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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Safe Are These Following List Of Tablets For BP?

my brother has been detected to have high BP since a month.220/100....200/100....180/100 etc...on advice of the doctor ECG , 2D echo ,kidney and heart angiogram was all done and the result was that it is all normal.

now he has been adviced to take the following tablets:

Tab.Biselect 5mg 1-0-1
Tab.Eritel 40 mg 1-0-1
Tab Moxcent 0.2 mg 1-0-1
Tab Amlong 10 mg 1-0-1

our question is ...is all these tablets needed to control BP? has he been adviced properly or is he taking more than it is needed?

now after taking the above for a fortnight his BP has come down to 160/90...140/90... but his pulse also has come down to 75 and he is having swollen feet....
Tue, 20 Jun 2017
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General & Family Physician 's  Response
Hello, Thanks for posting your query on Healthcare Magic...
* Brief Answer: your brother blood pressure needs more control.multiple drug strategy may be needed in some cases to control blood pressure.
*Explanation: My opinion is that in your brother case , he is managed perfectly, first his doctors tried to exclude other causes of secondary hypertension by investigations , then started management. normally we as doctors start with one or two drugs and escalate accordingly , increase the dose or shift to other medication. your brother blood pressure still high though, 160/90 is a high number if multiple blood pressure readings support that . lower limb edema may be a side effect of Amlong, heart rate is normal , nothing to worry about.
I suggest my patients the following : add a diuretic in resistant cases of hypertension, Lasix or another diuretic . that would help a lot. also complete the investigations to exclude causes like pheochromocytoma or other endocrinal causes.

The information provided by you is not sufficient to provide a good opinion.
If someone comes to me with this condition I would ask them about other diseases like diabetes .also if a smoking history is present.lipid profile is needed to assess hyperlipidemia and atherosclerosis
*Conclusion: I suggest you ask your brother physician about benefit of adding diuretic to the medications .or decrease the dose of Amlong.

If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish your brother good health.
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How Safe Are These Following List Of Tablets For BP?

Hello, Thanks for posting your query on Healthcare Magic... * Brief Answer: your brother blood pressure needs more control.multiple drug strategy may be needed in some cases to control blood pressure. *Explanation: My opinion is that in your brother case , he is managed perfectly, first his doctors tried to exclude other causes of secondary hypertension by investigations , then started management. normally we as doctors start with one or two drugs and escalate accordingly , increase the dose or shift to other medication. your brother blood pressure still high though, 160/90 is a high number if multiple blood pressure readings support that . lower limb edema may be a side effect of Amlong, heart rate is normal , nothing to worry about. I suggest my patients the following : add a diuretic in resistant cases of hypertension, Lasix or another diuretic . that would help a lot. also complete the investigations to exclude causes like pheochromocytoma or other endocrinal causes. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other diseases like diabetes .also if a smoking history is present.lipid profile is needed to assess hyperlipidemia and atherosclerosis *Conclusion: I suggest you ask your brother physician about benefit of adding diuretic to the medications .or decrease the dose of Amlong. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish your brother good health.