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Is Blood Pressure Value Of 100/70 A Cause For Concern?
Question: I am male, 76 years. Take Lisinopril 20 mg, Atorvastatin 20 mg, Amlodipine 10 mg, Slo Niacin 500 mg, Levothyroxin 75 mcg, Daily.
My BP readings regularly are in the range of 100/70. +/- 5 pts.
My periodonist states BP meds increases inflammation of my gums.
We wonder if I am overmedicated for BP.????? I have no BP symptoms, dizziness or lightheadedness. Occasional very brief balance issue on quick up or down movements.
My BP readings regularly are in the range of 100/70. +/- 5 pts.
My periodonist states BP meds increases inflammation of my gums.
We wonder if I am overmedicated for BP.????? I have no BP symptoms, dizziness or lightheadedness. Occasional very brief balance issue on quick up or down movements.
Brief Answer:
I would recommend reducing the dose of amlodipine
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern and would like to explain that your mean values are below the normal limits of blood pressure. These values are related to your antihypertensive therapy (so it seems that you are really overmedicated).
Although you don't have any severe clinical signs related to low blood pressure (like chronic fatigue, lightheadedness,etc), the quick up or down movements associated with imbalance may be related to low blood pressure or orthostatic hypotension.
Regarding your dentists statement, I agree with him in the fact that in some susceptible persons calcium antagonists (amlodipine) can cause a troublesome overgrowth of the gums. This is not only unsightly but can cause difficulty in chewing if it is allowed to advance. Furthermore, the enlarged and misshapen gums make effective tooth cleaning impossible and enable plaque to accumulate. This results in inflammation of the gums (gingivitis), which may progress to the destruction of the tooth-supporting tissues (periodontitis) and possible tooth loss.
Although a regular care and hygiene of your teeth is the first thing you should do to avoid accumulation of the bacteria and the accumulation of plaque.
Do you have problems with periodontitis or overgrowth of the gums?
Based on your actual blood pressure values, I would recommend reducing the dose of your antihypertensive therapy.
Referring to your dentist statement, I would choose to reduce (half) the dose of amlodipine for the above purpose (or even stop taking based on your blood pressure).
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Greetings!
Dr. Iliri
I would recommend reducing the dose of amlodipine
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern and would like to explain that your mean values are below the normal limits of blood pressure. These values are related to your antihypertensive therapy (so it seems that you are really overmedicated).
Although you don't have any severe clinical signs related to low blood pressure (like chronic fatigue, lightheadedness,etc), the quick up or down movements associated with imbalance may be related to low blood pressure or orthostatic hypotension.
Regarding your dentists statement, I agree with him in the fact that in some susceptible persons calcium antagonists (amlodipine) can cause a troublesome overgrowth of the gums. This is not only unsightly but can cause difficulty in chewing if it is allowed to advance. Furthermore, the enlarged and misshapen gums make effective tooth cleaning impossible and enable plaque to accumulate. This results in inflammation of the gums (gingivitis), which may progress to the destruction of the tooth-supporting tissues (periodontitis) and possible tooth loss.
Although a regular care and hygiene of your teeth is the first thing you should do to avoid accumulation of the bacteria and the accumulation of plaque.
Do you have problems with periodontitis or overgrowth of the gums?
Based on your actual blood pressure values, I would recommend reducing the dose of your antihypertensive therapy.
Referring to your dentist statement, I would choose to reduce (half) the dose of amlodipine for the above purpose (or even stop taking based on your blood pressure).
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Greetings!
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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