HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes High BP Despite Taking Lisinopril?

default
Posted on Fri, 23 Dec 2016
Question: I have been switched to lisinepril Friday of last week. I was placed on 10 mg once in the a.m. Went to my doctor on Monday blood pressure was still high, he increased it to 20mg a day. Came back to my doctor this afternoon and my blood pressure was 200/100. Doctor increased my med to 40, he told me to take two more at 4pm. He said to come back in the morning and if it's not better he will put my back on my old blood pressure and adjust it some. How long does it take this medicine to work before I notice a difference? Should I be really worried?
doctor
Answered by Dr. Panagiotis Zografakis (42 minutes later)
Brief Answer:
a couple of weeks...

Detailed Answer:
Hello,

most antihypertensive drugs show their full potential in about two weeks. The patient should get a very good idea about their potency almost immediately. You should be aware that valsartan with hydrochlorthiazide is a drug with more than double the potency of lisinopril. So changing from valsartan HCT to lisinopril is not an easy decision. Having such a high blood pressure is not expected though...

Perhaps you were worried too? Anxiety may cause high blood pressure...

If the blood pressure level elevation is not spurious then you should definitely add another drug (or change back to valsartan HCT).

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Panagiotis Zografakis (14 minutes later)
I will keep an eye on it. It just makes me nervous, although i take Klonopin .5mg twice a day so i should be relaxed. But i do have Ocd so i could be worried too much. Thank you so much for your answer, that makes me feel better.
doctor
Answered by Dr. Panagiotis Zografakis (22 minutes later)
Brief Answer:
you're welcome!

Detailed Answer:
You're welcome, glad to help!

Kind Regards!
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Cardiologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
What Causes High BP Despite Taking Lisinopril?

Brief Answer: a couple of weeks... Detailed Answer: Hello, most antihypertensive drugs show their full potential in about two weeks. The patient should get a very good idea about their potency almost immediately. You should be aware that valsartan with hydrochlorthiazide is a drug with more than double the potency of lisinopril. So changing from valsartan HCT to lisinopril is not an easy decision. Having such a high blood pressure is not expected though... Perhaps you were worried too? Anxiety may cause high blood pressure... If the blood pressure level elevation is not spurious then you should definitely add another drug (or change back to valsartan HCT). Kind Regards!