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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Medication For High BP

My mother is 80 years old and suffers from high blood pressure. She has been having Angizaar h for this condition for many years.

Today her bp was 180 by 110 and the doctor has prescribed Nicardia Retard 20 mg to be had in addition to the Angizaar. Is this safe?

Thu, 13 Aug 2015
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Cardiologist,  's  Response
Hello. Thank you for your question and welcome to HCM. I read your query and understood your concern.

These are very high blood pressure figures for a person who is under treatment to control it. Blood pressure at this age should be kept under 135/85 mmHg, assuming that she does not suffer from other co-morbidities. There is nothing wrong with this combination, it is a safe and effective combination. If I would be her doctor, I would suggest a beta-blocker more than a calcium channel blocker with a slow release. Beta-blockers are effective in lowering the blood pressure and reducing the heart workload.

I also would suggest a visit to the ophthalmologist (the eye doctor), since a fundoscopy test should be in place. Also, I recommend running some liver and kidney fuction tests: urea, creatinine, AST, ALT, total cholesterol and LDL-cholesterol. These suggestions are more to follow to wich grade is the harm done by long-standing hıgh blood pressure.

I hope I was helpful with my answer. Feel free to contact again.

Take care,
Dr. Meriton
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Need Medication For High BP

Hello. Thank you for your question and welcome to HCM. I read your query and understood your concern. These are very high blood pressure figures for a person who is under treatment to control it. Blood pressure at this age should be kept under 135/85 mmHg, assuming that she does not suffer from other co-morbidities. There is nothing wrong with this combination, it is a safe and effective combination. If I would be her doctor, I would suggest a beta-blocker more than a calcium channel blocker with a slow release. Beta-blockers are effective in lowering the blood pressure and reducing the heart workload. I also would suggest a visit to the ophthalmologist (the eye doctor), since a fundoscopy test should be in place. Also, I recommend running some liver and kidney fuction tests: urea, creatinine, AST, ALT, total cholesterol and LDL-cholesterol. These suggestions are more to follow to wich grade is the harm done by long-standing hıgh blood pressure. I hope I was helpful with my answer. Feel free to contact again. Take care, Dr. Meriton