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.

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.

Yes, some of your daily medicines could potentially contribute to these results. For instance, long-term use of Metformin can sometimes cause vitamin B12 deficiency, leading to anemia. Additionally, medications like Glyzid MR (gliclazide) and Telma (telmisartan) can occasionally affect your white and red blood cell levels. Please don't worry, as these side effects are manageable. I highly recommend discussing these results with your doctor, who can easily check your B12 levels or adjust your treatments safely.

Because of your father's recent stroke and his medications like Dilsprin-75, a new severe headache and eye swelling are symptoms that require immediate medical attention. Please do not give him any more Naxdom 500 without consulting a doctor, as it can interact with his blood-thinning medication. Please take him to the nearest emergency room or contact his treating physician right away for a professional evaluation. They will need to check his blood pressure and perform necessary brain imaging to ensure his safety.

The itchy rash, tingling, and weakness from Telma NB (telmisartan/nebivolol) could be an allergic reaction or side effect. Please contact your doctor immediately to discuss this. While you should not stop your blood pressure medication abruptly, your doctor will need to safely transition you to a different option. Since Telma 40 (telmisartan) and Atten 25 (atenolol) are no longer working well, there are still many other highly effective classes of medication available. Your doctor will find a combination that is both safe and comfortable for you.

Telma 20 (telmisartan) is an effective blood pressure medication, but mild fluid retention in the ankles or around the eyes can occasionally occur as a side effect. However, swelling can also point to other health factors that need checking. Please do not stop taking your medication suddenly, as your blood pressure could rise. I gently recommend contacting your doctor for a quick evaluation. They can safely check your symptoms, monitor your kidney function, and adjust your treatment if necessary.