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Suggest Treatment For Elevated BP Levels
Question: Four months a year (Wintertime)I live at 8,000 ft. At sea level my
BP is 120/80 or lower. At altitude my BP is slightly elevated or normal for the first several weeks and then jumps to 160/95 for several weeks before returning to normal. I have tried a Beta Blocker ( 5 or 10 MG of Bistolic) but it does little or nothing). What is going on? and what can I do?
BP is 120/80 or lower. At altitude my BP is slightly elevated or normal for the first several weeks and then jumps to 160/95 for several weeks before returning to normal. I have tried a Beta Blocker ( 5 or 10 MG of Bistolic) but it does little or nothing). What is going on? and what can I do?
Brief Answer:
Treatment with ACE inhibitor or Amlodipin is needed
Detailed Answer:
Dear Sir,
It is quite common, when patients have normal blood pressure on see level and elevated blood pressure on high attitudes.
If you were my patient, I would start either from Amlodipine 5 mg or an ACE inhibitor, e.g. Ramipril 5mg, if it doesn't help in two weeks, dose may be added, or a combination with diuretic . Talk with your doctor about treatment options .
Also remember to take less salt.
Hope I could help you
Wishing you good health
In case of further questions don't hesitate to ask
Regards,
Treatment with ACE inhibitor or Amlodipin is needed
Detailed Answer:
Dear Sir,
It is quite common, when patients have normal blood pressure on see level and elevated blood pressure on high attitudes.
If you were my patient, I would start either from Amlodipine 5 mg or an ACE inhibitor, e.g. Ramipril 5mg, if it doesn't help in two weeks, dose may be added, or a combination with diuretic . Talk with your doctor about treatment options .
Also remember to take less salt.
Hope I could help you
Wishing you good health
In case of further questions don't hesitate to ask
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. That was informative.
Do you think it is okay to stop the meds when my system adjusts to altitude or wait until I return to sea level
Do you think it is okay to stop the meds when my system adjusts to altitude or wait until I return to sea level
Brief Answer:
Welcome back
Detailed Answer:
Dear Sir,
When your blood pressure is low for some days you can try to lower medications doses and see if blood pressure is Ok, try to withdraw slowly. But don't discontinue medications abruptly.
Take care
Welcome back
Detailed Answer:
Dear Sir,
When your blood pressure is low for some days you can try to lower medications doses and see if blood pressure is Ok, try to withdraw slowly. But don't discontinue medications abruptly.
Take care
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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