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Dear Doctor, Kindly go through this lengthy letter to you with patience and kindly advise me proper advise to clear my mind . I am 72 year old male from India and strictly Vegetarian.I am not sedentary type and walks 4 Â½ km every day in the morning and always active. IHD and BP and TYPE II DIABETES I have had IHD (T wave inversion) in the year 1977 and mild hypertension in 1981. DIABETES IN 2010. The doctor who has attended then on me prescribed Aten 50 in 1977. Since then I have been using Aten 50 in one form or other like Aten 50/Atenlol/Stamlobeta. 37 long years have passed with out any problem with either of these two conditions . My BP is quite normal 120/80 and some times 110/70 and some times on very few occassions 140/80 or 90 and my pulse rate will be around 58 to 65 most of the time . My BP on the day of the visting my physician is 140/80 as on 12th dec 2014. My diabetes is under control and am taking glycomet 250 mg twice a day. The attending physician who is an MD has prescribed Cresar 40 mg (Telmisartan) and asked me to stop taking Stamlobeta 50 mg which i am taking from 2006 and further said since i am using this Amlodipine combined Atenlol ,its time to change the medicine and Cresar will also take care of the diabetes and kidneys and heart (IHD) besides BP. As on 12th july 2014 my Lipid profile is very normal. Cholestrol 123 , Tryglycerides 141 ,HDL 53 and VLDL 23. Kindly advise on the following. 1. Since I am taking Stamlobeta since 2006 and prior to that Aten 50 from 1977 to 2006., do I have to taper stamlobeta dosage besides taking Cresar 40 mg? 2. Do i have to continue taking Stamlobeta in small dosage along with Cresar 40 mg?.If so in which dosage do I have to take? 3.Is cresar 40 mg safe for IHD patients also? Please do not form the impression that i have no confidence in my Physician. But i have a tendency to go for second opinion on new drugs before starting a new one. I do not blindly or in hasty manner take any new medicine .Hence I require an expert advise in the matter on the following. If you require any further info, kindly advise me. sincerely somayajulu

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Dr. Lianush Mkrtchyan answered : 7 years ago

Hi, Cresar medication is not only safe for IHD patients but also is beneficial, and it really takes care of kidney, protects kidney from diabetic damage. if your blood pressure allows you can take both Cresar 40 and Atenolol 25 mg once daily

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