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Having joint pains and loss of energy after changing BP medication - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2248 Questions
User :   hi
User : here.
User :   please proceed with your health query
User :   Sir , previousely i was taking Tenormin 25 but since jan 2010 my doctor divert me on Met xl 50 . is it correct
User :   what is your recent blood pressure reading?
User :   after taking tablet 130/80
User :   ok. what were the readings when you were on Tenormin?
User :   same
User :   are you having any current symptoms at present?
User :   but i was feeling very tiredness at evening time daily
User :   ya since 3 month i suffering pain at back side of right knee
User :   ok.
User :   when is the pain worse?
User :   at evening but not so hard
User :   please rate the pain intensity on scale of 1-10 with 10 being highest
User :   3
User :   the change of medication to Met xl 50 is fine. are you feeling tiredness in evening still after medication change?
User :   no
User :   but solder pain and knee pain started as i think
User :   right side solder and left side knee
User :   ok. did these start after the change in medications?
User :   yes
User :   i want to knwo it may side effect of this medicine or its as usally paid
User :   pain
User :   it can be both.
User :   my age is 48 how long i should take this medicine
User :   you will need to go ahead with further consultation and tests
User :   what type of test
User :   BP medication has to continue unless BP is controlled well
User :   before 9 year doctor given me 3 month neomercazole
User :   for the pains and joint related issues you will need orthopedic examination and x-rays to look for changes in joint
User :   is met xl 50 is ok or should i go telday as other doctor advise me
User :   the BP medication can be tapered to lower doses based on your response, if BP continues to be in good controll, your doctor can slowly stop it
User :   along with medications you will need diet changes and exercises to help you with good controls.
User :   i am doing yoga daily
User :   ok. avoid assanas that cause the blood to go more in brain
User :   assanas ?
User :   more than yoga, you will need regular physical exercises
User :   what assanas
User :   and cardio workouts to keep yourself fit and fine.
User :   but i feeling weekness daily at evening and at the time of wake up morning
User :   in yoga, asanas are involved, and you should avoid the yogasanas that can cause more blood supply to brain, causing rise in BP and intracranial pressure
User :   any other medicine for energy u advice please alongwith met xl 50
User :   please advice
User :   you can go ahead with Taking Tab Supractive once a day after lunch
User :   supradyn
User :   continue it for 2-3 months if you feel better in 1 week
User :   Supradyn is also fine
User :   wait i am rechaging
User :   you can take either one of them
Doctor :   ok
User :   sir can u suggest me alternative medicine of met xl 50
Doctor :   Hi This is Dr Anvekar here
Doctor :   give me a minute, while i go through your chat history
User :   ok
Doctor :   So now, from your history, are u interested in changing the medicine Met xl 50 ?
User :   if better than met xl 50
Doctor :   met XL 50 is a good drug, and keeps a constant level of drug in the body
User :   should i change or not
User :   ok
Doctor :   no u dont
User :   thanks sir
User :   what about pain in back side of left knee and right solder
Doctor :   at age of 48, there will be minor pains and aches
User :   sir can i reduce met xl 50 to met xl 25
Doctor :   you can apply heat bags and that will sooth the area
User :   i am using Mahanarayan oil . is it ok
Doctor :   also, if the pain is not tolerable, you can take some crocin or brufen
Doctor :   the oil is ok, and a deep massage will be good
User :   sir i am taking met xl 50 . hou long diffrence i should sex with partner
Doctor :   there is no such time needed
User :   ok thanks sir
User :   i mean once in week or once in month
Doctor :   this is completely not related at all
User :   before 5 year i operated piles as ayurvedic system . that time my rectal stonised i used anal dialater
User :   but still i have problem at the time lavatory
Doctor :   so u have something protruding when u defecate
Doctor :   do u have any constipation
User :   some times but alternatively i use Sat Isabgol with hot milk
User :   is it ok
Doctor :   yes
User :   sir r u there ?
