Known case of a 72 years elderly female with labile hypertension was on cilnidipine 10mg. Since several months, with a case of epilepsy was on sodium valproate 200mg. For several years, the patient was put on amlodipine, propranolol telmisartan two times a day. For her labile hypertension but the patient could not tolerate medicines. So she was put on cilnidipine. Her present Hb is 9.5gm MCV 92 .electrolytes kidney function tests LFT blood sugar. And routine urine microscopy is normal.
For several weeks patient feels lethargic. Developing fear of fall blood pressure on supine and standing are normal. Dementia assessment by rapid test (DART) is normal. The patient is able to do her IADL &ADL. No visual disability and hearing disability. How to manage this case?
