Telmisartan dose
Common Questions and Answers about Telmisartan dose
micardis
I am on these medicine for last 15 years except Telmisartan which i am taking for last one year and have reduced dose of Atenolol from 50 mg (BD) to 25 mg (OD)
PLEASE HELP.
IS THERE ANY SIDE EFFECTS TAKING COMBINATION OF TELMISARTAN &AMLODIPINE FOR LONG TIME
My bp immediately went up so he had me resume full dose and instead cut cardizem in half. That was about 4 days ago. It seemed to be working ok until last night.
At 8:30 p.m. bp was 108/67. I woke up around 2 a.m. with a headache on back right side of head plus shoulder pain. I have fibromyalgia so assumed it was from that. By 4 a.m when I took my dog out I decided to check bp. It was 190/106 heartrate 83. I take my meds at 5:30 a.m. so laid back down and retook bp before I took meds.
I am 33 year male having hypertension from 3 years taking telmisartan 40 mg from last two years.Now my bp is under control comes under 130/85. I had urine albumin excretion test three times result shows between 100 to 75 mg/dl albumin excretion ( 24 hour urine albumin test on submission of around 1.5 liter urine).The normal values shows in lab report is up to excretion of 150 mg/dl/ .My serum creatinine level comes between 0.8 to 1.0 and urea under 20.
Your creatinine is still high because you likely have chronic kidney disease from the hypertension. The Telmisartan-HCTZ that was given will not make your creatinine low, it is to treat your hypertension and prevent further damage to your kidneys. It is also possible you have some protein in your urine which the Telmisartan helps to reduce. Also, Telmisartan can cause a slight increase in your creatinine but it is usually not a very significant increase.
p in my 19 14mnths bck at that time my b.p was 230/124 its over 200 fo 3 days then i started using telmisartan 40mg nd meoprolol 25mg bt my bp ranged 150-160/104-115 fo 8 mnths in btwen i was evaluated for 2ndry causes of hyp no resns wer found doc said its essenstial hyp then doc incresd telmisartan to 80 mg my systolic came to 140 mm/hg bt diastolic still ranging 100-110 why is it so high nd how to regulate it ?
I was started on metoprolol for the bp but the dr kept increasing the dose. Also i had a hysterctomy in 2006. my gynec confirmed that i was menopausal after the tests. Bp was still not getting controlled and i was started on telmisartan and also amlodepin along with the metoprolol. The bp was then controlled well for about 3 months, however the anxiety continued. Since the last week my bp is also increasing to 140/90 along with the anxiety and also i am experiencing what i think is hot flashes.
My BP stays around 170/100. Highest was recorded 176/110. I have been on Telmisartan 40mg for few weeks but it killed my sex drive entirely. I stopped taking it & gradually recovered from low libido. Also i've noticed a general decline in libido & an onset of ED after i crossed age 40. Now my libido is not that strong as it used to be 4 years back even without medicine.
t keep up with the research in many cases, and this is one such case. **High-dose** ARBs (e.g., telmisartan, valsartan) and ACE inhibitors (e.g., perindopril) have been shown to be extremely effective in halting aortic enlargement, as long as a sufficiently high dose is used (i.e., maximum FDA-approved dose). Do the research and demand that your doctor read it and re-evaluate his/her recommendation of beta blockers, or find a doctor who actually keeps up with the latest research.
I ended up on a prescription of 40mg of Telmisartan and 2.5mg of Nebivolol daily, and a diuretic which was cancelled by my Doctor. The Telmisartan was pared back to 20mg some time later after my readings were getting too low. My BP is around the ideal 120/80 mark and my resting pulse is normally around 50 but sometimes gets as low as 45.
Also, she is patient of high blood pressure. She is on bloog sugar medications like Metformin, Glimipride and Telmisartan, Amlodipine tablets for high bp Daily.
Now, she has many complications of Diabetes including Diabetes Neuropathy, eyes issues like cataracts, osteoarthritis etc. she also has complications in her back/spine.
Now, her doctor has not recommend any special multivitamin apart from diabetic die,t.
I get that dry cough too.
I don't take an ACE inhibitor though, I don't think. Just Lopressor, Dyazide/Maxzide, Lipitor and aspirin for the heart issues.
