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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP While On Lisinopril

Normally I have high blood pressure, but it can go from my regular 186 to very low quick if I take blood pressure . my pc put me on several I am now subscribed Lisinopril 20mg I am so afraid to take it for fear my pressure will drop too low and pass out I am also worried about my high blood pressure what do I do?
posted on Thu, 8 Dec 2016
Twitter Fri, 24 Feb 2017 Answered on
Twitter Fri, 24 Feb 2017 Last reviewed on
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General & Family Physician 's  Response
For high BP, lifelong treatment is required with a combination of medicines to effectively control BP. Besides medicines, lifestyle changes are needed. Fluctuation in BP is very common in patients with high BP For control of blood pressure (BP), initially one drug is recommended. If one drug does not control BP effectively, then a combination of two, three, and four drugs depending upon control of BP, is recommended.
Lisinopril is a very safe medicine and it does not cause sudden drop in blood pressure. It normalizes your BP. There is a control system in our body called autonomic nervous system which checks any abnormal fall in BP even after taking lisinopril. You need to take it.
High BP has many serious complications and you need to take medicines regularly in order to keep your BP under normal range.
Advice
1.     Continue lisinopril as suggested
2.     Regular exercise at least 30 minutes for 5 days in a week. The best types of exercise for lowering BP are walking, jogging, cycling, swimming and dancing
3.     Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products
4.     Consume less salt
5.     Avoid smoking, alcohol, coffee and caffeinated beverages
6.     Lose extra weight if you are overweight
7.     Measure your BP regularly and be in touch with your doctor
8.     Investigations
a.     Blood sugar (fasting & post-prandial)
b.     Fasting lipid profile
c.     Serum creatinine
If your BP is not getting controlled by above measures then you should take a second opinion from a cardiologist.
I hope this information will help you. I will be happy if you ask another question
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Suggest Treatment For High BP While On Lisinopril

For high BP, lifelong treatment is required with a combination of medicines to effectively control BP. Besides medicines, lifestyle changes are needed. Fluctuation in BP is very common in patients with high BP For control of blood pressure (BP), initially one drug is recommended. If one drug does not control BP effectively, then a combination of two, three, and four drugs depending upon control of BP, is recommended. Lisinopril is a very safe medicine and it does not cause sudden drop in blood pressure. It normalizes your BP. There is a control system in our body called autonomic nervous system which checks any abnormal fall in BP even after taking lisinopril. You need to take it. High BP has many serious complications and you need to take medicines regularly in order to keep your BP under normal range. Advice 1. Continue lisinopril as suggested 2. Regular exercise at least 30 minutes for 5 days in a week. The best types of exercise for lowering BP are walking, jogging, cycling, swimming and dancing 3. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products 4. Consume less salt 5. Avoid smoking, alcohol, coffee and caffeinated beverages 6. Lose extra weight if you are overweight 7. Measure your BP regularly and be in touch with your doctor 8. Investigations a. Blood sugar (fasting & post-prandial) b. Fasting lipid profile c. Serum creatinine If your BP is not getting controlled by above measures then you should take a second opinion from a cardiologist. I hope this information will help you. I will be happy if you ask another question