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Tripinom 40mg/5mg Tablet Health Feed

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.
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MBBS

Internal Medicine Specialist•Chikodi
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Hello Mr. lybrate-user, follow the following routine for better control of your hypertension. 1) lifestyle modifications: yoga/exercise with diet rich in green leafy vegetables and healthy fats. 2) a routine night sleep at least 6-8 hrs
3) pharmacotherapy: currently you are on olmesartan 20 mg. Keep recording your bp once in every 15 days
4) connect with your doctor if you are symptomatic (headache, blurred vision, palpitations).
37 people found this helpful
Asked for female, 35 years old from Hyderabad
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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 learn that you have Hypothyroidism and hypertension. But there is absolutely no mention of necessary details like T4, T3 & TSH levels, BP readings, dosage of Levothyroxine being taken and also dosage of other drugs taken. Without any of these details, it is difficult to give any opinion.
In pregnancy first choice drug for hypertension is Methyledopa, then Labetolo and Nifedipine. Olmesartan is contraindicated.
Plus if yo...more
Asked for female, 80 years old from Hyderabad
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Post Doctoral Research (Ph.D.) (A.M) (On...read more

Alternative Medicine Specialist•Bhubaneswar
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Hi lybrate-user,
I appreciate you seeking help for your mother. Well, her hypertension needs to be controlled as otherwise it can damage the kidneys. I would advise that you consult a nephrologist who can monitor not only her kidney health but also recommend treatment as appropriate to control high BP. Long term usage of analgesics are best avoided. She can apply 'Rumalaya Gel' topically 2 to 3 times daily, followed by heat treatment for 15 - 20 minutes, preferably with a hot water bag or he...more
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Asked for male, 61 years old from Kolkata
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Diploma in Cardiology ( Dip Card), Cal, ...read more

Family Practitioner•
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Though olmezest can be safely given at gfr > 40 ml/min, in view of the increased serum creatinine level especially if dehydration cannot be excluded, it is safer to prescribe amlodipine/ clinidipine or combination drugs.
Asked for female, 56 years old from Mumbai
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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There is tendency for temporary weakness when BP is treated effectively. Weakness should normalize soon. You have amlodipine in both your combination pills. Not a problem but your Dr. should make note of same. Do not change to olmi 20 + H at present. Olmisartan is similar to coversyl. I will be too strong when combined with other medicines.
Triglycerides 196 is due to sugar and starch in diet. Change to balanced traditional diet. It is much healthier that the modern restricted diet. Best wis...more
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DM - Cardiology, MD - Internal Medicine,...read more

Cardiologist•Delhi
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In some individuals , amlodipine can cause swelling in the feet . Stop amlodipine and ramipril and start tab olmezest H 20mg once daily .. Hope the swelling goes . You should consult after one week of change in medications
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Asked for male, 49 years old from Bangalore
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"Hi, The Following Is My Test Results, Please Advice: Ultrasonography Of Abdomen & Pelvis Liver: Enlarged In Size Ms. 16. 7 Cm & Moderate Diffuse Increase In Echotexture. No Focal Lesions. Intrahepatic Venous & Biliary Radicals Are Normal. Mpv & Cbd Are Normal. Gallbladder: Partially Distended. -?Post Prandial Status Pan Creams: Head, Body & Tail Normal In. Outlines & Echotexture. Mpd Is Not Dilated. No Calculi/Masses. Spleen: Normal Size, Shape & Echotexture. Hilar Vessels Are Normal. No Focal Lesions. Kidneys: Both Kidneys Are Normal In Size Rk113X24 Mm Lk123X24 Mm No Calculi/Hydronephrosis. Both Kidney Shovvs Increase In Cortical Echoes Urinary Bladder: Well Distended. No Calculi/Masses. Wall Thickness Normal. Pre Void - 456 Cc Post Void - 64 Cc Prostate: Enlarged In Size & Normal In Echogenicity. No Focal Lesions Vol -40 Cc. Rif: No Obvious Evidence Of Appendicitis No Ascites /Adenopathy. Aorta & Ivc Appear Normal Impression: - Mild Hepatomegaly With Grade 11 Diffuse Fatty Changes - Bilateral Grade I Renal Parenchymal Changes - Grade Ii Prostatomegaly With Significant Post Void Residue Volume I Am On Bp Medication: Olmesartan10 Mg. Amlodipine 2.5 Mg. Hydrochlorothiazide: Half Of 12. 5 Mg Tablet. Mild Exercise. Sitting Job. Drink A Little."

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MD - Homeopathy, BHMS

Homeopath•Pune
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Bilateral Grade I Renal Parenchymal Changes - This is the only thing of concern. Consult the doctor who is giving you meds for Hypertension. He will give medication that will protect the kidneys too.
I assume you mean Grade 1 fatty liver which is ok........Grade 11 fatty liver doesn't exist.
Asked for female, 49 years old from Bhiwadi
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
I am sorry to hear about your concern but will be happy to assist you.
The diastolic reading, or the bottom number, is the pressure in the arteries when the heart rests between beats. This is the time when the heart fills with blood and gets oxygen. A normal diastolic blood pressure is lower than 80. A reading of 90 or higher means you have high blood pressure.
Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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