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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Uncontrolled Hypertension

i am having serious issues controling my bp. i take 10mg amlodopine,40mg lisinopril, 100mg antenolol and 2.5 mg bendrofluazide daily , i had it checked and it was 162/108. i do all the normal things to help but nothings working now, i cycle 2-3 miles 5 days a week , eat well and try to sleep plenty, and at 32 i am getting a bit fed up of this.any ides?
posted on Fri, 14 Mar 2014
Twitter Mon, 9 Jan 2017 Answered on
Twitter Mon, 9 Jan 2017 Last reviewed on
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Cardiologist,  's  Response
Hi,

You will first evaluation for cause of blood pressure. You should undergo test like kidney function test, renal artery doppler, Sr cortisol and 24 hr Urinary Metanephrines. Also get lipid profile and sugars tested. I think you should be started on tablets like Prazosin or Clonidine which are highly effective in controlling BP.

So request your doctor for these and to reduce dose other medicine like Atenolol and other. Also have healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week.

Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sagar Makode
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Suggest Treatment For Uncontrolled Hypertension

Hi, You will first evaluation for cause of blood pressure. You should undergo test like kidney function test, renal artery doppler, Sr cortisol and 24 hr Urinary Metanephrines. Also get lipid profile and sugars tested. I think you should be started on tablets like Prazosin or Clonidine which are highly effective in controlling BP. So request your doctor for these and to reduce dose other medicine like Atenolol and other. Also have healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There shouldn t be abdominal fat deposition or obesity. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode