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Will Taking Lisinopril Help Lower The Blood Pressure?
32 years olldbeen taking lisinopril 10 mg for a year bp is between 115/65 to 125/70 started working out running 2-3 miles a day with weight lifting. Do you think i could expect my bp to lower more than it has. Went throught a spell where it was 150/90 reason for the lisinopril. However i am out of shape at the moment 5'11" 215 lbs. my health weight was around 185 when i was in good shap a few years back. Could i expect a drop in my bp where i could come off of the lisinopril.
Fri, 7 Aug 2015
Hello, Thank you for your question and welcome to HCM. I understand your concern.
Well, you are young to have high blood pressure. The figures, under lisinopril, are all normal. Actually, some of the latest guidelines consider 150/90 mmHg a borderline high blood pressure, not abnormal, not to treat, but to keep under close observation. My oponion is that you can try to titre lisinopril down, just as a test, for two to three weeks, half its dosage a day. Keep in mind that blood pressure should be measured after you have been 10-15 minutes in resting state, and on both arms. When you discontinue lisinopril, a reasonable approach would be to put you on a 24-hour blood pressure registration, to see if these high figures are constant, or they happen only some times a day and if they match with the time when you may have had any beverage or been physically active.
I would also suggest some changes in your diet and lifestyle:
- low-salt diet and minimum fast-food
- fibre-rich diet (green vegetables and fruit)
- minimum, if none, caffeine-containing beverages (coffee, black tea, energy drinks)
- up to a maximum of 30 grams of ethanol a day (a glass of wine, or two beers)
- at least 60 minute of physical activity, varying between swimming, biking, jogging, walking etc.
I hope you find my answer helpful. Feel free to ask again. Take care and good luck.
Regards,
Dr. Meriton
Well, you are young to have high blood pressure. The figures, under lisinopril, are all normal. Actually, some of the latest guidelines consider 150/90 mmHg a borderline high blood pressure, not abnormal, not to treat, but to keep under close observation. My oponion is that you can try to titre lisinopril down, just as a test, for two to three weeks, half its dosage a day. Keep in mind that blood pressure should be measured after you have been 10-15 minutes in resting state, and on both arms. When you discontinue lisinopril, a reasonable approach would be to put you on a 24-hour blood pressure registration, to see if these high figures are constant, or they happen only some times a day and if they match with the time when you may have had any beverage or been physically active.
I would also suggest some changes in your diet and lifestyle:
- low-salt diet and minimum fast-food
- fibre-rich diet (green vegetables and fruit)
- minimum, if none, caffeine-containing beverages (coffee, black tea, energy drinks)
- up to a maximum of 30 grams of ethanol a day (a glass of wine, or two beers)
- at least 60 minute of physical activity, varying between swimming, biking, jogging, walking etc.
I hope you find my answer helpful. Feel free to ask again. Take care and good luck.
Regards,
Dr. Meriton
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