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High BP. Low in sodium and potassium, lymphosytosis, difficulty in sleeping. Advised metpure xl with olmesar. Suggest

i m 63yrs having high BP. medication nebicard 5mg with olmesar 20mg BD and natrilix sr 1.5. now my clinical test shows lower sodium and patasium BP range after medicine 140-150/80-100 with pulse rate 55-65. My dr has now advised to stop nebicard and natrilix and to start metpure xl 25 with olmesar 20mg BD. i have sleepless nights and lymphosytosis.
Asked On : Wed, 24 Apr 2013
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Internal Medicine Specialist 's  Response
Dear friend, welcome to Healthcaremagic!
I am Dr. Prasad Akole (Critical Care Expert- and am glad to address to your query here.

Low sodium and potassium can occur due to Natrilix (indapamide) which is a water-pill.
It has been rightly stopped.
Your BP needs better control. Metpure XL is a good alternative in addition to olmesar.
Low sodium and high BP may cause restlessness, abnormal behavior, sleeplessness etc.
Recheck sodium and get evaluated again by your doctor. Sodium should not go down too much toward 120 where risk increases.

I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at
Good Luck!

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Answered: Sun, 28 Apr 2013
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