Question regarding my mother- 53 year old female patient with complaint of headache since 4 days, is a known case of hypertension (on amlodipine-5 mg) and diabetes (on metformin 500 mg. When consulted the local area hospital physician he advised atenolol 50 mg tablet in addition to the amlodipine 5 mg she is using currently. But he american heart association recommends the use of combination of two dif drugs of different classes of 1st line drugs for management of stage 2 hypertension according to latest guidelines. So please suggest the correct regimen and dose?
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Dear Mr. lybrate-user, ideally for diabetic and hypertensive an ace inhibitor or arb has to be used. Since your doctor has advised atenonol he must be suspecting left ventricular dysfunction. It is advisable that you take her to a physician and get her evaluated properly. Headache can have multiple reasons, hypertension is one of it. It is dangerous to change medications like this.
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atenolol ok, in fact excellent at your age. American recommendations based on very old patients. if you follow america, you will have very fat health bills and and average health. Try to follow countries with better health. So follow Swedish Cuban etc recommendations, and for other health questions try to follow the lifestyle of those who live to 90.
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