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Suggest Treatment For High BP

Posted on Sat, 5 Jul 2014

Question: Hi Doctor iam 29 years and i have diagnosed with BP two years back and its some times 160/90 or 180/90 and doctor has given me Amlong 5mg.Is this fine as i see lot of people taking a big size of tablets and that to 25mg like that.whats your advise.My weight is 115 and iam started going gym and has come down to 96 and still iam going.hence iam going to gym for two hours should i need to increase my dose.Iam unmarried.Kindly suggest.My lipid profile is normal.

Answered by Dr. Anantharamakrishnan (19 minutes later)

Brief Answer:
Drug Ok / may need more

Detailed Answer:
Dear friend,
Welcome to Health Care Magic

This level of pressure is high and necessitates treatment
Amlong is OK / most people need 2 or more drugs to control / you need follow up / the dose can be stepped up to 10 mg and/or a second drug (like ARB = Angiotensin Receptor Blocker - sartan) is to be added…
You need more lab tests like electrolytes, kidney function / ultrasound, Doppler of kidneys – in view of the young age

Take care
Good luck

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

Follow up: Dr. Anantharamakrishnan (26 minutes later)

DO I NEED TO START ANY TABLET NOW OR SHOULD I INCREASE THE DOSAGE?
WHEN I TAKE aMLONG THE bp COMES DOWN TO 120/80 AND AFTER DRIVING OR WORK OUT IT COMES TO 140/85 AND AGAIN IT COMES TO NORMAL.is there is any permanent cure for this?

Answered by Dr. Anantharamakrishnan (4 hours later)

Brief Answer:
Yes - add a small dose

Detailed Answer:
Hi

Sorry to say – there is no permanent cure for this / but can be managed in an excellent way
Starting a small dose of second drug now – can solve the issue

Regards

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

Follow up: Dr. Anantharamakrishnan (16 minutes later)

Doctor,which drug should i start as additional one and how to use this?

Answered by Dr. Anantharamakrishnan (45 minutes later)

Brief Answer:
See your care provider

Detailed Answer:
Hi

This service does not allow prescription services
You ought to see your doctor and get appropriate prescription
There are several classes of drugs / several drugs in each class / several proprietary names for each drug!
I generally give Telmisartan or Olmesartan / and when the pressure is stable – change to a fixed combination of the 2 drugs into a single tablet

Regards

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

Follow up: Dr. Anantharamakrishnan (8 days later)

Hi Doctor, my current doctor is out of country and i went to a clinic near to my home and he just suggested to increase the dose from 5mg to 7.5 mg,a half tablet in the night .iam not very comfortable with that decision.I have done all the test as you mentioned today and the reports will be ready by tomorrow or day after,can i meet you this month in XXXXXXX if possible? Do i need to take a prior appointment?Kindly advise.

Answered by Dr. Anantharamakrishnan (4 hours later)

Brief Answer:
No hurry / have second opinion

Detailed Answer:
Hi

You should see a Cardiologist (Heart specialist) or Nephrologist (Kidney specialist) – they are the ideal ones to treat blood pressure…

You need to see a doctor in your own place
You need frequent follow up in the initial days, until stabilised / occasional follow ups later on.
A multi-speciality tertiary care hospital will be ideal, in the long term...
For several months, I am outside the country; I am sorry, I couldn’t see you personally…
There are excellent doctors and hospitals in Bengaluru – XXXXXXX Hridayalaya, for example, is well known centre for excellence…

Regards

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

Follow up: Dr. Anantharamakrishnan (5 hours later)

Thank you for a detailed answer ,i know XXXXXXX Hurdyalaya but i will be a great help if you can suggest any of your know Specialist here or else it if fine i will manage.

Answered by Dr. Anantharamakrishnan (1 hour later)

Brief Answer:
good luck

Detailed Answer:
Dear Shri XXXXXXX

Sorry to say that I do not know personally any physician in Bengaluru
As a matter of fact, I don’t know people even in Chennai! – I had been working abroad for thirty years and returned recently…
We can search the net / ask friends, family or colleagues…

God bless you

Note: For further queries related to coronary artery disease and prevention, click here.

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