It is generally safe to take Paracetamol 650 for her fever alongside her daily medicines: Telma 40, Savzole D, and M2 Forte. However, Swich 200 is an antibiotic, and its absorption can be reduced by her stomach medicine, Savzole D. More importantly, a five-day recurring fever with weakness and loss of appetite in a patient with diabetes and high blood pressure requires a proper medical check-up. Please consult her doctor before starting Swich 200, as they may need to check her blood sugar and run tests to find the exact cause of her fever. Ensure she stays hydrated and rests well.

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.

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 blood pressure of 180/120 mmHg, combined with severe upper left back pain, requires immediate medical attention. Because you are taking telmisartan for your blood pressure, these symptoms could indicate that your cardiovascular system is under significant strain. It is absolutely critical that you go to the nearest emergency department right away to get that recommended ECG and a full medical evaluation. Please do not wait or try to manage this at home.

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 very common to feel a rapid or pounding heartbeat when standing up while taking blood pressure medications like Telma (telmisartan) and Prazopress XL (prazosin). This is often due to a temporary drop in blood pressure when you change positions. While anxiety can also cause these sensations, your left-sided numbness needs a professional medical evaluation to ensure your safety. For now, please transition slowly when standing up and stay hydrated. I highly recommend contacting your doctor soon to check your blood pressure and safely evaluate all your symptoms together.