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Suggest Treatment For Hypertension
Question: HI DOCTOR, I AM SUFFERING FORM HYPERTENSION FOR LAST 8 YEARS, STARTED MEDICATION 50MG ATENOLOL, AFTER 5 YEARS GAIN SOME PONDS AND BP START SHOOTING UP 180/100, DOCTOR ADD LOSAR H WITH 50 MG ATENOLOL THIS MEDICINE WORK GOOD FOR ME 3 YEARS, NOW AGAIN AFTER 3 YEAR, MY BP SHOOTS TO 200/100, DESPITE OF TAKING BOTH MEDICINE REGULARLY AS I SAID ABOVE, NOW DOCTOR STOP LOSAR H & ATENOLOL 50, AND START CILACAR 10MG + METOPROLOL 25MG IN 8 AM MORNING & LOSAR 50 AT NIGHT TIME, SO MY QUESTION IS THIS COMBINATIONS CAN CONTROL THE BP, I MONITOR BUT IT SLIGHTLY HIGHER SIDE VARIES IN BETWEEN140/90 TO 155/100 . PLEASE SUGGEST
OTHER TESTS ARE NORMAL LIKE SUGAR FASTING 83, LIPID 121, ECG NORMAL, COLOR DOPPLER ECHO (LEFT VENTRICLE ,CONCENTRIC LVH), KFT IS NORMAL, ULTRASOUND IS ALSO NORMAL, TSH NORMAL,
OTHER TESTS ARE NORMAL LIKE SUGAR FASTING 83, LIPID 121, ECG NORMAL, COLOR DOPPLER ECHO (LEFT VENTRICLE ,CONCENTRIC LVH), KFT IS NORMAL, ULTRASOUND IS ALSO NORMAL, TSH NORMAL,
Brief Answer:
Therapy of uncontrolled hypertension
Detailed Answer:
Hi
Thank you for asking Healthcaremagic forum
As you are having a severe hypertension the risk of vascular damage is high.Cilacar (clinidipine) is usually prescribed for protecting from that.Metoprolol helps in reducing work load of heart which is caused by the high blood pressure and from dysrhythmias.Losartan (losar) you take at night which is an ACE inhibitor which protects you from remodelling of heart and kidneys and prevent complications like Myocardial infarction (heart attack).So the combination given for you is good.
As you are getting Blood pressure to level of 200/100, a rapid reduction of it is not advisable as it causes damage to brain by hypoperfusion. So a gradual decreasing is the desired treatment.Your vital organs should get accustomed with the new level of pressure.You should have a regular follow up with your physician and regular monitoring of Blood pressure to attain a normal level.You physician may change to another drug or raises the dosage of existing one next time to decrease your Blood pressure level if it remains high.
Hope this may help you.Let me know if you have any further query.
I am happy to help you.Thanks.
Therapy of uncontrolled hypertension
Detailed Answer:
Hi
Thank you for asking Healthcaremagic forum
As you are having a severe hypertension the risk of vascular damage is high.Cilacar (clinidipine) is usually prescribed for protecting from that.Metoprolol helps in reducing work load of heart which is caused by the high blood pressure and from dysrhythmias.Losartan (losar) you take at night which is an ACE inhibitor which protects you from remodelling of heart and kidneys and prevent complications like Myocardial infarction (heart attack).So the combination given for you is good.
As you are getting Blood pressure to level of 200/100, a rapid reduction of it is not advisable as it causes damage to brain by hypoperfusion. So a gradual decreasing is the desired treatment.Your vital organs should get accustomed with the new level of pressure.You should have a regular follow up with your physician and regular monitoring of Blood pressure to attain a normal level.You physician may change to another drug or raises the dosage of existing one next time to decrease your Blood pressure level if it remains high.
Hope this may help you.Let me know if you have any further query.
I am happy to help you.Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hi Dr XXXXXXX
Thanks for your valuable Reply, I am ok with the medicine as you help me to understand, my weight is 95 kg consider also when review the medicine. Some time I observe, certain kind of fluctuations in my BP, If I do slight Mental stress work these days, my be goes higher side and if slight anxiety then it rise to 160/90 pulse is also higher side 109-120. It’s down after some time when I lay down on bed and try to relax for some time. Please suggest could I require some mind relaxation medicines as well with this treatment for sleep or anxiety.
Thanks for your valuable Reply, I am ok with the medicine as you help me to understand, my weight is 95 kg consider also when review the medicine. Some time I observe, certain kind of fluctuations in my BP, If I do slight Mental stress work these days, my be goes higher side and if slight anxiety then it rise to 160/90 pulse is also higher side 109-120. It’s down after some time when I lay down on bed and try to relax for some time. Please suggest could I require some mind relaxation medicines as well with this treatment for sleep or anxiety.
Brief Answer:
Fluctuation of BP associated with stress
Detailed Answer:
Hi
Thank you for your follow up query.
Stress and anxiety causes fluctuations of BP in some people.In such cases i advise to do breathing exercises.I also advise anxiolytics like alprazolam for that.Your physician will prescribe you such medications if you tell about such symptoms.You should get a proper sleep for 8 hours also.
If wide range of BP fluctuation is there then i recommend ambulatory BP measurement for 24 hours with an instrument.Hope this may help you.
Let me know if you have any further queries.I am happy to help you.
Thanks
Fluctuation of BP associated with stress
Detailed Answer:
Hi
Thank you for your follow up query.
Stress and anxiety causes fluctuations of BP in some people.In such cases i advise to do breathing exercises.I also advise anxiolytics like alprazolam for that.Your physician will prescribe you such medications if you tell about such symptoms.You should get a proper sleep for 8 hours also.
If wide range of BP fluctuation is there then i recommend ambulatory BP measurement for 24 hours with an instrument.Hope this may help you.
Let me know if you have any further queries.I am happy to help you.
Thanks
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Above answer was peer-reviewed by :
Dr. Shanthi.E
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