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How Can White Coat Hypertension Be Managed?

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Posted on Wed, 19 Sep 2018
Question: I have white coat hypertension.....I have had this all my life.....I am 71 yrs old...female......I have been to numerous psychologists and therapists.....I am in good health and take 1mg.. of Synthroid daily. When I go to dr office my BP goes sky high....at home it is around the 120's over around 70.....went to dr last Monday before appt at home went up to 140's over 80.....at appt was 180/90 pulse 123......got home 1 hr later....was 120/75......I have great fear about high BP since I was a child......at last Dr appt I took xanax 37.5......first time ever I have taken any meds like that hoping that would calm me down....guess it didn't work....I am so worried that that high number will killl me..am so tired of worrying about it.
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Answered by Dr. Ilir Sharka (12 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

I understand your concern and would explain that these spikes in blood pressure due to White coat syndrome, do not increase your cardiovascular risk and thus, they are not harmful.

So, there is no need for any chronic therapy.

I would also recommend checking thyroid hormone levels to make the proper adjustments to Synthroid dose if necessary.

Regarding Xanax, I would not recommend taking it regularly.

As you are taking Synthroid, I would recommend trying Metoprolol Succinate daily, which can help you manage anxiety and also help manage the side effects of Synthroid (anxiety, palpitations, blood pressure spikes, etc.).

Hope you will find this answer helpful!


Kind regards,
Dr. Ilir Sharka,
Cardiologist

Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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How Can White Coat Hypertension Be Managed?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! I understand your concern and would explain that these spikes in blood pressure due to White coat syndrome, do not increase your cardiovascular risk and thus, they are not harmful. So, there is no need for any chronic therapy. I would also recommend checking thyroid hormone levels to make the proper adjustments to Synthroid dose if necessary. Regarding Xanax, I would not recommend taking it regularly. As you are taking Synthroid, I would recommend trying Metoprolol Succinate daily, which can help you manage anxiety and also help manage the side effects of Synthroid (anxiety, palpitations, blood pressure spikes, etc.). Hope you will find this answer helpful! Kind regards, Dr. Ilir Sharka, Cardiologist