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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Blood Pressure And Head Ache

i am 44 yr old female, 130 lbs, dont smoke drink occasionally, eat fairly healthy, not enough excersise, and have been on 40mg lisinipril for 1 1/2 yrs. my head feels like its going to blow up when my blood pressure gets too high. i have had a headache for 12 days now, nothing cures it. took blood pressure today 144/100. any suggestions?
posted on Fri, 14 Mar 2014
Twitter Sat, 16 Apr 2016 Answered on
Twitter Mon, 18 Apr 2016 Last reviewed on
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Cardiologist,  's  Response
Hello and thank you for using HCM.I carefully read your question and I understand your concern.

I will try to explain and give you my opinion.

You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values.

If you have mean values that exceeds 140 / 90 mmHg than we should arrange your medical treatment.

If i was your treating doctor I would ask some examination to evaluate your actual situation like a cardiac echo, a full blood analyze to chek renal function and maybe a holter pressure monitoring.

After these we can better judge what we could do.

My opinion would be to add another class of medication like b-bllocker, calcium blocker but you should discuss this with your doctor after the examinations I mention before.

Hope I was helpfull.
Best regards, Dr.Ervina.
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Suggest Treatment For High Blood Pressure And Head Ache

Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values. If you have mean values that exceeds 140 / 90 mmHg than we should arrange your medical treatment. If i was your treating doctor I would ask some examination to evaluate your actual situation like a cardiac echo, a full blood analyze to chek renal function and maybe a holter pressure monitoring. After these we can better judge what we could do. My opinion would be to add another class of medication like b-bllocker, calcium blocker but you should discuss this with your doctor after the examinations I mention before. Hope I was helpfull. Best regards, Dr.Ervina.