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General Medicine
Question #33485
102 days ago
338

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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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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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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I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
101 days ago
5

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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I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
101 days ago
5

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 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.
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Super helpful! Your answer really made things clearer for me, especially about managing the symptoms. Thank you so much!
Super helpful! Your answer really made things clearer for me, especially about managing the symptoms. Thank you so much!
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