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Hi. I Am A 61 Year Old Male In Good
Question: Hi. I am a 61 year old male in good overallhealth but having difficulty controlling my blood pressure. I am currently on: 4mg/day Mavic (an ACE inhibitor), 2.5 mg/day indapamide (a diuretic) and 7.5 mg/day amlodipine (a vascular calcium channel blocker). My BP is consistently 150/84. When I started the amlodipine 8 months ago at 2.5 mg/day I had a dramatic affect and BP was 130/80, but the effect was short lived and increasing to 5mg and then 7.5 has not made any difference. I am not overweight. I exercise regularly.
Can you suggest why the amlodipine has stopped working? thank you.
Can you suggest why the amlodipine has stopped working? thank you.
Hi. I am a 61 year old male in good overallhealth but having difficulty controlling my blood pressure. I am currently on: 4mg/day Mavic (an ACE inhibitor), 2.5 mg/day indapamide (a diuretic) and 7.5 mg/day amlodipine (a vascular calcium channel blocker). My BP is consistently 150/84. When I started the amlodipine 8 months ago at 2.5 mg/day I had a dramatic affect and BP was 130/80, but the effect was short lived and increasing to 5mg and then 7.5 has not made any difference. I am not overweight. I exercise regularly.
Can you suggest why the amlodipine has stopped working? thank you.
Can you suggest why the amlodipine has stopped working? thank you.
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello XXXXXXX
After going through the medical query raised by you i can understand your concern and would like to tell you that although your blood pressure is slightly over the desired range for your age group and its good to know that you are maintaining healthy lifestyle routine.
Along with this i hope you are also keeping your dietary salt intake under check, its a very important and easily reversible factor for raised blood pressure.
Now coming to your question, some people develop resistance over time to amlodipine and some develop ankle edema as a side effect of it. I would like to suggest you to talk to your doctor and switch to cilnidipine for better results.
I hope this information will guide you properly.
Kind Regards
Dr Bhanu Partap
Please refer to the detailed answer below
Detailed Answer:
Hello XXXXXXX
After going through the medical query raised by you i can understand your concern and would like to tell you that although your blood pressure is slightly over the desired range for your age group and its good to know that you are maintaining healthy lifestyle routine.
Along with this i hope you are also keeping your dietary salt intake under check, its a very important and easily reversible factor for raised blood pressure.
Now coming to your question, some people develop resistance over time to amlodipine and some develop ankle edema as a side effect of it. I would like to suggest you to talk to your doctor and switch to cilnidipine for better results.
I hope this information will guide you properly.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello XXXXXXX
After going through the medical query raised by you i can understand your concern and would like to tell you that although your blood pressure is slightly over the desired range for your age group and its good to know that you are maintaining healthy lifestyle routine.
Along with this i hope you are also keeping your dietary salt intake under check, its a very important and easily reversible factor for raised blood pressure.
Now coming to your question, some people develop resistance over time to amlodipine and some develop ankle edema as a side effect of it. I would like to suggest you to talk to your doctor and switch to cilnidipine for better results.
I hope this information will guide you properly.
Kind Regards
Dr Bhanu Partap
Please refer to the detailed answer below
Detailed Answer:
Hello XXXXXXX
After going through the medical query raised by you i can understand your concern and would like to tell you that although your blood pressure is slightly over the desired range for your age group and its good to know that you are maintaining healthy lifestyle routine.
Along with this i hope you are also keeping your dietary salt intake under check, its a very important and easily reversible factor for raised blood pressure.
Now coming to your question, some people develop resistance over time to amlodipine and some develop ankle edema as a side effect of it. I would like to suggest you to talk to your doctor and switch to cilnidipine for better results.
I hope this information will guide you properly.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
thank you for your reply. what do you think of adding a cardiac CCB to the vascular CCB?
thank you for your reply. what do you think of adding a cardiac CCB to the vascular CCB?
Brief Answer:
Hello again
Detailed Answer:
The traditional teaching is not to use two drugs from same class.
Also no major studies have been conducted that proves the benefits of using combination therapy with CCB’s and there are no recommendations in the hypertension management guidelines.
