This shows your hard work and Telma (telmisartan) are working well together. However, please do not stop taking your medication or switch to every other day on your own. Often, blood pressure remains normal because the medication is active in your body. Stopping it suddenly can cause your blood pressure to rise again. I highly recommend discussing this with your doctor. With your weight loss, they may evaluate if it is safe to gradually reduce or stop your telmisartan under medical supervision.

Telma 40 (which contains the generic medication telmisartan) is safe to take for high blood pressure if you have mild to moderate fatty liver. In fact, some research suggests telmisartan might even have beneficial effects on liver fat and metabolism. However, because the liver processes this medication, your doctor should monitor your liver function tests periodically. Please share your fatty liver diagnosis with your prescribing doctor so they can ensure your dosage is perfectly tailored to your needs.

It is completely understandable to feel concerned, but please be reassured that a single high reading of 160/80 is quite common and often temporary. First, have your mother rest quietly for 15 minutes and check her blood pressure again. Ensure she has taken her daily telmisartan (TELMA 20). Avoid panic, as anxiety can further raise blood pressure. If she has no severe symptoms like chest pain, shortness of breath, or a severe headache, this is not an immediate emergency. Please consult her doctor soon; they may need to adjust her telmisartan or bisoprolol (CONCOR) dosage, as the reduced dose may need fine-tuning.

Since you take Telma 20 (telmisartan) for blood pressure, we must be cautious. To prevent this, try using a generic decongestant nasal spray like oxymetazoline 30 minutes before descent to help equalize ear and sinus pressure. Taking generic paracetamol an hour before landing can also safely help manage the pain. During descent, try chewing gum, swallowing, or performing the Valsalva maneuver (gently exhaling with your mouth closed and nose pinched). Please consult your doctor to ensure these are safe for you.

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.

Stopping Telma (telmisartan) and MetX directly does not cause numbness or tingling. However, abruptly halting blood pressure medications can sometimes affect your circulation or nervous system response. Additionally, these symptoms could be linked to other underlying factors, such as vitamin levels or nerve sensitivity, which deserve a closer look. Since you stopped these medications a month ago, I gently recommend contacting your doctor.