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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is BP Reading Between 110/95 And 140/90 After Taking Met-XL-T-50mg Normal?

General Physician Dear Doctor, I have been taking Atenlol for the last 30 years and with amlodipine combination since 8 years. All these years whenever i check my BP it is always normal and some times it is 110/70 also. Recently i have asked my attending physician whether i can shift to a newer drug fromthe present Stamlobeta . So he has prescribed Met XL T 50 Er since February this year as i have diabetes also which is undr control always. I have been observing that the BP has never comedown to 120/80 leave alone 110/70 with this new drug i.e Met XL T 50 mg.. it always show and oscillate between 10/95 to 140/90. since 3 months have passed with this new drug. My doctor asked me to continue.But personally i feel that i should revert back to Stamlobeta ofcourse under doctors supervision. Can i revert to stamlobeta 50 mg with Telmisartan 40 mg.Kindly advise frankly.
Tue, 6 Apr 2021
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Diabetologist,  's  Response
Hello,

According to me if you were maintaining 110/70 mm Hg BP, then there was no need to change the drug at all. However, some times patients on Amlodipine develop swelling of lower limbs, hence it is replaced, otherwise it is one of the safe and a very drug. If you have been tolerating it well and having excellent BP control, then there was no reason to change that. Telmisartan too is a good drug particularly in patients with diabetes. However, if your BP remains high as mentioned, then there is no harm in shifting back to the earlier combination.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Prabhakar Laxman Jathar, Diabetologist
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Is BP Reading Between 110/95 And 140/90 After Taking Met-XL-T-50mg Normal?

Hello, According to me if you were maintaining 110/70 mm Hg BP, then there was no need to change the drug at all. However, some times patients on Amlodipine develop swelling of lower limbs, hence it is replaced, otherwise it is one of the safe and a very drug. If you have been tolerating it well and having excellent BP control, then there was no reason to change that. Telmisartan too is a good drug particularly in patients with diabetes. However, if your BP remains high as mentioned, then there is no harm in shifting back to the earlier combination. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Prabhakar Laxman Jathar, Diabetologist