Managing Blood Pressure Medication: Safe Discontinuation and Monitoring - Cardiology

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Managing blood pressure medication, especially when considering discontinuation, requires careful monitoring and understanding of the underlying health conditions. Based on your situation, where you have experienced significant weight loss and are currently taking blood pressure medications, it is essential to approach this change with caution.

Firstly, it is important to recognize that blood pressure medications, such as the ones you are taking (舒脈康膜衣錠 and Tenormin), are designed to manage hypertension effectively. However, with your recent weight loss from 145 kg to 103 kg, your body’s response to these medications may have changed. Weight loss can lead to a decrease in blood pressure, and thus, the dosages that were once appropriate may now be too high, resulting in symptoms like dizziness and a feeling of heaviness in the head.

Your doctor’s recommendation to stop the medication for a short period (2 to 5 days) and monitor your blood pressure is a reasonable approach. This allows you to assess how your body responds without the medication, particularly since your blood pressure readings have been on the lower side (systolic 105-110 and diastolic in the 50s to 60s). If your blood pressure remains stable and does not exceed 120 systolic, it may indicate that your body is managing well without the medication. However, if you notice any significant changes or if your blood pressure rises above 120 systolic, it would be prudent to resume taking the medication as advised.

Regarding your concern about using green oil (a topical analgesic) for your symptoms of dizziness and heaviness, it is generally safe to use such topical treatments for minor discomfort. However, it is essential to ensure that you are not applying it excessively or in a way that could lead to skin irritation or other side effects. If the dizziness persists or worsens, it would be advisable to consult with your healthcare provider for further evaluation.

In summary, stopping your blood pressure medication temporarily under medical supervision can be safe, especially given your recent weight loss. However, continuous monitoring of your blood pressure is crucial during this period. If symptoms persist or if you have any concerns about your health, do not hesitate to reach out to your healthcare provider for further guidance. Additionally, maintaining a healthy lifestyle through diet and exercise will continue to support your blood pressure management and overall well-being.