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General Medicine
प्रश्न #33485
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Hypertension with sometimes depressed - #33485

Suganthi

My age is 34 and When i take sarpagandha (500mg) and adhwagandha in night i have sleep disturbances. I feel depressed sometimes. Morning i also take allopathy medicine of amylodopine 5mg. My blood pressure in evening rises till 140 but morning it is 110 can i reduce the dosage of sarpagandha or stop it and continue only amylodopine in mor and ashwagandha in night? Please advise ehat can be done further

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डॉक्टरों की प्रतिक्रियाएं

Dear SUGANTHI I am glad you reached out to clarify this because it is very important to make sure your medicines and herbs are working safely together Amlodipine is a calcium channel blocker commonly used to control high blood pressure Sarpaghandha is a strong natural antihypertensive that calms the nervous system and dialets blood vessels while Ashwagandha works as an adaptagen helping manage stress and gently supporting energy and hormonal balance Taking amlodipine together with sarpagandha is generally considered safe. If your blood pressure is monitored regularly and doesn’t not drop too low, both lowers blood pressure, so there is a possibility of extra lowering if the combination is too strong for your body. If you check your BP regularly and if it stays in the normal range without symptoms like dizziness, fainting, or extreme fatigue or dizziness you can continue this combination, but keep monitoring it

Regarding long-term use sarpagandha can sometimes leads to excessive calmness, lethargy or low mood used continuously for many months in higher doses. Traditionally, it is combined with other supportive herbs to prevent this effect. If you’re not feeling emotionally sad or overly sleepy since starting it that may be a sign to lower the dose or take. It under supervision in a balanced formulation

Ashwagandha is generally safe long-term and does not have harmful interactions with amlodipine In fact, it can be beneficial by reducing stress related BP spikes, and improving your energy levels

The best approach now used to track your BP daily at the same time and also observe how you feel during the day. Note any tiredness, dizziness or emotional changes. If your BP is stable, you can continue these medicine. If your BP is stable or lower then it is better to lower the dose of sarpagandha

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0 उत्तर

Hello Suganthi,

Thank you for sharing your details. You are 34, taking Amlodipine (5 mg in morning), Sarpagandha (500 mg in night), and Ashwagandha (500 mg in night). You have hypertension with occasional depression and sleep disturbance.

✅UNDERSTANDING YOUR SITUATION

Amlodipine- A safe allopathic medicine to control BP.

Sarpagandha (Rauwolfia serpentina)- Classical Ayurvedic medicine for high BP, but long-term or high dose can cause depression, low mood, and sleep disturbances

Ashwagandha- Generally calming and good for stress, anxiety, and mild BP support.

Your symptoms (sleep disturbance + feeling depressed) suggest that Sarpagandha may not be suiting you at this dose.

✅ WHAT CAN BE DONE

1. Do not stop Amlodipine suddenly - it is your main BP controller.

2. Sarpagandha: Instead of stopping suddenly, you can taper or reduce dosage (e.g., from 500 mg → 250 mg) under guidance, or take it only on alternate days. If depression worsens, it is better to stop it completely.

3. Continue Ashwagandha at night – it will help balance mood, reduce stress, and support BP. You may increase to 500 mg twice daily if tolerated.

4. Instead of Sarpagandha, you can shift to gentler Ayurvedic options

Brahmi capsule 1 in morning – for calming mind & improving sleep.

✅LIFESTYLE AND DIET TIPS

Avoid excess salt, fried foods, late nights. Morning walk + gentle yoga (Shavasana, Anulom-Vilom). Warm milk with nutmeg or cardamom at bedtime for natural sleep. Meditation or chanting (5–10 min) before sleep.

Your depression & sleep issues are likely due to Sarpagandha.

Best option- Continue Amlodipine + Ashwagandha, and replace Sarpagandha with gentler Ayurvedic remedies for BP & mind.

If you wish to reduce Sarpagandha dose, do it gradually, not suddenly.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

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Hello, 1. You can stop both ashwagandha and sarpagandha as you have amlodipine. 2. Incorporate daily practice of pranayama-meditation without fail. this will help you at address, depression and also will improve quality of sleep. 3. Hydrate with 2 liters of water a day. 4. Manomitram tablet 1—0—1 for 30 days after breakfast and dinner.

Take care, Kind regards.

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No worries Morning if it’s more than 110 not to worry you can continue, if it’s below 110 then it’s better to reduce the dose, usually at morning as will be in relaxed state Bp will be at its lower site For disturbed sleep what you can do is take warm milk with a pinch of nutmeg powder at bed time And at morning do pranayama meditation regularly

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Considering your current symptoms and concerns, it’s essential to address both your hypertension and occasional feelings of depression with a well-rounded approach. Firstly, Sarpagandha (Rauwolfia serpentina), known for lowering blood pressure, can sometimes cause side effects like sleep disturbances or mood changes, especially at higher doses. If you’re experiencing such symptoms, it might be wise to consider reducing the dosage of Sarpagandha or even pausing it, but I would recommend consulting with a healthcare professional before making such changes.

Regarding Ashwagandha, it’s an adaptogen that typically aids in managing stress and improving sleep quality, but it can have different effects on different individuals. If you feel it’s contributing to your sleep disturbances, try taking a lower dose or timing it earlier in the evening to see if this alleviates the issue.

You should also consider the combination of Ayurvedic and allopathy medicines. Since you’re already on Amlodipine, maintaining hypertension control becomes a priority. Therefore, before making any significant changes, a consultation with both your allopathic doctor and an Ayurvedic practitioner is advised to ensure there’s no negative interaction. They might consider adjusting your regimen based on your specific constitution and lifestyle factors.

In parallel, practice lifestyle modifications that support blood pressure management: regular moderate exercise like brisk walking, yoga or swimming, reducing excessive salt intake, and prioritize a balanced diet rich in fruits, vegetables, and whole grains. Stress-reduction techniques such as meditation or deep breathing exercises can also be beneficial for both blood pressure and mood management. It’s crucial to monitor your blood pressure regularly to ensure that it remains within the desired range and to keep track of any variations relating to your medication or lifestyle changes.

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I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
1201 समीक्षाएँ
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1391 समीक्षाएँ
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
818 समीक्षाएँ
Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
5
485 समीक्षाएँ

नवीनतम समीक्षाएँ

Michael
6 घंटे पहले
Thank you so much for this detailed answer. It clarifys alot and gives me hope to address my issues naturally. Much appreciated!
Thank you so much for this detailed answer. It clarifys alot and gives me hope to address my issues naturally. Much appreciated!
Claire
6 घंटे पहले
Really grateful for this in-depth response! It made a lot of sense and I feel more hopeful about managing my hair and health issues now. Thanks!
Really grateful for this in-depth response! It made a lot of sense and I feel more hopeful about managing my hair and health issues now. Thanks!
Alexander
9 घंटे पहले
Thanks for the detailed advice! Your suggestions were spot on, and I already feel more at ease about handling this. Really helpful! :)
Thanks for the detailed advice! Your suggestions were spot on, and I already feel more at ease about handling this. Really helpful! :)
Ryan
9 घंटे पहले
Thanks for the detailed advice! Your clear explanation and reccommendations was super helpful. Feeling relieved!
Thanks for the detailed advice! Your clear explanation and reccommendations was super helpful. Feeling relieved!