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.

Taking Telma (telmisartan) and Prazopress (prazosin) as prescribed is actually one of the best ways to protect your kidneys, as controlling high blood pressure prevents kidney damage. To keep them extra safe, stay well-hydrated, eat a low-sodium diet, and avoid over-the-counter pain relievers like ibuprofen, which can strain the kidneys. Routine blood and urine tests to monitor your kidney function and potassium levels are also highly effective. Rest assured, you are on the right track, and keeping up with your doctor's regular check-ups will keep your kidneys healthy.

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.

Given her symptoms of severe fatigue, dry mouth, and social withdrawal, along with her use of Eltroxin (levothyroxine) and Telma (telmisartan), I recommend starting with her primary care physician or her endocrinologist. These symptoms could stem from thyroid levels that need adjusting or potential medication side effects. Her doctor can run routine blood tests to check her thyroid function. If her hormone levels are normal, a consultation with a psychiatrist or a geriatrician would be the next step to support her mental well-being and address the social withdrawal.

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.

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.