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Suggest Dosage For Ramipril In An Elderly Person With Hypertension

Posted on Tue, 22 Dec 2015

Question: I am 52 and proscribed
10mg Ramipril
40+5mg Frumil
5mg Amlopine
yet my BP is still high at 168/98..will it be ok to take an additional
2.5mg Ramipril
to try and reduce it I can not get toseethe Doctor till tomorrow at the earliest

Answered by Dr. Dr. Muhammad Sareer Khalil (19 minutes later)

Brief Answer:
Do not increase, based on short therapy and single reading

Detailed Answer:
Hello and Welcome

I appreciate your concern

BP medication require at least 6 weeks to have a complete effect. One should not adjust the dose of the antihypertensive drugs based on one high reading alone. The BP needs monitoring for now to look for response to the medication. Do not increase the dose. Continue the same prescribed dose and strength. If the BP remains persistently high despite the initiation for greater than 4 to 6 weeks then your doctor can adjust the dose accordingly.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (17 minutes later)

Thanks for your answer, however my BP was found to be high at recent review (1 week ago) for Asthma. I have been on 10mg Ramipril for three years The amlopine was added at the time of the review since then my BP readings (home taken Morning, Afternoon & Evening) have been consistently high in the range given...would I still wait 4-6 weeks to see any difference

Answered by Dr. Dr. Muhammad Sareer Khalil (17 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

You should give it time, sir. 40+5mg Frumil also lowers BP. You can go in for earlier reviews. Tomorrows appointment can be awaited. Though the amlodipine dose can be increased to 10 mg if the BP rises further. Ramipril can be increased XXXXXXX up to 20 mg. However this needs to be done gradually after checking the response of the add on medication for at least 4 weeks.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar