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What Causes Hypertension While On Lisinopril?
Posted on
Thu, 16 Mar 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 16 Mar 2017
Answered on
Fri, 7 Apr 2017
Last reviewed on
Question : My question is I took linsinopril my pressure went up instead of down
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would explain that, first it is necessary to review the recent blood pressure values and the underlying anti-hypertensive therapy regimen.
When judging the effectiveness of a certain anti-hypertensive drug it should be clarified whether the daily dose and frequency of administration are adequately applied.
In addition, it is important to investigate for secondary causes of hypertension (thyroid dysfunction, adrenal dysfunction, renal and reno-vascular disorders, etc.).
I recommend discussing with your attending doctor on the above mentioned issues and to see the opportunity of performing additional tests, as follows:
- complete blood count,
- BUN & creatinine,
- blood electrolytes level,
- thyroid hormones level,
- aldosterone levels,
- plasma renin activity,
- cortisol levels,
- metanephrine level,
- arterial blood gas analysis,
- cardiac ultrasound, etc.
After excluding potential secondary causes of hypertension, it would be possible to properly address the right anti-hypertensive scheme.
Hope to have been helpful to you!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would explain that, first it is necessary to review the recent blood pressure values and the underlying anti-hypertensive therapy regimen.
When judging the effectiveness of a certain anti-hypertensive drug it should be clarified whether the daily dose and frequency of administration are adequately applied.
In addition, it is important to investigate for secondary causes of hypertension (thyroid dysfunction, adrenal dysfunction, renal and reno-vascular disorders, etc.).
I recommend discussing with your attending doctor on the above mentioned issues and to see the opportunity of performing additional tests, as follows:
- complete blood count,
- BUN & creatinine,
- blood electrolytes level,
- thyroid hormones level,
- aldosterone levels,
- plasma renin activity,
- cortisol levels,
- metanephrine level,
- arterial blood gas analysis,
- cardiac ultrasound, etc.
After excluding potential secondary causes of hypertension, it would be possible to properly address the right anti-hypertensive scheme.
Hope to have been helpful to you!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Please tests I believe I do need, but should I continue taking
linsinnopril, or can you share an answer for me.
linsinnopril, or can you share an answer for me.
Brief Answer:
Some additional information would be necessary.
Detailed Answer:
Hello again,
I need to know your recent BP values when on Lisinopril and the exact daily dosage of this drug for giving a more precise recommendation.
The medical tests I mentioned at the beginning of our thread are advisable in patients with uncontrolled hypertension under treatment (whichever the treatment is).
If you have already performed some of them, you should discuss with your attending doctor on the opportunity of checking the rest.
If Lisinopril doesn't control your BP values sufficiently and no obvious contraindications of its use is present (renal function impairment, renal artery stenosis, hypersensibility, etc.) then besides continuing Lisinopril additional drugs may be necessary.
A thiazide diuretic drug such as Hydrochlorothiazide 25 mg daily or a calcium channel blocker such as Amlodipine 10 mg daily may be a rationale alternative.
If you provide me with concrete information about BP values and any available tests I could give a more specific opinion.
Regards,
Dr. Iliri
Some additional information would be necessary.
Detailed Answer:
Hello again,
I need to know your recent BP values when on Lisinopril and the exact daily dosage of this drug for giving a more precise recommendation.
The medical tests I mentioned at the beginning of our thread are advisable in patients with uncontrolled hypertension under treatment (whichever the treatment is).
If you have already performed some of them, you should discuss with your attending doctor on the opportunity of checking the rest.
If Lisinopril doesn't control your BP values sufficiently and no obvious contraindications of its use is present (renal function impairment, renal artery stenosis, hypersensibility, etc.) then besides continuing Lisinopril additional drugs may be necessary.
A thiazide diuretic drug such as Hydrochlorothiazide 25 mg daily or a calcium channel blocker such as Amlodipine 10 mg daily may be a rationale alternative.
If you provide me with concrete information about BP values and any available tests I could give a more specific opinion.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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