Since you have been safely using Telma 20 (telmisartan) for three years, adding Ayurvedic remedies requires careful guidance. Some traditional herbs, like Sarpagandha or Arjuna, can naturally lower blood pressure. However, combining them with your current medication might cause your blood pressure to drop too low, leading to dizziness or fatigue. To keep you safe and healthy, please consult both your prescribing doctor and a qualified Ayurvedic practitioner before starting any herbal supplements. They can work together to safely monitor your progress.

While Telma 40H (telmisartan/hydrochlorothiazide) is excellent for blood pressure, the swelling can sometimes be a mild side effect of telmisartan or related to circulation. The itching might stem from skin dryness caused by the diuretic component, hydrochlorothiazide, or a mild sensitivity. It is highly recommended to have your doctor evaluate your kidney function, circulation, and electrolytes to find the exact cause. Meanwhile, elevating your legs while resting and using a gentle moisturizer at night can provide some comfort. Please consult your doctor to safely discuss these symptoms.

The symptoms you describe?pain brought on by walking and relieved by rest?can indeed be a sign of poor circulation, known as Peripheral Artery Disease (PAD), especially since you manage high blood pressure with Telma 40 (telmisartan). However, at 35, other causes like nerve compression or muscle strain are also very possible. I gently recommend scheduling an appointment with your doctor. They can easily check the pulses in your legs or perform a simple, painless test called an ankle-brachial index to give you clear answers.

Please be reassured that a reading of 140/85, while slightly elevated, is not an immediate emergency. When you change your dose of Telma (telmisartan) back to a full 20 mg tablet, it can take one to two weeks for your body to stabilize and for the medication to show its full effect. Please avoid making any further adjustments to your dose on your own. Keep a daily log of your blood pressure readings and share them with your doctor so they can safely guide your treatment plan and ensure your pressure stays consistently managed.

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.

Telma 20 (telmisartan) is a safe and effective medication for managing blood pressure in his range. Before starting, it is standard practice to perform a few basic baseline tests. These typically include a kidney function test and an electrolyte (potassium) level check, as this medication can gently affect these systems. A baseline electrocardiogram (ECG) is also helpful. Please consult his prescribing doctor to ensure these routine checks are completed.