Switching back to Telma 40 (telmisartan) from Sartel C 40 (which contains a diuretic) was a reasonable step, but her symptoms of weakness, dizziness, and nausea might be due to dehydration or an electrolyte imbalance caused by the previous diuretic. Since she is not improving, please contact her doctor promptly. They will likely want to check her blood pressure and run a simple blood test to check her electrolyte levels. For now, encourage her to rest, sip water, and change positions slowly to prevent dizziness.

It sounds like you are experiencing orthostatic hypotension, a common side effect where your blood pressure drops slightly when you stand up, causing your heart to beat faster to compensate. This is frequently linked to medications like Telma 40 (telmisartan) and Prazopress XL 2.5 (prazosin), especially when changing positions quickly. To manage this safely, try to stand up very slowly, pausing on the edge of your bed or chair for a moment before rising. Staying well-hydrated also helps. Please discuss this with your doctor, as they may want to adjust your doses to make you more comfortable.

It is completely understandable to feel discouraged when you still experience anxious days after four months. Please be reassured that anxiety and its physical symptoms, like loud burping (often caused by swallowing air when stressed), are highly manageable. While 'cure' often means achieving long-term control, many people go on to live peaceful, symptom-free lives. Since you are still having high-anxiety days, it is important to discuss this with your doctor. They may need to adjust your fluoxetine (Fluni) dose, review your use of alprazolam (Alprax), or suggest therapy. Your blood pressure medication, telmisartan (Telma), is safe to continue.

For a 70% LAD blockage, medications like Telma H (telmisartan/hydrochlorothiazide), Nebicard (nebivolol), and Ecosprin AV (aspirin/atorvastatin) are typically lifelong. They keep your blood pressure stable, prevent clots, and stop the blockage from worsening. Please do not stop them without your cardiologist's advice. To support your heart, focus on a low-salt, low-fat diet, regular gentle exercise like walking, and managing stress.

A blood pressure of 93/76 is low and explains your symptoms. Adding the CTD (chlorthalidone) to your Telma 40 (telmisartan) has likely lowered your blood pressure too quickly. Please sit or lie down immediately and drink some water to stay safe. Do not take your next dose of CTD and contact your doctor right away for a dose adjustment. Do not abruptly stop your Telma 40 without their guidance. If you feel extremely dizzy, lose consciousness, or feel worse, please seek immediate emergency medical care.

Metolar XR (metoprolol) can slow your heart rate, which might prevent you from reaching the target heart rate needed for an accurate treadmill test (TMT). Telma 20 (telmisartan) lowers blood pressure but has less effect on heart rate. However, you should never stop these medications on your own. Please contact your prescribing doctor or the testing center immediately for specific instructions. They may want you to temporarily hold the Metolar XR or proceed normally depending on the reason for your test.