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Suggest Medication For Fluctuating Blood Pressure
Question: my 89 year old mother's blood pressure is very high some mornings. Today the reading is 190/90 and she complains of headache and nausea, she is throwing up. She is using Oxycodone and Ibuprofen for the pain of a cracked pelvis. Also Carvedilol, 6.25 mg a day. Some days her blood pressure is OK, 160/85.
Her blood pressure is high in the mornings and then seems to come down as the day goes on.
any thoughts.... XXXXXXX
Her blood pressure is high in the mornings and then seems to come down as the day goes on.
any thoughts.... XXXXXXX
Brief Answer:
it is possible to have morning surge
Detailed Answer:
HI, thanks for using healthcare magic
It is possible that the oxycodone is contributing to her nausea and vomiting, this is a side effect of this family of medications.
You may want to consider an anti emetic (medication to decrease vomiting).
Examples are peptobismol or dramamine
The goal for blood pressure for anyone over the age of 60 is a BP of less than 150/90.
This goal was changed in 2014, previously it was 140/90.
Blood pressure can surge in the mornings. This surge can be particularly high for some persons.
The increase is related to the release of certain chemicals (called epinephrine)
There is an increased heart and stroke risk associated with this morning surge.
To help reduce the am value:
(1)may want to review salt and fluid intake
If she is consistently using her medications then it is difficult to understand why the am readings would range from 160/ 85 (note this top value is still too high) to 190/90.
It may be related to salt, fluid intake, pain or stress level
(2)she may need adjustment of medications
There are high blood pressure medications that block the release of the chemical associated with this surge.
Examples are medications belonging to the ARB or ACE family examples are diovan, micardis, candesartan, ramipril, lisinopril
These may be added to her current regimen or substituted (depends on over all control)
I hope this helps, feel free to ask any other questions
it is possible to have morning surge
Detailed Answer:
HI, thanks for using healthcare magic
It is possible that the oxycodone is contributing to her nausea and vomiting, this is a side effect of this family of medications.
You may want to consider an anti emetic (medication to decrease vomiting).
Examples are peptobismol or dramamine
The goal for blood pressure for anyone over the age of 60 is a BP of less than 150/90.
This goal was changed in 2014, previously it was 140/90.
Blood pressure can surge in the mornings. This surge can be particularly high for some persons.
The increase is related to the release of certain chemicals (called epinephrine)
There is an increased heart and stroke risk associated with this morning surge.
To help reduce the am value:
(1)may want to review salt and fluid intake
If she is consistently using her medications then it is difficult to understand why the am readings would range from 160/ 85 (note this top value is still too high) to 190/90.
It may be related to salt, fluid intake, pain or stress level
(2)she may need adjustment of medications
There are high blood pressure medications that block the release of the chemical associated with this surge.
Examples are medications belonging to the ARB or ACE family examples are diovan, micardis, candesartan, ramipril, lisinopril
These may be added to her current regimen or substituted (depends on over all control)
I hope this helps, feel free to ask any other questions
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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