Suggest Ways To Control Hypertension In An Elderly Person

Posted on Mon, 24 Apr 2017

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

Mon, 24 Apr 2017 Answered on

Mon, 15 May 2017 Last reviewed on

Question : Hi ,Doktor ! my grandmother 83 year old has hypertension disease during 20 years .She took norvask many year ,but naw that not works . Now she begins three new medicine: 1 ( bisoprolol 5 mg, 2 -d. ( lisonopril/hydrochlorothiazide 10 mg/ 12,5 mg and Perindophile arginine/ onilodipine/ - 10mg/2,5 mg/ 10 mg )and 3th- Lisonopril / Hydrochlorothiazide 10mg/ 12,5 mg .Her blood pressure go to low 90/50 and lower .She has headache , weakness .No diabetes ,no hearts attac, no kidney and liver desease .l am thinking , this complex o medicine are to much for her .Haw is your think ? What are your recommendations ?
I am waiting for Your decision . With respect XXXXXXX Flut

Answered by Dr. Geeta Sundar (58 minutes later)

Brief Answer:
At this age, over lowering of blood pressure may cause the brain to suffer

Detailed Answer:
Hi welcome to Health care magic,

I totally agree. At this age, over lowering of blood pressure may cause the brain to suffer from less blood supply.

I would like to reduce the medicines one by one with frequent monitoring.
I think only lisinopril hydrochloride 10/12.5 should be sufficient, but this can be judged only with gradual reduction of medicines.

Please consult your doctor with this feedback.

Regards

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Above answer was peer-reviewed by : Dr. Raju A.T