Your blood sugar is still high despite Zita 100 and Cyblex 60 SR, which means your current treatment may need adjustment. Talk to your doctor, who may adjust your doses, add another medicine, or suggest lifestyle modifications such as diet, exercise, and weight management. Regular monitoring is important to prevent complications.

Do not start Telista 40 on your own, as high blood pressure of 180 over 100 is urgent, and she is already on other medicines. Consult her doctor immediately or seek emergency care to adjust treatment safely. Meanwhile, have her rest, stay calm, and avoid salty foods until evaluated.