Your blood pressure is well-controlled on Telma (telmisartan). To address your triglycerides over 500 mg/dL and high uric acid, the first step is lifestyle adjustments, such as reducing refined carbohydrates, avoiding alcohol, and staying well-hydrated. Because your liver enzymes and kidney markers are slightly elevated, your doctor will carefully choose any new treatments. They may consider generic medications like fibrates or prescription-strength omega-3 fatty acids, which help lower triglycerides safely. Please consult your physician to review these results together; they can safely tailor a plan that protects your heart, kidneys, and liver without placing extra stress on your body.

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.

Rises in blood pressure to 140/90 or 150/95 while taking Telma (telmisartan) and Prazopress XL (prazosin) are quite common and do not mean you are in immediate danger of a heart attack or stroke. Blood pressure naturally varies throughout the day due to stress, activity, or caffeine. However, if these spikes become frequent or are accompanied by symptoms like headaches, dizziness, or chest pain, please consult your doctor. Keeping a daily log of your readings will be very helpful for your doctor to safely fine-tune your treatment.

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.

Telma 20 can often be continued at night in patients with dilated cardiomyopathy, and it does not usually interact with Eltroxine or Clavam. However, because of your heart condition, it is important to consult your doctor to confirm that the timing and dose are right for you.