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Hello Sir,My father is now 72 yrs. of age.He is on 'Olmesartan medoxomil40mg' in morning and 'Metoprolol Succinate 25 mg' with 'Amlodipine 2.5 mg' in a combination in the evening for the last 3+ yrs.,and his hypertension was in control (avg. 130/85). Previously he was on only on 'Amlodipine besylate 5 mg' once a day for the last 10+ yrs.( before he started the above-mentioned medication 3 yrs. back as per his doctor's advise but when the peripheral edema and a little-bit face swelling started,and the B.P could not controlled with plain Amlodipine 5 mg,doctor advised the above-mentioned medication after closely monitoring ECG and related tests).Till last six month the B.P was in control(avg. 135/82)without any remarkable side effect except 'back of palm' & 'foot skin rash' which he had for more than last 10+ yrs. and being treated separately with skin cream (clobetasol,miconazole,gentamycin combination in S.O.S-basis with citicoline skin cream when it is too necessary to moist the skin)- but suddenly the B.P is constant on an avg. 145/92 without any major health related complain from patient except sudden-started oedema in left foot skin and left tibea-febula skin for the last 10 days,and the doctor is now suddenly not willing to further new prescription and advised 2nd consultation with another doctor.Now I'm worried what to do exactly,last 3 days I tried only Amlodipine 5 mg in evening and olmesartan 40 mg in morning and B.P is now 140/82 in an avg. for the last 3 days.Please advise me what should I do now? Expecting your kind opinion at your earliest to rule out the problem and the solution for the same. Thank you very much Sir.

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Dr. Sambasivam kalpathiananthanarayanan answered : 5 years ago

hi,
do not increase the bp drug dose without physician's advice
your father needs further evaluation if he is compliant with drugs and not taking any new medications and on proper diet

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