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Stopped taking Seloram for BP. Now BP below normal. What to do now?

some times my BP willbe 170/95 and normal some times since one month. before it ws normal. now I am 60 yeas of age. Last week I was adviced to take seloram 50/5 in the morning dailt. But unfortunately after taking for 3 days I found my BP is normal and I stopped without consulting my doctor. Yesturday night my BP was 180/100 and i took one seloram 50/5. today morning it is below normal is 120/75. What to do now?. Shall I take the tablet regularly now in the mornings from today? If I take the tablet now will the BP go down or it keeps normal?
Asked On : Sat, 3 Nov 2012
Answers:  1 Views:  678
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General & Family Physician 's  Response
Hello vpksu ,
greetings from .

I am Dr Sourav Chakraborty and i will be helping you with your query.

I do believe you should not stop your medication with out consulting your doctor and if need be you always get your medication revised from your doctor.

The medication by name " seloram " is an combination of two different antihypertensives namely metoprolol and ramipril and needless to say they really work well to control high blood pressure , however appropiate timing of the dose is absolutely essential.

You have not revealed how long you are suffering from hypertension and your previous medications for the same. You have also not disclosed your other co-morbid conditions that you might be suffering from .

Generally at morning , people do have lower blood pressure recording , specially just after getting up from bed. How ever it does catch up later in the day.

I would consider 110-120/80-70 within normal range if you are symptom less , but if you feel dizzy , nausea, vertigo then it is worrisome , consult with your doctor regarding same.

Please be careful about the possible side effects as metoprolol ( beta blocker ) one of the component in "seloram" is notorious for masking signs of sudden hypoglycaemia/decrease in blood sugar and hyperthyroidism. it can also cause sexual dysfunction . Do not take this drug in excess as it can cause fatal heart block, take it as prescribed.

If required he / she can change timing of your dose to control your blood pressure. For that we need to know your resting blood pressure recording other than the morning blood pressure recordings.

Consult with your doctor and arrange a timing which both comfortable for you and effective in controlling your hypertension.

Hope i have been able to help you, Take care.
Answered: Sat, 3 Nov 2012
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