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Temmy Plus 40 Mg/5 Mg Tablet Health Feed

Asked for Male, 79 years old from Delhi
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MBBS, MS- General Surgery, MCH- Urology,...read more

Urologist•Mumbai
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Asked for female, 56 years old from Mumbai
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Hello doctor, I am 23 years old male and around 8 months ago, in my blood test I found high levels of creatinine and uric acid amd high blood pressure of around 170/90, then I went to kidney specialist and he prescribed febuxostat 40 mg for 3 months, and relmisart 40 mg twice a day 1-0-1, with amlodipine 5 mg once a day 1-0-0, now its been 6 months I am eating these, and stopped fexanto, and now due to lighten, from past 1 week, I am checking my blood pressure at home, so it is normal 115-80, hence now, can I reduce my dosage of telmisartan 40 mg to once a day, 1-0-0 and increase amlodipine dosage to twice a day, 1-0-1.because I have heard that telmisartan declines kidney function and is not good for kidneys for long term use. Ps: I cannot visit kidney specialist doc as he is stuck out of india because of cavity 19 lockdown. Please help me out with a detailed reply.

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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 given. I do not know from where you have gathered the information about Telmisartnan causing "kidney damage". In fact these group of drugs (ARBs) and ACE- Is are considered safest of blood pressure reducing drugs. Since your BP is well controlled, there is no reason to reduce the dosage. Telmisartan is shown to reduce proteinuria and help improve Glomerular Filtration Rate (GFR), which an indication of kidney function. Thanks.
Asked for male, 65 years old from Ranchi
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MRCGP

Family Practitioner•Hyderabad
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Please continue amlodipine same 5 mg dose as your bp is just controlled. People with diabetes need strict control of bp as high bp and diabetes both can cause proteinuria (protein leak in urine). Infact, get urine albumin/creatinine ratio to check for proteinuria. Reduce salt intake and watch your weight.
Please call me if you have any further queries.
Thank you.
Asked for male, 72 years old from Kolkata
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MBBS, DNB ( Med), PhD - Diabetes med, FR...read more

Internal Medicine Specialist•Kannur
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Sir
since you are on tripple combination and telista ch already purchased separate 5 mg amlodepine can be taken along with telistach. Since contain diuretic with telmisartan can be taken in the morning along with amlodepine. This three medicine include different class given in uncontrolled hypertension. Since you are 72 years ocasional andsodium and potassium and may be tested. This combination are relatively safe drugs.
104 people found this helpful
Asked for male, 60 years old from Pune
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This is a followup question for Dr. Anunai shrivastav who answered my question recently. He suggested to stop ramipril and take olmesartan 40 mg. Thanks for that. I will be obliged if he can tell me, if I can take telmisartan 40 mg which is consumed by my wife and is readily available with us. I can try that for a week if doctor has no reservations. Advice if amlodipine also can be continued with telmisartan. For olmesartan 40 mg ,i do not have prescription. I paste below my earlier question for reference as below:- I am diabetic on insugen 30/70 refill injection, glycomet gp2, ppg 0.3 mg and other drugs. I am also hypertensive on ramipril 5 mg and amlodipine 5 mg. My query is related to hypertension and not on diabetic problem. I am taking the above medicines for last 5 years on hypertension but my hypertension is more than 160/75. It shoots to 175 frequently. I began treadmill jogging exercise for 1 hour every day and then hypertension reduces to about 150/72. If I do not jog for 1 day, hypertension goes back to 160/170. I am consuming ramipril 5 mg + amlodipine 5 mg everyday, once before lunch. The hypertension is not at all reduced with these drugs but only by jogging. I am 60 years old and jogging for 1 hour is very strenuous, leading to knee pain frequently. Suggest replacement drugs for hypertension.

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MBBS, MD(medicine) DNB(cardiology)

Cardiologist•Surendranagar
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Mr. lybrate-user
best medicine to control blood pressure is exercise as you realize. As of now your blood pressure menu is having space to either increase dose or add one more drug. Here I will suggest to add one more drug chlorthalidone 12.5 mg.
1141 people found this helpful
Asked for male, 67 years old from Gurgaon
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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Mr. lybrate-user, Thanks for the query.
The values of blood glucose mentioned show that diabetes is fairly controlled. Ideally fasting should be <100 mg, PP 160 to 170 mg & HbA1c%<7. As regards BP systolic should be a bit lower, closer to 130 mm. And diastolic closer to 80 mm. TGL level is high. We may have to give a closer look at all the drugs and see if anything can be improved. By simple modifying the lifestyle almost everything can be corrected. Regarding TGL some drug may be required. ...more
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