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.

A blood pressure of 182/90, along with a headache and vomiting, is significantly elevated and requires prompt medical attention. While these symptoms can be caused by the high blood pressure itself, we cannot completely rule out other serious conditions without an evaluation. Since she takes Telma (telmisartan) and Vertigon D, please do not adjust her doses. The safest step is to seek immediate medical care at an emergency room or contact her doctor right away to ensure she is evaluated safely.

Telmisartan can occasionally cause mild upper respiratory congestion, headaches, or muscle aches. I highly recommend discussing this with your doctor. They can evaluate if these symptoms are related to your medication and safely adjust your treatment if needed. Please do not stop taking your medication without consulting them first. We want to ensure you stay safe and comfortable.

Please share your specific test readings with me, especially your blood sugar, kidney function, and blood pressure numbers. Since you are taking Telma (telmisartan) for blood pressure and Sugamet (metformin) for blood sugar management, keeping an eye on these specific markers is very helpful. Once you share those details, we can walk through them together. Rest assured, we will make sure everything is on the right track.

His extensive medication list appropriately addresses his heart conditions, diabetes, and arthritis. For instance, Telma (telmisartan), Cilacar (cilnidipine), and Met XL (metoprolol) manage his blood pressure and heart, while Glyciphage (metformin) and glimepiride control his blood sugar. Since he is taking multiple potent medications, including Folitrax (methotrexate) and HCQS (hydroxychloroquine) for arthritis, it is vital to monitor his kidney and liver function regularly. Please share his blood sugar readings and consult his doctor for a comprehensive review to prevent drug interactions and ensure his safety.

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.