
Can You Suggest Whether To Stop Cold Turkey Or Gradually Anti-hypertensive Therapy?

I would recommend as follows:
Detailed Answer:
Hello,
Regarding your concern, I would explain that it depends on your blood pressure values whether to stop cold turkey or gradually anti-hypertensive therapy.
If your blood pressure values are too low, stopping cold turkey anti-hypertensive therapy may be needed.
But, as your blood pressure values have dropped gradually due to your lifestyle modifications, a gradual reduce in the dose of Losartan is necessary, in order to avoid possible rebound hypertension.
Another option, considering the fact that you do not tolerate well Losartan, would be to switch to another drug like calcium channel blockers (amlodipine, lercanidipine) and then try to reduce gradually the dose of the drug, depending on your blood pressure values.
Thanks.

My opinion as follows:
Detailed Answer:
Hello again!
What is the exact dose of Losartan that you are taking now? I would also like to know your mean blood pressure values during the day actually?
The main problem is your diastolic blood pressure values which is quite high. I agree with you that stopping abruptly Losartan may lead to blood pressure spike.
For this reason, I recommen dto gradually reduce the dose (first try half of the dose) and closely monitor your blood pressure values, in order to avoid blood pressure spikes.
Hope to have been helpful!
Wishing good health,
Dr. Iliri


I have taken the Losartan now for two months and am asking it if is safe to "abruptly" stop taking it or if I should taper off? Again, I already spoke to my doctor and he said it was okay to stop taking it- but, there are so many conflicting answers I don't know who or what to believe?

Below is my question.
1. If I take "half" of the pill now and then continue to do that- how long will I have to do this before I can stop altogether?
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
Your blood pressure values are still high and stopping losartan abruptly or gradually would lead to uncontrolled high blood pressure.
For this reason, as you do not tolerate this drug, I would recommend switching abruptly to another antihypertensive drug, like lercanidipine.
You can stop taking 50mg of losartan abruptly and start that day 5mg of lercanidipine.
This way you will avoid blood pressure spikes.
A close monitoring of blood pressure values is necessary during these days.
Further increase in the dose of lercanidipine may be needed depending on your blood pressure values.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Wishing good health,
Dr.Iliri

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