been directly tested versus each other, take the one that you find better.

Asked for male, 25 years old from Meerut

I am 59 years old having ckd with hypertension. My latest test reports says that my s.creatinine - 0.76,bl. Urea-57, haemoglobin - 8.10, serum potassium-4.9 and serum sodium-141 and urine test were as follows. Albumin - 4+ and rbc-10-12 sugar - nil crystal- nil casts - nil pus cell - 0-2 and epithelial cells-nil. My blood pressure remains 135/80 always. I measure it every 4 hours at home but it remains in the same range 130-35/75-80. I am prescribed following medicines 1. Tablet cilnidipine 10 mg once daily 2. Tablet zytanix 2.5 mg twice daily 3. Tab. Dytor 20 mg twice daily. 5. Tablet atorva-e 10+10 mg once daily but I am depressed with the increasing proteinuria even after treatment from calcium channel blocker and diuretics combination. Two months before my albumin in urine was - + only but now its 4+. Earlier I was taking azilsartan 80 mg + amlodipine 5 mg but these drugs caused hyperkalemia so my doctor stopped it as my serum k was 6.4. He switched me to cilnidipine but since then my urine albumin has increased but bp control is better than azilsartan + amlodipine combo. So my question is does cilnidipine controls proteinuria or not? Do I need arb or acei class for controlling proteinuria or this 4th gen ccb (cilnidipine) will work for it. My doctor is not in favour of arb and acei class as it may cause hyperkalemia again. So please suggest should I continue with cilnidipine. If yes please suggest best medicine to bring down the urine albumin to minimum levels. Please help as I am very much depressed after seeing my results .also severe edema is there due to protein loss. Please help. I beg.

Dr. Kiran Kumar Poonaganti Kumar88%(77 ratings)

MS - General Surgery

General Surgeon•

Your doctor did a good thing cilindipine will reduce protenuria but will take time to recover you need to give time for any drug.

Asked for male, 58 years old from Bhubaneswar

My blood pressure remains 130/70. I am taking metosartan 50 at morning and nexovas 20 at night. Shall I change medication as I am feeling extremely week?

Dr. Rajiv Bajaj95%(3025 ratings)

MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi

Metoprolol telmesartan cilnidipine, 3 medicines. Probably over medication. Bp control requires discipline. Measure bp only once every month on fixed dates after resting for 10 minutes. Any other way of looking after your bp is unhealthy.

Asked for male, 30 years old from Bankura

Doctor I have high blood pressure. For the last 10 days I feel lightheadedness when I stand up from lying or sitting. I feel dizziness. My blood pressure I almost 130-132/90. In the month of july 2020 I visited a cardiologist. He prescribed me some medicine. One medicine is telmisartan 40 mg and metoprolol succinate 25 mg. But since then I am taking only telmisartan 40 mg. I had not taken metoprolol succinate 25 mg. And till now I am not taking metoprolol succinate 25 mg. Only taking telmisartan 40 mg continuously. Never miss a dose. I was fine but last 10 days I feel dizziness. Most of the time stiffness in neck. Light heavy head. My weight is 71. I regular exercise. Walk 8 km everyday with speed. Do cycling when I miss walking. please doctor suggest me. What medicine should I take?

Dr. Karuna Chawla95%(121284 ratings)

BHMS

Homeopathy Doctor•Noida

You should have taken all the medicines prescribed by your cardiologist. Now it's better you meet him/ her n take medicine according to prescription.

165 people found this helpful

Asked for Male, 54 years old from Davanagere

I am 52 years, hypertension since 20 yeas, obese, foetal Oedema, Drugs using for hypertension is olmesartan 40 bid, chlortalidone once a day, selinadepine tab, once a day, metoprolol 50 xl at night. Worried about feet oedema.

Dr. Shaikh Swalehin Bux91%(2941 ratings)

MBBS, MD-General Medicine, DM - Cardiolo...read more

Cardiologist•Secunderabad

If blood pressure is not controlled after taking three or more drugs then it may be matter of concern. You should follow lifestyle measures rigorously to complement medicine. Loosing some extra kilos also part of it. Ask your docor to look for any missing factors like kidney problem or painkiller use etc.

Asked for male, 28 years old from Thane

Hello, I am from india. Age 28 unmarried male. Diagnosed with hypertension since 2012. Taking medicine metoprolol succinate 25 mg (met xl 25) and Escitalopram oxalate 10 mg (Rexipra 10. I want to leave both medicine. Please suggest what to do. And im not show any Dr. last 2 yrs.

Dr. Ambadi Kumar94%(9988 ratings)

MD, Fellowship in Intergrative Medicine,...read more

Integrated Medicine Specialist•Kochi

Excellent you do not need any medicine for these 3 conditions you have because they are lifestyle issues and they are interrelated also. They never need medicines .They need education and lifestyle changes only.
All these medicines which you were taking will cause more serious diseases .Please read about the long term side effects of these drugs and you will go into more depression
Hypertension is a lifestyle disease which needs only lifestyle solution and education about the disease and...more

Health Query

My blood pressure is 140/90 and sometimes 150 systolic and my gp has prescribed metoprolol 50 mg xl. Since 5 days i'm taking this drug and there is no impact on bp. I do not have any history of her or hypo thyroid, neither have any cardiac history and kidney disease. My bsf remains 95 and I am 40 years old what should I do now?

Dr. Kunal Raj Gandhi93%(412 ratings)

MBBS, MD - General Medicine, DM - Nephro...read more

Nephrologist•Delhi

Will need to add 1 more medicine for bp. Like amplodipine or telmisartan as per your treating physician.

Health Query

Male, 56 years old TMT - mildy positive Hypertensive and diabetic metformin 500 mg Ramipril 2.5 mg rosuvastatin + aspirin Metoprolol succinate 25 mg Have not gone through angiography what action should take further for my better health, as I am on medication since 10 months.

Dr. Nishith Chandra92%(747 ratings)

DM Cardiology

Cardiologist•Delhi

Dear, You have two major risk factors for heart disease, hypertension and Diabetes. In addition, if you have a Positive TMT, I would advise you to undergo an angiography, just to find out what caused positive.

93 people found this helpful

Asked for male, 63 years old from Lucknow

I had angioplasty in 2005. I have been taking metoprolol 100 XR at night for BP control. Since I had sleep disturbances during the night I reduced to 50 mg XR at bed time. Early morning BP is 120/80 as it was with higher dose. Should I continue with 50 mg. It has already been 6 days when I reduced. Thanks.

Dr. Rajiv Bajaj95%(3025 ratings)

MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi

You should continue 50. Check BP monthly on fixed dates after resting for ten minutes. You may require dose adjustment later. Best wishes.

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