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I Am Concerned About My Bp Readings Tonight. I Am
Question: I am concerned about my bp readings tonight. I am on 80 mg telmisartin and 10 mg Amlodipine. That keeps me at about 147/97. Tonight my first reading was 197/107. Waited 5 mins and it was unchanged. Waited 5 mins and changed arms and it was 188/109. Waited 10 mins and it was 166/97. So it seems to be coming down but it has never been that high before. I live in XXXXXXX and am staying in WY for about 6 mos at about 7500 ft elev. just need to know if I need to go to an ER. I have an appt with a dr on 12/4 to investigate what I believe to be angina.
Brief Answer:
I'd recommend as follows...
Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service...
I've gone through your query in details...
I can understand your concern...
First of all, if you're having any pending doses of Amlodipine you may take it now...otherwise just observe for another 30min-1hour (don't take the readings very frequently, check around 15min interval)...
If you notice it's coming down around your usual range, then you may wait for now...Otherwise, you can take one additional dose of 5mg of Amlodipine and recheck the reading in an hour...
Please take deep breaths, remain rested and try to divert the mind a bit from the BP related thought as any form of stress/anxiety can further increase the readings...perhaps put on some soothing music additionally...
If despite following all these, there's no significant improvement in the next 1-2hours, then it'll be better to head ahead to the ER as further dose modification of the existing medications along with a few investigations and an introduction of another newer regimen would be necessary...
Given your particular case, 4th December, however, is quite a long wait, so, I'd not recommend waiting that long and reschedule the appointment preferably with the next few days only...
Let me know if I can assist you further.
Take Care
Kind Regards
I'd recommend as follows...
Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service...
I've gone through your query in details...
I can understand your concern...
First of all, if you're having any pending doses of Amlodipine you may take it now...otherwise just observe for another 30min-1hour (don't take the readings very frequently, check around 15min interval)...
If you notice it's coming down around your usual range, then you may wait for now...Otherwise, you can take one additional dose of 5mg of Amlodipine and recheck the reading in an hour...
Please take deep breaths, remain rested and try to divert the mind a bit from the BP related thought as any form of stress/anxiety can further increase the readings...perhaps put on some soothing music additionally...
If despite following all these, there's no significant improvement in the next 1-2hours, then it'll be better to head ahead to the ER as further dose modification of the existing medications along with a few investigations and an introduction of another newer regimen would be necessary...
Given your particular case, 4th December, however, is quite a long wait, so, I'd not recommend waiting that long and reschedule the appointment preferably with the next few days only...
Let me know if I can assist you further.
Take Care
Kind Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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