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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long The Medicine For The High BP To Be Continued?

hi im a private nurse im going to ask about my patient. my patient was hypertensive and given the medication with his cardiologist norvasc (amlodipine) 10mg together with concore (bisoprolol) 2.5mg his past blood pressure before was ranging from 130/80- 140/80mmhg he was taken the drug for one month during hospitalization. when he was discharged from the hospital about 3weeks his blood pressure decreases to 110/80-100/50-80/60mmhg as his maintaining BP and now should i still give the norvasc which is 10mg in dose or should i hold it and continue the concore which is 2.5mg? To prevent rebound hypertension for my patient. and i called up his anesthesiologist because she is going to be under a wound closure procedure for his fournier's gangrene and she told me that i should not stop giving his concore and norvasc but i know she was doubtful with her orders thats why i ask this web for the best intelegent doctors online here thankz...
Thu, 28 Jan 2016
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
No, you should not stop the antihypertensive drug for this patient.
His blood pressure is controlled with these drugs.
So continue same drugs at present.
He is also having Fournier 's gangrene. It is acute infection of soft tissue of body.
Healing is faster if patient is having controlled blood pressure.
If you are stop these drugs, patient may have rebound hypertension and this can affect healing in Fournier' s gangrene. This an also cause bleeding from stitch site.
So better not to stop any drug at present.
When he is cured from Fournier 's gangrene, stitches are removed then we can taper down the antihypertensive drugs.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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How Long The Medicine For The High BP To Be Continued?

Thanks for your question on Health Care Magic. I can understand your concern. No, you should not stop the antihypertensive drug for this patient. His blood pressure is controlled with these drugs. So continue same drugs at present. He is also having Fournier s gangrene. It is acute infection of soft tissue of body. Healing is faster if patient is having controlled blood pressure. If you are stop these drugs, patient may have rebound hypertension and this can affect healing in Fournier s gangrene. This an also cause bleeding from stitch site. So better not to stop any drug at present. When he is cured from Fournier s gangrene, stitches are removed then we can taper down the antihypertensive drugs. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.