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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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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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You should not take any medicine without doctor's advice as it may be harmful.
Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
676 people found this helpful
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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MBBS, PGDCC

Cardiologist•Delhi
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Hi,
Yes Amtas AT is a more powerful antihypertensive than Metoprolol XL.
Amtas AT contain combination of 2 salts.
Metro XL has just a salt.
So I guess you must be having high BP even on Metro XL and that is why he changed to the new drug.
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Diploma in Cardiology ( Dip Card), Cal, ...read more

Family Practitioner•
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Ciplar la is non selective beta blocker having effect on heart, lungs, blood vessels etc. And so should not be used in asthmatic patients while metoprolol succinate is a cardioselective beta blocker that can be used in patients having asthma or peripheral vascular disease. Both can be used in chest pain or angina or irregular or increased heart beats but if used together they may cause side effects (esp if in excess dose) like nausea, vomiting, abdominal cramps or heart block. Metoprolol is used...more
Asked for male, 65 years old from Guwahati
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
I have seen the details mentioned. In fact it is absolutely essential for a person like you to take the Covishield vaccine to get necessary protection. Because of multiple co-morbidities that you have, can lead too serious problem if there is an exposure to the virus. So please go ahead and take the vaccine. Thanks.
Asked for male, 36 years old from Delhi
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Cardiologist•Mangalore
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It is a combination of two medicines. Telmisartan and cilnidipine. Both these medicines act by dilating your blood vessels. Telmisartan also helps your kidney and heart by various mechanisms.
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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M PHIL (Clinical Psychology)

Psychologist•Bhubaneswar
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Hello lybrate-user lal.
Start your day doing some exercises or yoga. If you are diagnosed as having seasonal affective disorder, getting outside particularly when the light is brightest can be beneficial to you. Eat well. Share your feelings with the closed ones and listen their feelings too. Practice mindfulness and relaxation exercises in your everyday life. As you are having problems in sleep, you must practice healthy sleeping habits like avoid taking caffeine before 6 hours of bedtime, ...more
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Asked for male, 59 years old from Darbhanga
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Yes metaprolol has some trigger effect for asthmatic patient .i hope during taking prescription with your doctor you told each and everything about the medical history of your father. As I knew doctor considered all these things but if you are having doubt then ask him. Without your physician's advice do't abruptly stop taking.
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