Telvas AM is generally safe for long-term use to control blood pressure, but like all medicines, it can cause some side effects in a few people. Common ones include dizziness, swelling of the feet, tiredness, or mild headache. Your acidity issue is not usually caused by Telvas AM, but long-term stress, irregular meals, or certain foods might worsen it. You can manage acidity by eating on time, avoiding spicy or oily foods, not lying down right after meals, and asking your doctor if you need an antacid along with your BP medicine.

His dizziness and sweating after moving from air conditioning into the heat was likely a temporary reaction to the sudden temperature change, which can dilate blood vessels, especially while taking blood pressure medications like Telvas AM. Since his cardiologist evaluated him and found him stable, an urgent CT scan is likely not necessary right now. However, please seek immediate medical care if he develops new symptoms like weakness, numbness, difficulty speaking, or vision changes. For your peace of mind, you can consult his primary doctor or neurologist to see if a routine follow-up is appropriate.

Yes, your medications could be contributing. Telvas AM contains amlodipine, which is commonly known to cause swollen feet as a side effect. Metoprolol XR can sometimes be associated with shortness of breath, especially during physical exertion. While these could indeed be side effects, new swelling and breathlessness can also point to changes in your heart or fluid balance. I highly recommend contacting your prescribing doctor soon for a quick evaluation.

Your HbA1c of 5.7% and blood sugar levels indicate you are in the prediabetes range. The good news is that you likely do not need immediate blood sugar medication. These levels can often be managed effectively with lifestyle changes, such as a balanced, low-carb diet and regular physical activity. Your blood pressure medication, Telvas AM 40 (telmisartan/amlodipine), is safe to continue and may even support your metabolic health. I recommend focusing on consistent daily exercise and healthy eating, and scheduling a follow-up with your doctor in three to six months to recheck your levels.