But it is not safe to give him cyproheptadine. At 71, and with his history of prostate problems, cyproheptadine poses a significant risk. This medication can worsen urinary retention (difficulty urinating) and cause drowsiness or confusion, which increases his risk of falls. Additionally, his kidney function and his complex daily medications for blood pressure and diabetes require extra caution. Please avoid starting this medication. I highly recommend consulting his doctor to safely explore other ways to improve his appetite and address the underlying cause.

While not very common, muscle or joint pain can be a side effect of Temsan H 40 (telmisartan/hydrochlorothiazide). Since orthopedic causes have been ruled out, it is possible the medication is contributing to your shoulder pain. Please consult your prescribing doctor before making any changes; do not stop taking your medication abruptly. Your doctor can evaluate if switching to a different blood pressure medication resolves the discomfort. Additionally, because shoulder pain can sometimes be referred pain, your doctor can perform a quick overall assessment to ensure your cardiovascular health is fully monitored.

Temsan-H Tablet is prescribed for the long-term management of hypertension following clinical confirmation of persistently elevated blood pressure and evaluation of overall cardiovascular risk. Dosing decisions are based on serial blood pressure trends, comorbid conditions such as diabetes or chronic kidney disease, renal function, electrolyte status, and individual treatment response. Any initiation, discontinuation, or modification of therapy should be undertaken only under medical supervision rather than in response to isolated home blood pressure readings.