Question 1

I'm dealing with high BP and hypertension for the past 1.5 years, and it's something my parents deal with too. I've been taking Telma 40 and Amlodac, and also Rosuvas. With my sedentary lifestyle and night shifts, I really want to know how I can eventually stop taking these medications. I dont want to rely on drugs forever. Can you provide some advice?

Accepted Answer

It's important to manage your high blood pressure and hypertension effectively to reduce the risk of complications. Since you have a family history of these conditions, lifestyle modifications are crucial. Here are some recommendations to help you reduce your dependence on medications: 1. **Regular Exercise:** Aim for at least 30 minutes of moderate-intensity exercise most days of the week. This can help lower your blood pressure and improve overall cardiovascular health. 2. **Healthy Diet:** Follow a diet rich in fruits, vegetables, whole grains, and lean proteins. Limit your intake of saturated fats, cholesterol, and sodium. 3. **Weight Management:** If you are overweight, losing even a small amount of weight can help lower your blood pressure. 4. **Stress Management:** Practice stress-reducing techniques such as meditation, deep breathing exercises, or yoga to help lower your blood pressure. 5. **Limit Alcohol and Caffeine:** Excessive alcohol and caffeine consumption can raise blood pressure. Limit your intake of these substances. 6. **Quit Smoking:** If you smoke, quitting can help lower your blood pressure and improve your overall health. 7. **Regular Monitoring:** Keep track of your blood pressure at home and follow up with your healthcare provider regularly to monitor your progress. While making these lifestyle changes, continue taking your medications as prescribed. It's important to work with your healthcare provider to gradually reduce your medication dosage under their supervision. They will be able to assess your progress and make appropriate adjustments to your treatment plan.

Question 2

I'm really concerned because my HDL is pretty low at only 29. My cholesterol is 100, triglycerides are 101, LDL is 55, and VLDL is 29. I'm wondering if there's any medication I can take to boost my HDL levels, or if it's okay to be at this level. I've attached my lipid profile reports and I'm hoping to get your opinion on whether everything looks alright or if there's anything I should be worried about. How can I improve my lipid levels further? Just for context, I'm 34 years old, weigh 83 kg, and am 5'7". There's no history of heart disease in my family, although my father does have diabetes. Could you please give me detailed advice on this?

Accepted Answer

Based on your lipid profile results, your HDL level is indeed low at 29. To improve your HDL level, you can consider taking Niacin (Vitamin B3) at a dosage of 500-2000 mg per day. Additionally, incorporating regular exercise, maintaining a healthy weight, and consuming a diet rich in fruits, vegetables, whole grains, and healthy fats can also help improve your HDL level. Your total cholesterol level of 100 is within the normal range, which is good. However, your triglyceride level of 101 is slightly elevated. To lower your triglyceride level, you can take Omega-3 fatty acids at a dosage of 1-4 grams per day. It is also important to limit your intake of sugar, refined carbohydrates, and alcohol to help lower triglycerides. Your LDL level of 55 is optimal, and your VLDL level of 29 is within the normal range. Overall, your lipid profile is generally good, but there is room for improvement in your HDL and triglyceride levels. In addition to medication and supplements, lifestyle modifications such as regular exercise, maintaining a healthy weight, and following a heart-healthy diet can further improve your lipid profile. It is also important to avoid smoking and limit alcohol consumption for overall heart health. If you have any further concerns or questions, feel free to ask.

Question 3

I've been on Amlodipine 5mg for a couple of weeks and have started feeling tightness in my chest and like I might faint. I've had hypertension since taking Telmikind AM twice a day and I'm also on Norethisterone 10 mg. I'm really concerned about these symptoms. Could these medications be causing these side effects, and what should I do about it? Would really appreciate some guidance here.

Accepted Answer

"Based on your symptoms of tightness in the chest and fainting, it is possible that you are experiencing side effects from the Amlodipine and Telmisartan combination. These medications are commonly used to treat hypertension, but in some cases, they can cause adverse reactions. I recommend that you consult your healthcare provider to discuss alternative medications for your high blood pressure. It is important to address these symptoms promptly to avoid any complications. In the meantime, you should also monitor your blood pressure regularly and avoid any activities that could be dangerous if you experience fainting spells. I don't know the specific medication that would be suitable for you, as it would depend on your individual health profile and any underlying conditions you may have."

sometimes blood pressure increases because of pain also. repeat your blood pressure,and monitor it

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