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.

The combination of Telma (telmisartan) and Prolomet XL (metoprolol succinate) is a common and generally safe regimen for managing high blood pressure long-term, provided it is supervised by your doctor. These medications work well together to protect your heart and blood vessels. Because you are young, it is also highly beneficial to work with your healthcare provider to identify any lifestyle factors or underlying causes, while regularly monitoring your blood pressure and kidney function to ensure this plan remains safe and effective for you.

Please share your specific test readings with me, especially your blood sugar, kidney function, and blood pressure numbers. Since you are taking Telma (telmisartan) for blood pressure and Sugamet (metformin) for blood sugar management, keeping an eye on these specific markers is very helpful. Once you share those details, we can walk through them together. Rest assured, we will make sure everything is on the right track.

Since it has been two years since you stopped Telma (telmisartan) and Seloken XL (metoprolol succinate), these sensations are very unlikely to be lingering side effects of those medications. However, your racing heart and bloating could be connected. Sometimes, digestive issues like bloating can press on the diaphragm or stimulate the vagus nerve, triggering heart flutters. Stress or an underlying autonomic balance issue could also cause both symptoms. I highly recommend scheduling a visit with your doctor or a cardiologist to safely evaluate your heart rhythm and gut health.

Your medication Telma (telmisartan) is not a beta-blocker; it is an angiotensin receptor blocker. Unlike beta-blockers, telmisartan is highly unlikely to cause or worsen erection problems. In fact, it is often favored because it has a neutral or even beneficial effect on sexual function compared to other blood pressure medications. Frequently, it is the high blood pressure itself, rather than this specific medication, that affects blood flow and performance. Please feel reassured, and I encourage you to openly discuss any ongoing concerns with your doctor.

While your normal ECG is very reassuring, your blood pressure of 137/97 and heart rate of 108 suggest your current medications, like Telma (telmisartan) and Dilgem (diltiazem), may need a dosage adjustment. Sometimes, factors like stress, dehydration, or how your body processes these medicines can temporarily affect your readings, even with your known 80% artery blockage. Please do not worry, but do contact your cardiologist soon.