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Question: Hi i m 39 year old man and suffer from diabetes and high bp... I take istamet 50/1000 for diabetes and coversyl 2mg for high bp... Although diabetes is under control my bp still remains high like 170/95.. I measured today and realised..can you suggest if i can increase coversyl to 4 or 8 mg.. I hv been taking coversyl 2mg from almost 11 months now but it neverlowered my bp.. Please suggest.. I m also on a weight loss program and weigh 110 kg now.. Have lost 10 kg in last 3 months...please help
Also please suggest any alternatives which wont impact my erections...
Also please suggest any alternatives which wont impact my erections...
Brief Answer:
I would suggest that you let your physician take the decision.
Detailed Answer:
Thanks for asking on HealthcareMagic.
Although you have undergone some loss of weight already, there is still much weight that needs reduction. This extra fat is directly related to the conditons of diabetes and high blood pressure. Unless the weight comes under control, the control over these conditions would be temporary or none at all. However, irrespective of your weight loss, you would need to be on regular medication to keep the diabetes and blood pressure in control.
The choice of antihypertensive agents depends on a number of factors and there are a number of classes to chose from. There are guidelines and recommendations about how the dosage modification should be done. Hence rather than self medicating, I would strongly suggest that you discuss it with your treating physician. Besides, these are prescription medicines which cannot be prescribed through this platform.
Except for medicines like spironolactone, most of the anti-hypertensives do not affect erection. But once again, I would suggest that you let your physician take the decision. You can surely discuss it back here and I would tell you if that is appropriate.
Hope that you understand.
Regards
Dr. Kunal Saha
I would suggest that you let your physician take the decision.
Detailed Answer:
Thanks for asking on HealthcareMagic.
Although you have undergone some loss of weight already, there is still much weight that needs reduction. This extra fat is directly related to the conditons of diabetes and high blood pressure. Unless the weight comes under control, the control over these conditions would be temporary or none at all. However, irrespective of your weight loss, you would need to be on regular medication to keep the diabetes and blood pressure in control.
The choice of antihypertensive agents depends on a number of factors and there are a number of classes to chose from. There are guidelines and recommendations about how the dosage modification should be done. Hence rather than self medicating, I would strongly suggest that you discuss it with your treating physician. Besides, these are prescription medicines which cannot be prescribed through this platform.
Except for medicines like spironolactone, most of the anti-hypertensives do not affect erection. But once again, I would suggest that you let your physician take the decision. You can surely discuss it back here and I would tell you if that is appropriate.
Hope that you understand.
Regards
Dr. Kunal Saha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor, thanks.. I went to another doctor who asked me to change to eritel 40 mg and bp is coming down... Also he asked me to check my thyroid, lipid and cbc etc done... Now in cbc my mch is 24.4, mchc is 31.8, rdw is 15, wbc count is 13600...rbc count is 5.29.. Neutrophils is 80 and lymphocytes is 16.. Platelet count 269000... Blood sugar is fine cholestrol is also ok... Fatty liver grade 3 is there... Can you suggest please...
Brief Answer:
You could be having some infection. Discuss with your doctor.
Detailed Answer:
Thanks for writing back. Sorry for not being able to respond back earlier.
Overall the reports seem fine except for the fact that the total WBC and the neutrophil count is raised and could indicate infection somewhere. Your doctor needs to evaluate the source by clinical correlation and needs to prescribe antibiotics if he feels necessary.
Regards
Dr. Kunal Saha
You could be having some infection. Discuss with your doctor.
Detailed Answer:
Thanks for writing back. Sorry for not being able to respond back earlier.
Overall the reports seem fine except for the fact that the total WBC and the neutrophil count is raised and could indicate infection somewhere. Your doctor needs to evaluate the source by clinical correlation and needs to prescribe antibiotics if he feels necessary.
Regards
Dr. Kunal Saha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Oh okk.. But same test was done in may 2014 then reports were okk and wbc was 10600..
Brief Answer:
Please discuss with your treating physician.
Detailed Answer:
I found the WBC count on the higher side and so thought of asking you to discuss with your treating physician.
Please discuss with your treating physician.
Detailed Answer:
I found the WBC count on the higher side and so thought of asking you to discuss with your treating physician.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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