Reasons For High Blood Pressure When On BP Medication?

Posted on Mon, 6 Jan 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 6 Jan 2014 Answered on

Thu, 23 Jan 2014 Last reviewed on

Question : i have been on blood pressure medication for about 3 years ,a bout 2 months ago my blood pressure average reading was 135/86 so my doctor added bystolic 5mg along with my 10mg Amlodipine. my blood pressure came down to average 122/78. now for the last week my average reading has gone up to 136/85. i am still taking both medication. no change in my life style . please advise?

Answered by Dr. Anantharamakrishnan (5 hours later)

Brief Answer: Follow up and titration is all that is needed Detailed Answer: Dear friend, Welcome to Health Care Magic No cause for concern as it is The pressure is still in range We are only addressing the pressure… We are not addressing the cause! – which in most cases is extremely difficult to find / in spite of costly and cumbersome investigations! / and likely to be multifactorial inheritance... The pressure generally tends to raise with age, from the underlying cause as also the from stiffness of blood vessels… If it goes higher, you may increase the dose of Bystolic or add a third drug You are in good hands Keep following up Good luck Take care Wishing all well God bless

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (24 minutes later)

my doctor wants to lower my LDL because of my family heart disease history. how low could my LDl be without being a danger to my health?also could you please review my blood work and let me know if I need to make any changes in my diet or life style. Thank you.

Answered by Dr. Anantharamakrishnan (1 hour later)

Brief Answer: Blood work not enclosed Detailed Answer: Hi You should aim for LDL of 70 or less...because of family history and pressure (In the absence of other risk factors levels up to 100 are allowed) Keep your weight to normal / even a little less Quit smoking, if you are a smoker Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad. Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil. Repeat the test in 6 weeks. No blood work is enclosed, for perusal... Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (8 hours later)

Thank you so much Doctor for your advise. I have uploaded my blood work again for your review. is riding a bicycle as good as walking or jogging? After I repeat my test in 6 weeks how can I send the result to you personally , because I am very pleased with your assessment and I really feel comfortable with your advise.

Answered by Dr. Anantharamakrishnan (5 hours later)

Brief Answer: You are OK / You will be OK Detailed Answer: Hi Jogging is better than cycling Walking comes after that - at least 150 minutes weekly. No report of blood work could be seen (not uploaded) You have to reach me through Health Care Magic only Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (3 hours later)

Blood work is attached. Please review and advise. Thank you in advance.

Answered by Dr. Anantharamakrishnan (4 hours later)

Brief Answer: All WELL Detailed Answer: Extensive (and expensive!) investigations indeed! Very much reassuring - congrats! Practically NORMAL - except low Vitamin D / borderline LDL Add Vitamin D-3 - 60,000 units tablets, once a week for 4 weeks; then once a month and recheck the level in 6 months God bless you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar