The dizziness and rapid heart rate when standing are common side effects of your medications, especially Prazopress XL (prazosin), which can lower blood pressure quickly when you change positions. Telma (telmisartan) can also contribute to this. Additionally, lying on your left side physically positions your heart closer to the chest wall, making normal beats feel much stronger. While these symptoms are likely medication-related, please consult your prescribing doctor.

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.

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.

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.

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.

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.