Conversation: The conversation between human and AI assistant.
[|Human|] I am taking talsartan 40 R (telsartan 40 + Ramipril 5) and Nebstar-H (nebevolol + Hydrochlorothyzide) last two months. But I have a severe side effects when I walk. My both upper arms pain and chest discomforts occurs when I walk. My has gradually increased and now I cannot walk fast now even for 100 m. Please help. Suggest alternative HT medicine. My B.P is under control by the said medicine(130/80) but walking I cannot avoid.
[|AI|]  Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: Take care, your chest discomfort may be a symptom of ischemia.*Explanation: My opinion is that as long as your blood pressure is controlled, it is not preferred to change your medications. Your complaint may be related to another condition. Chest discomfort or pain especially with exertion plus or minus sweating and nausea are manifestations of ischemic heart disease, and that you should be aware of.  I suggest my patients the following : general and local cardiac examination, electrocardiogram and echocardiography be needed. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about age and smoking history.*Conclusion: I suggest you check with your general physician and do the investigations I suggested.  If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.