Doctor :   are u there ?
Doctor :   definitely, fibre supplements like isabgol is good, if u have constipation
User :   hello
Doctor :   there was a connection error
User :   sir hou long i have to take Met xl 50. life long or it can be stop with yoga
Doctor :   but please tell me if u have something protrusion during defecation?
User :   at present i am 48
Doctor :   it depends on, how u manage your BP
User :   hou can i judge
Doctor :   Regular monitring, diet change, salt restriciton, physical excercise are all needed
Doctor :   to have a good BO
Doctor :   *BP
User :   what happend if i mis one day tablet
Doctor :   ALSO reducing stress in life is also good
Doctor :   missing one day, will not cause much issues
User :   some time i forget met xl 50 at daily time can i take the same dose after 5 or 6 hour
Doctor :   but long term missing will cause end organ damage and long term issues like stroke, heart attacks, if not controlled
Doctor :   yes, you can take it as soon as u remember
User :   can i take after 8 & 10 hour also sir
Doctor :   also, make sure that u make it a habit, that you have the pill once you begin to have your breakfast or before it
User :   some time i forget at morning can i take at the night
Doctor :   please dont make it a habit to keep forgetting
Doctor :   either you have it in the morning or in the evening , but make it a habit, not to forget it
User :   no no sir once or twice i forget that time i cant decide i should take or not
Doctor :   write it down, that u need to take the pill, at a important place - like the kitchen or refrigerator or the XXXXXXXX place or anywhere u lik e
User :   the pain at knee and solder is may me artirist
Doctor :   also, its ok to take the pill any time , soon, when u remember
Doctor :   it could be arthritis , but you dont have to worry about it ,
Doctor :   excercise, heat application , and pain killers (NSAIDs) will help very much
User :   sir before 9 year doctor given me Neomercazole for three month should i again check T3 T4 TSH
Doctor :   i hope u have understood my advice
User :   BP reason may be throid also sir
Doctor :   do u have any symptoms ?
User :   some times vibration of body , some times when work load excess as i am chartered accountant
Doctor :   no, hyperthyroidism, could be cause higher BP, but there are other symptoms as well
Doctor :   met XL 50 is good, for that as well
Doctor :   as it reduces body tremors as well
User :   when i get angry than also my body start vibration like hand and legs
Doctor :   thats a normal version of stress related anxiety symptoms
Doctor :   no need to worrry about it
User :   should i require any medical test for the same
Doctor :   just try not to get angry, or try to calm down
User :   can i take a print out of this chat
Doctor :   anger leads to higher BP, more often
Doctor :   yes ,
Doctor :   you can copy the whole chat history onto a word document and then print it out
Doctor :   also, you can send a copy of the chat transcript to your email and then print it as well
User :   i dont have any complication in my TMT other than BP
Doctor :   the more u relax, the quicker will the BP reduce and u will free of medicines
User :   that time Bp was 210 higher
Doctor :   during the TMT, its normal for BP to increase
User :   i am very worried about so early start of medicin for life time
Doctor :   the 5th decade is the most common age, when people get to ahve a high BP
User :   Thanks sir
Doctor :   ALSO, there are people in their 20s that have BP
Doctor :   you are welcome
User :   hou can i get free from stonised anal
User :   it may be cause problem in further life
Doctor :   can u tell me what u mean by that ?
Doctor :   stonised anal?
Doctor :   if u mean, constipation and piles,
User :   constipation
Doctor :   you need a physical examination, and then determining, whether it can be corrected by surgery (for piles) or natural means
User :   if i have solid than i problem to pass it
Doctor :   constipation - try laxatives available OTC, which will help u
User :   that time i have to extra pressure for pass it
Doctor :   laxatives are good - take TRULAX one capsule
Doctor :   after dinner
User :   hou long i can take laxatives
Doctor :   and this will help your constipation
Doctor :   as long as u ahve the issue
User :   Trulax one daily
Doctor :   yesz
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