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اريد ان اشخص حالتي هل ضغط مزمن ام ضغط مستمر ام اتوقف عن الدواء
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Cardiac & Vascular Health
Question #21054
135 days ago
294

اريد ان اشخص حالتي هل ضغط مزمن ام ضغط مستمر ام اتوقف عن الدواء - #21054

ابوخالد

أتناول دواء Exforge 5 mg منذ أكثر من عشرة أشهر بعد نوبة ارتفاع ضغط شديدة. خلال الأيام الخمسة الماضية قمت بمتابعة ضغط الدم منزليًا بشكل منتظم (صباحًا، بعد الدواء، وبعد المجهود، ومساءً)، وأرفقت تقريرًا مفصلًا بالقراءات. لوحظ لدي: – انخفاض واضح في الضغط بعد المجهود الخفيف. – شعور بتعب ونقص نفس مع أقل مجهود. – تحسن في الانتصاب الصباحي عند تأخير الجرعة أو تقليل المجهود. أرجو من حضرتكم تقييم حالتي الدوائية، وتحديد: هل أستمر على نفس الجرعة، أم يتم خفضها، أم تجربة الإيقاف التدريجي مع المراقبة؟ شاكر ومقدر وقتكم.

Age: 55
Chronic illnesses: اعاني من ضغط لا ادري عرض ي ام مزمن
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
135 days ago
5

Hello ji As per clinical history it seems side-effects of medication causing hypotension and weakness I suggest you to please get in person consultation with concerned physician for change or modification of medication Please donot stop or start using any medication of your own to avoid consequences Regards

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من المهم أن نفهم خلفية الحالة لديك. تناولك لـExforge 5 mg كان استجابة لارتفاع ضغط الدم، وهذا يعكس الحاجة لسيطرة مستمرة على الضغط لمنع المشاكل القلبية الوعائية. القراءات التي قدمتها تشير إلى تقلبات الضغط، خاصةً بعد المجهود، مما يستدعي النظر لتعديل خطة العلاج لكن، من المهم عدم اتخاذ أي خطوات دون استشارة مباشرة من طبيبك. التعب ونقص النفس مع المجهود قد يشير إلى ضغط دم منخفض أو آثار جانبية للدواء، المسألتين تتطلبان تقييمًا شاملاً. عليك بإشراك طبيبك في هذا القرار للحصول على رعاية شخصية دقيقة.

لمراقبة الوضع وعلى اعتبار التحسن في الانتصاب عند تأخير الجرعة، قد يكون من المناسب النظر في تعديل الجرعة أو التوقيت لكن ليس الإيقاف الفوري للدواء بدون إشراف طبي. تغييرات كهذه تحتاج إلى مراقبة دقيقة لضمان استقرار ضغط الدم. يمكن للطبيب تقييم ما إذا كان من الممكن خفض الجرعة أو التحول إلى دواء آخر أقل تأثيرًا على نشاط حياتك اليومية لكن يجب موازنة مخاطر ارتفاع الضغط مرة أخرى.

لا تنسى أن خطورة إيقاف الدواء بشكل غير مدروس قد تسبب ارتدادًا في ارتفاع الضغط وهذا شيء يجب تجنبه. تحدث مع طبيبك لأنك قد تحتاج لإجراء تعديلات مثل التركيز على نمط الحياة الصحي الذي يمكن أن يساعد في تحسين ضغط الدم بالجمع مع الأدوية، مثل الحمية المتوازنة، النشاط البدني المنتظم، وتجنب التوتر. يمكن لهذه العوامل أن تعمل بالتزامن مع الدواء لتحقيق توازن صحي.

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