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.

Telma H combines telmisartan with a diuretic (hydrochlorothiazide), while Telma 40 contains only telmisartan. Because your healthier habits have likely lowered your blood pressure naturally, switching to Telma 40 may indeed be possible. However, please consult your prescribing doctor before making any changes. They will want to review your blood pressure readings to ensure it remains safe and stable without the diuretic component.

Since you are taking metronidazole (Fagyl) alongside penicillin G (Pentid) and telmisartan (Telma), it is important to be cautious. Sometimes, antibiotics like penicillin can cause or prolong diarrhea. Please focus on staying hydrated with plenty of fluids or oral rehydration solutions. Because you are managing high blood pressure and filariasis, please contact your doctor promptly to review your medications safely. Do not stop your blood pressure medicine without their guidance.

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.

It is very common to feel concerned, especially after recovering from Covid. A blood pressure reading of 160/100 mmHg is elevated and could certainly be contributing to your headaches. Since you have recently restarted Telma (telmisartan) 80 mg, please remember it can take a few days to fully stabilize your blood pressure. While this is not an immediate emergency, it does need close monitoring. I recommend resting, tracking your blood pressure twice daily, and contacting your doctor to ensure this dosage is still right for you post-Covid. Seek immediate care if you experience vision changes, chest pain, or shortness of breath.

The sudden drops in blood sugar are likely due to Gluconorm-VG2, which contains glimepiride, a medication that can cause hypoglycemia, especially if dietary intake has changed after surgery. Telma-AM and the supplements are unlikely to cause this. When a drop occurs, immediately give them fast-acting sugar like fruit juice, candy, or sugar water. Please consult their doctor promptly to adjust the Gluconorm-VG2 dosage, and monitor their blood sugar regularly to help guide these safe adjustments.