Suggest Treatment For Aortic Tear And Hypertension

Posted on Thu, 25 Sep 2014

Question: I have recently experienced an aortic tear and am on doxazosin 4mg once a day to keep my blood pressure under control. I also have a postural drop in bp when i stand and bp rises through the day peaking late evening - from around 125 systolic sitting in the morning to 165 late evening. Any thoughts re the postural gap and the late evening peak much appreciated.

Answered by Dr. Benard Shehu (1 hour later)

Brief Answer:
Changes in therapy are needed...

Detailed Answer:
Hi,

I read your medical history carefully and understood your concerns.

The postural gap and late evening peak is due to not-well treated hypertension.

If Ramipril gave you cough, then ARB-inhibitors are advised to start.

I advise to add diuretic drugs like HCTZ for example.

I do not advise to use doxazocin, but to switch to ARB-inhibitors and add diuretic first. If the bp will not be stabilized, then, can use doxazocin as last choice antihypertensive drug.

Hope it helped!
Dr.Benard

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj