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OK Love You See You Talking At 80-year-old High Blood
Posted on
Sat, 21 Sep 2019
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 21 Sep 2019
Answered on
Last reviewed on
Question : OK love you see you talking at 80-year-old high blood pressure never took medicine now taking propranolol 10 mg is it OK to take more medicine sooner than three times a day had work for varices operation two weeks ago
Brief Answer:
I would explian as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your concern and would like to explain that taking Propranolol 3 times daily (every 8 hours) is the recommended regimen for treating hypertension.
In case of hypertension persistence even after 5-7 days of therapy, the next step could be increasing the daily dose gradually 20 mg X3 times every 1-2 weeks until BP control, always being alert for potential adverse effects (bradycardia, fatigue, etc.)
Another strategy would be discussing with the prescribing doctor for optimizing further the current therapy by adding a second anti-hypertensive drug like hydrochlorothiazide 25 mg daily, or an ACEI (like ramipril, perndopril, etc.) or a calcium channel blocker (like amlodipine or lercanidipine 10 mg).
It is necessary to closely monitor blood pressure values (several times daily) until an appropriate maintenance therapy is achieved.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explian as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your concern and would like to explain that taking Propranolol 3 times daily (every 8 hours) is the recommended regimen for treating hypertension.
In case of hypertension persistence even after 5-7 days of therapy, the next step could be increasing the daily dose gradually 20 mg X3 times every 1-2 weeks until BP control, always being alert for potential adverse effects (bradycardia, fatigue, etc.)
Another strategy would be discussing with the prescribing doctor for optimizing further the current therapy by adding a second anti-hypertensive drug like hydrochlorothiazide 25 mg daily, or an ACEI (like ramipril, perndopril, etc.) or a calcium channel blocker (like amlodipine or lercanidipine 10 mg).
It is necessary to closely monitor blood pressure values (several times daily) until an appropriate maintenance therapy is achieved.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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