For me it started a couple of years ago one summer after pushing myself too hard. I start coughing out of the blue to the point of either just about passing out or vomiting mucus. Urgg My chest hurts and feels sunken in, pounds very hard and quivers sort of and then I'm fine till it happens again.
t looked it up, but if possible side-effects listed include weight gain, I think it worth your time to see what you doctor can recommend as a good change (lower dose, or alternative medication). At 6' I think you should target getting more than 20 pounds off, I'd think you'll feel better and have less diabetes risk if you get down to about 200. I feel the pain, I'm 6'5" and about 240 and would like to drop 20 pounds, but I just love sweets (and eating in general).
Hi Sue,
Please take a moment to click on my screen name to view my many prior posts on this topic.
Also visit www. marfanlife .net/bb3 (remove the spaces; I put them in there so that this website would let me display the address) and look at the "Pharmacy" section for extensive discussion on this topic.
My understanding is that it would be OK for a teenager to be on this type of drug, especially one who is only 3 years from being an adult.
I mention this to everyone with aortic root dilatation ... drugs called ARBs (like telmisartan) have been shown to slow down aortic root growth, stop it, and in some cases even reverse it. Because you are an obese man, you'd need to take a very high dose (above FDA recommendations), since you don't get full effect even in regular-sized people unless you take the maximum FDA approved dose.
I am hypertensive for the last 2-3 years and had a BP of 150/100. The doctor has now put me on Telmisartan 40 mg and Amlodipine 5 mg (it is one tablet per day) for 2 weeks. My BP has now reduced to 140/80. I was asked to take a 2D echo and a tread mill test yesterday and here are the findings :
1. 2-D Echo findings - Mild LVH. LVID-d : 3.92mm, LVID-s : 2.06 mm, LVPW-d : 1.22 mm, LVPW-s:1.64 mm, IVS-s : 1.11 mm, IVS-d : 1.27 mm, EF-70%.
Normal LV Systolic function (EF 70%).
My doctor put me on a medicine called Micardis HCT which is a combination medication with the common diuretic hydrochlorothiazide and the drug telmisartan.
This is the first time I have been on blood pressure medicine, and the drug has worked very well in terms of my blood pressure itself. I take my pressure at home with an electric blood pressure monitor and I now average about 130 over 72 to 75.
THIS is the problem with most cardiologists today. They routinely prescribe beta blockers for patients with aortic root dilatation, even though the most recent studies have shown that they DO NOT HELP YOU. Beta blockers are prescribed because they make sense on paper, but in practice, they are absolutely useless.
These doctors are also grossly behind the times. I don't know whether they are ignorant of the latest, big-news breakthroughs or just unwilling to try them.
But basically, angiotensin receptor blockers (losartan appears to be the weakest; the rest are good; telmisartan appears to be strongest) and ACE inhibitors (perindopril - not the others) have been shown in recent years to halt and even reverse aortic root dilatation. The key is that the drugs must be taken in sufficiently high dosages, which often means the maximum FDA-approved dose or higher.
Depending on your body size you may need to take a maximal dose or even more than a maximal dose if you are a big person. (When I say maximal dose I refer to the maximum dose approved by the United States Food & Drug Administration; this info is available on the internet for each type of ARB.) High-dose ARBs can stop or even reverse aortic root dilatation.
3) Does COQ10 help + good diet in reversing it by even 3-4 mm?
>>Not that I know of.
Good for you for quitting smoking, coffee, and high salt intake--and for losing weight.
Are you physically active on a regular basis (like walking 30-45 minutes 5 or 6 times a week)? Exercise may help to bring your blood pressure down.
Also, do you drink milk or eat yogurt every day? Because they have calcium in them, these foods can help control blood pressure, too. (Nonfat types are best, and look for yogurt that has Vitamin D listed on the label.)
What about alcohol use?
(By the way, although losartan is currently being researched in Johns Hopkins clinical trials, other ARBs such as telmisartan are probably most effective given their increased lipid solubility and thus increased tissue penetration.)
I strongly encourage you to visit www.marfanlife.net and find the very lengthy thread titled "Losartan" or something to that effect. Probably some of the most important reading of your life.
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