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Suggest Treatment For Severe Variations In BP Readings
I m having difficulty getting my BP stable. It has been systolic in the 180 range for weeks now, diastolic from 70s to 80s. Dr treating w/ Lisinopril 5 mg 2x daily and metoprolol 25 mg hs. I m very sensitive to meds and dant handle normal dose. Seeing dr Thursday and want to ask about hctz. Your opinion. Please?
Thu, 29 Aug 2019
Hi,
In a fraction of patients, blood pressure is very labile. It is up but whenever treated aggressively, there are bouts of hypotension. Kindly see your cardiologist for further evaluation in the form of ECG, echo, renal Doppler and lipid and thyroid profile. He will treat you with tapered doses of anti-hypertensive which are to be increased in a sequential manner.
Hope my answer was helpful. If you have further queries feel free to contact me again.
Regards,
Dr. Ajeet Singh, General & Family Physician
In a fraction of patients, blood pressure is very labile. It is up but whenever treated aggressively, there are bouts of hypotension. Kindly see your cardiologist for further evaluation in the form of ECG, echo, renal Doppler and lipid and thyroid profile. He will treat you with tapered doses of anti-hypertensive which are to be increased in a sequential manner.
Hope my answer was helpful. If you have further queries feel free to contact me again.
Regards,
Dr. Ajeet Singh, General & Family Physician
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