I am 60 years old and I have BP. I am taking metolar XR-25 and Tonact ASP-10/75 tablets daily one number in each and my BP is 70/130. If I take the tablets alternate days my BP is 80/140. Please inform whether I have to take tablets daily or alternate days and which is better for health.

Dr. Paramjeet SinghCardiologist9yrs exp

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Please keep taking the tablets daily. These tablets are used to prevent future heart attacks and needs to be given daily. Now if we talk about In general every patient who has a significant blockage in the heart or has a history of heart attack should be porn at least 4 types of medications 1) Antiplatelets which increase the clotting time of blood and decrease chances of future heart attacks and Re-stenosis of the stent. Initially you are kept on two types of antiplatelets and depending upon your disease and your progress your then shifted to single antiplatelet after 6 months or 1 year.� Eg: ecosprin, clopidogrel, Prasugrel, brillianta 2) Statins - are cholesterol lowering medications which are supposed to again prevent future heart attacks.� Eg. Tonact / atorvas 3) ARB / ACE Inhibitors - which help decreasing pressure on the heart and prevents remodeling injuries. Eg. Cardace / telma 4) Beta Blockers - They decrease the heart rate thereby reducing the work load on the heart. Also decrease BP a bit. Eg. Atenolol / Betaloc/ metolar usually all post angioplasty patients are kept on at least these 4 types of medications and depending upon the side effects and contraindications of medications are changed and slowly over period of time the dosage of these medications are decreased depending upon the recovery. 

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