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I am a 40 years old male, weight: 51 kgs (ht. 5 ft 3 in). I am having high blood pressure since last 03 years. Presently under medication of cilnidipine 10 mg + nebivolol 2.5 mg once daily and my blood pressure is normal. But my serum uric acid often gets elevated for which I take febuxostat 40 mg. My cbc, lipid profile, liver panel, serum na, k values, fasting & pp bs, serum creatinine are all in normal range. Ecg impression is also quite normal, though 2d-echo shows mild left ventricular hypertrophy with diastolic dysfunction. My physician is advising me to switch to losartan 50 mg + cilnidipine 10 mg. What should be the best treatment for diastolic dysfunction/lvh? Should I switch to losartan-cilnidipine combination?


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