Hey, so I noticed this red spot on my foreskin a couple of weeks ago. It wasn't itchy at first, but now it seems like it's spread around my penis and it's started itching. I'm really worried it might be an STD or something. Any idea what this could be?
Telsartan 50 to Amlip 5:_
The change from Telsartan (an angiotensin receptor blocker) to Amlip (Amlodipine, a calcium channel blocker) might be due to:
1. Different mechanism of action
2. Potential side effects or intolerance
3. Dosage adjustments
_Possible Reasons for Uncontrolled BP:_
1. Inadequate dosage or frequency
2. Resistance to medication
3. Lifestyle changes (diet, exercise, stress)
4. Underlying medical conditions (kidney disease, sleep apnea)
5. Secondary hypertension (e.g., adrenal gland issues)
_Recommendations:_
1. Schedule a follow-up appointment with her doctor.
2. Monitor BP regularly (home monitoring or clinic visits).
3. Encourage lifestyle modifications:
- Balanced diet (low sodium, high potassium)
- Regular exercise (walking, yoga)
- Stress reduction (meditation, deep breathing)
- Adequate sleep (7-8 hours)
- Smoking cessation (if applicable)
4. Consider additional testing:
- Electrocardiogram (ECG)
- Echocardiogram
- Kidney function tests
- Hormone level checks (e.g., aldosterone)
_Potential Adjustments:_
1. Dosage increase or decrease
2. Combination therapy (adding another medication)
3. Alternative medications (e.g., beta blockers, diuretics)
4. Lifestyle coaching or counseling