Possible Causes of Swelling (Edema) with Current Medications

• Telmisartan and Hydrochlorothiazide (Telcadh 40) can cause swelling, though it's uncommon. Metoprolol (Starpress XL 25) is less likely to cause this.

Importance of Medical Evaluation

• Consult your healthcare provider to rule out other causes like heart, kidney, or liver issues. Monitor for symptoms like shortness of breath or chest pain.

Alternative Medication Options for High Blood Pressure

• Consider ACE inhibitors, calcium channel blockers, or different beta-blockers. Medication changes should be under medical supervision.

Lifestyle Measures to Support Blood Pressure Control

• Focus on diet, exercise, reducing salt intake, and managing weight to help control blood pressure and minimize side effects.

Next Steps

• Schedule an appointment with a cardiologist or general physician for personalized treatment.