These temporary spikes to 160/105 suggest the medicine's effect might be wearing off before her next dose, or her dosing schedule may need a slight adjustment. I recommend keeping a daily log of her blood pressure readings and sharing it with her doctor. They can safely decide if adjusting the timing or dosage of her telmisartan is needed. Please seek immediate medical care if she develops chest pain, shortness of breath, or a severe headache.
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What should we do if my mother's blood pressure is still spiking up to 160/105, even though it usually goes down after she takes Telma 40?