It sounds concerning that your blood pressure remains high and you have a continuous headache after starting Cardiwin DS. These symptoms suggest your blood pressure may not be well controlled, and the headache could be related to that or a side effect of the new medication.

1. Understanding Your Symptoms

   • High blood pressure combined with a persistent headache can indicate inadequate blood pressure control or medication side effects, especially after changing or adding drugs like Cardiwin DS.

2. Immediate Steps to Take

   • Monitor your blood pressure at home regularly to track any significant changes.
   • For headache relief, you may try over-the-counter pain relievers like paracetamol, but avoid NSAIDs unless advised by your doctor, as they can affect blood pressure.
   • Ensure you stay hydrated and rest in a quiet, dark room if possible.

3. Medication Considerations

   • Do not stop or change the dose of UDP-AT Tablet or Cardiwin DS without consulting your prescribing doctor.
   • Cardiwin DS may cause side effects such as headache or fluctuations in blood pressure, which need medical evaluation.

4. When to Seek Urgent Medical Attention

   • Seek immediate care if you experience severe headache, sudden vision changes, chest pain, shortness of breath, weakness, or if your blood pressure readings are very high (e.g., systolic above 180 mmHg or diastolic above 120 mmHg).

5. Follow-up and Long-term Management

   • Schedule a follow-up appointment with your cardiologist or primary care physician to review your medications and blood pressure control.
   • Lifestyle changes such as reducing salt intake, managing stress, regular exercise, and avoiding alcohol and smoking can help improve blood pressure and reduce headaches.

6. Relevant Medical Specialties

   • A cardiologist specializes in managing high blood pressure and related heart conditions and should be involved in your care.

7. Diagnostic Tests

   • Your doctor may order blood pressure monitoring, blood tests, or imaging if needed to assess the cause of your symptoms and adjust treatment accordingly.

Please contact your cardiologist promptly to discuss these symptoms and medication effects. If symptoms worsen or you experience any urgent signs, seek emergency care immediately or call Apollo Emergency at 1066.