Kind Regards
Hello again
Detailed Answer:
The traditional teaching is not to use two drugs from same class.
Also no major studies have been conducted that proves the benefits of using combination therapy with CCB’s and there are no recommendations in the hypertension management guidelines.
Kind Regards
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
Hello again
Detailed Answer:
The traditional teaching is not to use two drugs from same class.
Also no major studies have been conducted that proves the benefits of using combination therapy with CCB’s and there are no recommendations in the hypertension management guidelines.
Kind Regards
Hello again
Detailed Answer:
The traditional teaching is not to use two drugs from same class.
Also no major studies have been conducted that proves the benefits of using combination therapy with CCB’s and there are no recommendations in the hypertension management guidelines.
Kind Regards
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi again. It appears that cilnipidine is not available in Canada (or at least the province of XXXXXXX where I live). Are there other vascular CCBs that would be worth trying? The most common one here other than amlodopine is Felodopine.
Would that be worth a trial?
Or, what do you think of a more powerful diuretic? I sense reluctance on the part of my family physician to use beta blockers and I am sure there is a good reason for that. Thank you for your time. XXXXXXX
Would that be worth a trial?
Or, what do you think of a more powerful diuretic? I sense reluctance on the part of my family physician to use beta blockers and I am sure there is a good reason for that. Thank you for your time. XXXXXXX
Hi again. It appears that cilnipidine is not available in Canada (or at least the province of XXXXXXX where I live). Are there other vascular CCBs that would be worth trying? The most common one here other than amlodopine is Felodopine.
Would that be worth a trial?
Or, what do you think of a more powerful diuretic? I sense reluctance on the part of my family physician to use beta blockers and I am sure there is a good reason for that. Thank you for your time. XXXXXXX
Would that be worth a trial?
Or, what do you think of a more powerful diuretic? I sense reluctance on the part of my family physician to use beta blockers and I am sure there is a good reason for that. Thank you for your time. XXXXXXX
Brief Answer:
Hello Sir
Detailed Answer:
Yes, you can give felodipine a try. Start with low dose of 2.5mg after getting a written prescription from your treating doctor.
Calcium channel blockers works better for XXXXXXX age groups.
Hope to have been helpful.
Kind Regards
Hello Sir
Detailed Answer:
Yes, you can give felodipine a try. Start with low dose of 2.5mg after getting a written prescription from your treating doctor.
Calcium channel blockers works better for XXXXXXX age groups.
Hope to have been helpful.
Kind Regards
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
Hello Sir
Detailed Answer:
Yes, you can give felodipine a try. Start with low dose of 2.5mg after getting a written prescription from your treating doctor.
Calcium channel blockers works better for XXXXXXX age groups.
Hope to have been helpful.
Kind Regards
Hello Sir
Detailed Answer:
Yes, you can give felodipine a try. Start with low dose of 2.5mg after getting a written prescription from your treating doctor.
Calcium channel blockers works better for XXXXXXX age groups.
Hope to have been helpful.
Kind Regards
Above answer was peer-reviewed by :
Dr. Kampana
thank you for the quick reply. I will ask my physician about Felodipine. What do you think of increasing the dose of my diuretic (currently 2.5 indapamide) or changing it? thank you
thank you for the quick reply. I will ask my physician about Felodipine. What do you think of increasing the dose of my diuretic (currently 2.5 indapamide) or changing it? thank you
Brief Answer:
Hello again
Detailed Answer:
Yes, you can increase the dose to 5mg once a day in morning. This is the maximum recommended dose of it for treating hypertension.
Best Regards
Dr Bhanu Partap
Hello again
Detailed Answer:
Yes, you can increase the dose to 5mg once a day in morning. This is the maximum recommended dose of it for treating hypertension.
Best Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Hello again
Detailed Answer:
Yes, you can increase the dose to 5mg once a day in morning. This is the maximum recommended dose of it for treating hypertension.
Best Regards
Dr Bhanu Partap
Hello again
Detailed Answer:
Yes, you can increase the dose to 5mg once a day in morning. This is the maximum recommended dose of it for treating hypertension.
Best Regards
Dr Bhanu Partap
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
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