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Taking olmesar and tonact for blood pressure. Is it the right medication? - Online Doctor Chats

Date : 12-Dec-2013
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1218 Questions
Doctor:Good evening
User:Good Evening
Doctor:please proceed with your query
User:This query is regarding my husbands health
Doctor:ask me
User:he was having a BP of 160/95
Doctor:proceed further
User:He visited the doc & the medicines which were prescribed to him were olmesar h and tonact tg- cholestrol
User:He has been taking this for one year now
User:the bp as of now is 120/80
User:my first question is are these medicines fine
Doctor:that is good
Doctor:is there any problem now?
User:Actually my hubby stays in a different place and he had to travelquite a bit for the last 2 days
Doctor:may I know his age?
User:yes he is 43
Doctor:thank you
User:2 days back he went to sleep in the night and when he got up he felt giddy
User:then after sometime he had a bout of vomitting
Doctor:sorry about that
User:after that he was ok, but what he told me is that while getting up alone he was feeling giddy and not when he was asleep
User:he is definitely better today
User:but is feeling week
User:there is no giddiness or any other sympton.
Doctor:Did you get his blood pressure checked after that incident?
User:because he had a tendency for high bp and earlier on the cholestrol was earliet at 330
User:he had some doubts which he wanted me to clarify
User:he is going for the check up today
User:so i will be getting the fresh data on his BP today
User:this giddiness & vomitting are these stroke symptons
User:or can it be attributed to the journey
User:any other accompanying symptons that we need to keep a watch on
Doctor:giddiness can be the only symptom of stroke sometimes
User:Basically I am from vizag & he is due to come here by the end of Dec & we would be doing all test during that time
Doctor:See, hypertension itself is a disease that requires constant monitoring
User:actually for him work related stress is definitely not there
Doctor:his age is 43
User:but his parents are having bp& diabetic
Doctor:his cholesterol seems to be deranged
Doctor:is his overweight?
Doctor:does he have diabetes?
User:no he is not diabetic
User:overweight in the sense slightly might be but not on the heavier side
Doctor:May I know his current weight?
User:fluctuates between 79-82
User:and his height is about 5.9
Doctor:thank you
Doctor:His current medications are fine
User:actually he is having this tonact tg for the cholestrol to reduce the triglycerides
Doctor:yes, that is right
Doctor:both the medicines are perfect for him
Doctor:Please do continue the same
User:this weakness & gidiness should this be checked further or can we leave it as a one of incident
User:he is going for a BP check up today inany case
Doctor:he needs constant monitoring of his blood pressure together with lifestyle changes
Doctor:Please get his blood pressure checked
User:he is doing quite a bit of walking now
Doctor:This weakness and giddiness cannot be ignored
Doctor:Do you have a BP recorder at home?
User:no we dont
User:but we can get one
User:could it be that his bp would have gone quite low & hence the giddiness & weakness
Doctor:If it was due to low BP, it is fine
Doctor:However, if it was due to high BP, it is XXXXXXX
Doctor:can be recurring
Doctor:He needs constant monitoring of the same
User:ok fine
Doctor:I suggest you to get all the relevant investigations done freshly now
User:also do you advice any specific tests to be carried out
User:basically for the bp & also for the heart considering that trigly is high
Doctor:Lipid profile is a must
Doctor:This is very important
Doctor:Based on this report, we can order specific investigations
Doctor:Like a carotid angiogram or a CT brain
Doctor:Please keep a record of these events
Doctor:The frequency at which they occur is important as well
Doctor:If it does not recur, it is good
Doctor:Dizziness or headache, can be the only imminent symptom of a impending stroke
Doctor:Hence, it is better to be careful on these symptoms
User:ok fine
Doctor:You could purchase a digital BP Recorder for home purpose
User:this ct brain why is this required
Doctor:Any time you care in doubt, you could record the blood pressure at home
Doctor:CT brain can tell us about any fresh infarcts or clots or signs of stroke if any
User:ok fine
User:thanks Dr, nice of you to clarify my doubts
User:Have a Nice day!
Doctor:my pelasure
Doctor:pleasant evening to you
Doctor:Take care of your husband
Doctor:and take care of yourself too
Doctor:Bye for now
Doctor:Dr here again
Doctor:Do you have more queries?
User:This one is for me
User:basically i have heard about a product called positrim from nutralite
User:this is for reducing weight
User:is this an adviceable product
Doctor:I am sorry
Doctor:I have not used it or prescribed it for my patients
User:some one has been telling me so much about this
User:but i wanted a docs opinion on this one
Doctor:could you please let me know the contents of it, to suggest you specifically?
User:ok, i think i will need to get back to you
Doctor:any time
Doctor:any more queries for now?
Doctor:I shall close the chat window now
User:Soy Protein Isolate, Fructose, Fibre Blend, Vitamins & Minerals, Natural Chocolate Flavour
User:i just got the details
Doctor:I checked it as well
Doctor:You can take it though
User:Approximate composition per serving ( 53 g ) Energy 170 Kcal Energy from fat 15 Kcal Protein 15 g Total Carbohydrate 30 g Dietary Fiber 6 g Sugars 21 g Total Fat 2 g Saturated Fat 0.95 g Cholesterol 2.65 mg Vitamin A 0.96 mg Vitamin B1 0.60 mg Vitamin B2 0.50 mg Vitamin B6 0.70 mg Vitamin B12 2.10 mcg Vitamin C 21 mg Vitamin D 3.50 mcg Vitamin E 10.50 mg Vitamin K 28 mcg Folic Acid 140 mcg Pantothenic Acid 3.50 mg Niacin 7 mg Biotin 105 mcg Calcium 350 mg Iron 6.30 mg Magnesium 140 mg Phosphorus 350 mg Sodium 340 mg Zinc 5.25 mg Selenium 24.50 mcg Copper 0.70 mg Manganese 0.70 mg Chromium 42 mcg Molybdenum 26.30 mcg
Doctor:But I doubt the efficacy of the same in weight loss
Doctor:There are no clinical trials done medically to prove the effectiveness of the same
User:fine then probably then I should check with the dietician on a plan, to be followed
User:thanks Dr
Doctor:there are no harmful constituents in it though
Doctor:that would be ideal
User:ok thank you
Doctor:A healthy diet and regular exercise will help you
User:ok thanks
Doctor:Any more queries?
User:no, nothing else
User:thank you
Doctor:thank you too
Doctor:Bye for now
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