Hello doctor, I have been a high BP and sinus bradycardia (heart rate of 52) patient for the last four years. I used to take Metpure-XL 25 mg after breakfast based on my cardiologist's advice. For the last six months, I was having headache and confusion plus slightly increased urination. Last week, I visited another cardiologist who checked my BP. My BP was very high i.e. 175/105. He asked me to start with Telma 40 mg and Metpure-XL 50 mg after breakfast. I did all types of blood tests. My uric acid is slightly elevated at 7.8. Vitamin D is deficient at 10. All the other tests like the lipid profile, renal tests, LFTs, sodium, potassium, and blood sugar are alright. My headache is gone after taking new medicines. However, I am feeling bloated most of the time. My questions are 1. Is bloating a side effect of Telma 40 mg? Can you advise another medicine? 2. Is Metpure-XL 50 mg advisable in sinus bradycardia (a heart rate of 52)? Please assist me with next course of action.
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