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P RATHNALATHA 70 YEARS The Patient Is Taking Stamlo 5
Question: P RATHNALATHA 70 YEARS
The patient is taking Stamlo 5 mg since the year 1996 to 30/5/19
Some of her BP readings are as under. Measured at Physicians clinic
Morning
9/5/17 7pm 120/80
5/12/18 7 pm 130/84
22/3/19 7 pm 130/80
30/5/19 7 pm 130/80
Stamlo 5 mg (Amlodipine) stopped from this day since she has developed Pedal Adema as said by the Attending Physician.
Tab CILACAR (Clinidipine) is started from 1st XXXXXXX 2019.After 15 days the reading is
14/6/19 7 pm 140/84
The following Readings based on OMRON Digital Aparatus taken at home
Morning Evening
25/1/20 4 pm 143/79
26/1/20 7.30 am 134/79 5 pm 142/73
27/1/20 7 00 am 155/79 5 pm 151/75
28/1/20 7.00 am 143/76
12/5/20 9.00 am 154/75 5.30 pm 157/82
13/5/20 9.00 am 139/76 5.30 pm 164/78
4/8/20 7. Am 152/74
13/9/20 5.00 pm 148/70
She has Diabetes from 2008 and her diabetes is well under control.Her HbA1c is between 5.6 to 6.0. Both fasting and pp levels are normal . She takes glycomet 500 mg twice a day. Hypothyroid is well under control she takes 50 mcg thyronorm.
I personally feel ever since she has started taking Cilacar her readings are on the rise unlike before May 2019. Though she has no problem with the BP
Prior to May 2019 you might have observed her BP readings show between 120/80 to 130/80.Kindly advise whether she can revert to Stamlo 5 mg or to continue Cilacar 10 mg.
further can she shift to Glycomet 500 mg sr instead glycomet 500 mg plain as she was taking this since 12 years.Please advise
The patient is taking Stamlo 5 mg since the year 1996 to 30/5/19
Some of her BP readings are as under. Measured at Physicians clinic
Morning
9/5/17 7pm 120/80
5/12/18 7 pm 130/84
22/3/19 7 pm 130/80
30/5/19 7 pm 130/80
Stamlo 5 mg (Amlodipine) stopped from this day since she has developed Pedal Adema as said by the Attending Physician.
Tab CILACAR (Clinidipine) is started from 1st XXXXXXX 2019.After 15 days the reading is
14/6/19 7 pm 140/84
The following Readings based on OMRON Digital Aparatus taken at home
Morning Evening
25/1/20 4 pm 143/79
26/1/20 7.30 am 134/79 5 pm 142/73
27/1/20 7 00 am 155/79 5 pm 151/75
28/1/20 7.00 am 143/76
12/5/20 9.00 am 154/75 5.30 pm 157/82
13/5/20 9.00 am 139/76 5.30 pm 164/78
4/8/20 7. Am 152/74
13/9/20 5.00 pm 148/70
She has Diabetes from 2008 and her diabetes is well under control.Her HbA1c is between 5.6 to 6.0. Both fasting and pp levels are normal . She takes glycomet 500 mg twice a day. Hypothyroid is well under control she takes 50 mcg thyronorm.
I personally feel ever since she has started taking Cilacar her readings are on the rise unlike before May 2019. Though she has no problem with the BP
Prior to May 2019 you might have observed her BP readings show between 120/80 to 130/80.Kindly advise whether she can revert to Stamlo 5 mg or to continue Cilacar 10 mg.
further can she shift to Glycomet 500 mg sr instead glycomet 500 mg plain as she was taking this since 12 years.Please advise
P RATHNALATHA 70 YEARS
The patient is taking Stamlo 5 mg since the year 1996 to 30/5/19
Some of her BP readings are as under. Measured at Physicians clinic
Morning
9/5/17 7pm 120/80
5/12/18 7 pm 130/84
22/3/19 7 pm 130/80
30/5/19 7 pm 130/80
Stamlo 5 mg (Amlodipine) stopped from this day since she has developed Pedal Adema as said by the Attending Physician.
Tab CILACAR (Clinidipine) is started from 1st XXXXXXX 2019.After 15 days the reading is
14/6/19 7 pm 140/84
The following Readings based on OMRON Digital Aparatus taken at home
Morning Evening
25/1/20 4 pm 143/79
26/1/20 7.30 am 134/79 5 pm 142/73
27/1/20 7 00 am 155/79 5 pm 151/75
28/1/20 7.00 am 143/76
12/5/20 9.00 am 154/75 5.30 pm 157/82
13/5/20 9.00 am 139/76 5.30 pm 164/78
4/8/20 7. Am 152/74
13/9/20 5.00 pm 148/70
She has Diabetes from 2008 and her diabetes is well under control.Her HbA1c is between 5.6 to 6.0. Both fasting and pp levels are normal . She takes glycomet 500 mg twice a day. Hypothyroid is well under control she takes 50 mcg thyronorm.
I personally feel ever since she has started taking Cilacar her readings are on the rise unlike before May 2019. Though she has no problem with the BP
Prior to May 2019 you might have observed her BP readings show between 120/80 to 130/80.Kindly advise whether she can revert to Stamlo 5 mg or to continue Cilacar 10 mg.
further can she shift to Glycomet 500 mg sr instead glycomet 500 mg plain as she was taking this since 12 years.Please advise
The patient is taking Stamlo 5 mg since the year 1996 to 30/5/19
Some of her BP readings are as under. Measured at Physicians clinic
Morning
9/5/17 7pm 120/80
5/12/18 7 pm 130/84
22/3/19 7 pm 130/80
30/5/19 7 pm 130/80
Stamlo 5 mg (Amlodipine) stopped from this day since she has developed Pedal Adema as said by the Attending Physician.
Tab CILACAR (Clinidipine) is started from 1st XXXXXXX 2019.After 15 days the reading is
14/6/19 7 pm 140/84
The following Readings based on OMRON Digital Aparatus taken at home
Morning Evening
25/1/20 4 pm 143/79
26/1/20 7.30 am 134/79 5 pm 142/73
27/1/20 7 00 am 155/79 5 pm 151/75
28/1/20 7.00 am 143/76
12/5/20 9.00 am 154/75 5.30 pm 157/82
13/5/20 9.00 am 139/76 5.30 pm 164/78
4/8/20 7. Am 152/74
13/9/20 5.00 pm 148/70
She has Diabetes from 2008 and her diabetes is well under control.Her HbA1c is between 5.6 to 6.0. Both fasting and pp levels are normal . She takes glycomet 500 mg twice a day. Hypothyroid is well under control she takes 50 mcg thyronorm.
I personally feel ever since she has started taking Cilacar her readings are on the rise unlike before May 2019. Though she has no problem with the BP
Prior to May 2019 you might have observed her BP readings show between 120/80 to 130/80.Kindly advise whether she can revert to Stamlo 5 mg or to continue Cilacar 10 mg.
further can she shift to Glycomet 500 mg sr instead glycomet 500 mg plain as she was taking this since 12 years.Please advise
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
I can understand your concern and I would like to tell you that pedal edema is a commonly encountered side effect and will again develop if you switch back to amlodipine.
Her bp readings are staying a little high for which you can discuss with your treating doctor about option of Cilacar T instead of plain cilacar.
Why she switched to glycomet when she was taking glycomet SR.
Kind Regards
Please refer to the detailed answer below
Detailed Answer:
Hello
I can understand your concern and I would like to tell you that pedal edema is a commonly encountered side effect and will again develop if you switch back to amlodipine.
Her bp readings are staying a little high for which you can discuss with your treating doctor about option of Cilacar T instead of plain cilacar.
Why she switched to glycomet when she was taking glycomet SR.
Kind Regards
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
I can understand your concern and I would like to tell you that pedal edema is a commonly encountered side effect and will again develop if you switch back to amlodipine.
Her bp readings are staying a little high for which you can discuss with your treating doctor about option of Cilacar T instead of plain cilacar.
Why she switched to glycomet when she was taking glycomet SR.
Kind Regards
Please refer to the detailed answer below
Detailed Answer:
Hello
I can understand your concern and I would like to tell you that pedal edema is a commonly encountered side effect and will again develop if you switch back to amlodipine.
Her bp readings are staying a little high for which you can discuss with your treating doctor about option of Cilacar T instead of plain cilacar.
Why she switched to glycomet when she was taking glycomet SR.
Kind Regards
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you very much for your advise.i shall talk to my physician.regarding glycomet since she is taking glycomet plain for the past 12 years cant she shift to glycomet SR just for better result.kindly advise.
Thank you very much for your advise.i shall talk to my physician.regarding glycomet since she is taking glycomet plain for the past 12 years cant she shift to glycomet SR just for better result.kindly advise.
Brief Answer:
Hello again
Detailed Answer:
No need, as her HBa1c is well within normal limits.
Kind Regards
Hello again
Detailed Answer:
No need, as her HBa1c is well within normal limits.
Kind Regards
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
Hello again
Detailed Answer:
No need, as her HBa1c is well within normal limits.
Kind Regards
Hello again
Detailed Answer:
No need, as her HBa1c is well within normal limits.
Kind Regards
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Above answer was peer-reviewed by :
Dr. Yogesh D
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