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Suggest Treatment For High BP And Cholesterol
Question: Hi Dr
I am suffring from high blood pressure and high Cholestrol .
The Cholestrol almost under control but the pressure alternating due day.
I am using narapril 10mg once a day morning.the pressure sometimes goes to 160/100 .
I vist internal medicine Dr and he advice me to change medicine to co-Tabuvan 160/25. On the same time the Dr who gaive me the old medicine advice me to continuous with old medicine .
Any advice Dr.
I am suffring from high blood pressure and high Cholestrol .
The Cholestrol almost under control but the pressure alternating due day.
I am using narapril 10mg once a day morning.the pressure sometimes goes to 160/100 .
I vist internal medicine Dr and he advice me to change medicine to co-Tabuvan 160/25. On the same time the Dr who gaive me the old medicine advice me to continuous with old medicine .
Any advice Dr.
Brief Answer:
Your lab reports are needed...
Detailed Answer:
Hi,
I have gone through your medical history and understood your concerns.
Narapril is an ACE-inhibitor medication. As long as your kidney function test is normal and you do not have a history of metabolic diseases (e.g. diabetes), you can continue Narapril.
If there is any changes on kidney function or diabetes is set, then, can switch to co-Tabuvan, which is an ARB-inhibitor drug.
I also advise to start diuretic drug to your anti-hypertensive therapy for better effects.
I need to have your lab tests analyzed to give final conclusions.
Thank you!
Dr.Benard
Your lab reports are needed...
Detailed Answer:
Hi,
I have gone through your medical history and understood your concerns.
Narapril is an ACE-inhibitor medication. As long as your kidney function test is normal and you do not have a history of metabolic diseases (e.g. diabetes), you can continue Narapril.
If there is any changes on kidney function or diabetes is set, then, can switch to co-Tabuvan, which is an ARB-inhibitor drug.
I also advise to start diuretic drug to your anti-hypertensive therapy for better effects.
I need to have your lab tests analyzed to give final conclusions.
Thank you!
Dr.Benard
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thanks Dr
Can you please mention test you want to see, what I have to tell laboratory for kidney test.
I am not ditebate (I don't have sugare )
Thanks on advanced.
Can you please mention test you want to see, what I have to tell laboratory for kidney test.
I am not ditebate (I don't have sugare )
Thanks on advanced.
Brief Answer:
Following specific tests to evaluate kidney....
Detailed Answer:
Hi back,
Yes, you can do the following:
- Creatinemia
- Azotemia (BUN)
- complete blood count
- urine analysis (Albuminuria)
- abdominal ultrasound
All the best!
Dr.Benard
If no more questions, kindly close this discussion!
Following specific tests to evaluate kidney....
Detailed Answer:
Hi back,
Yes, you can do the following:
- Creatinemia
- Azotemia (BUN)
- complete blood count
- urine analysis (Albuminuria)
- abdominal ultrasound
All the best!
Dr.Benard
If no more questions, kindly close this discussion!
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks Dr
If you don't mind please answer me:
1-can garlic tablet and hibiscus reduce high blood pressure.
2- is green tee or coffee effecting(overlap ) with enalapril if not do you advice to drink green and wight tee.
3. Some times I feel my blood pressure reduced to 109/68(by digital meter) is that ok.
If you don't mind please answer me:
1-can garlic tablet and hibiscus reduce high blood pressure.
2- is green tee or coffee effecting(overlap ) with enalapril if not do you advice to drink green and wight tee.
3. Some times I feel my blood pressure reduced to 109/68(by digital meter) is that ok.
Brief Answer:
Following answers to your queries...
Detailed Answer:
Hi XXXX,
Yes, please find answers to your questions as following:
1. Yes, using garlic and hibiscus will help improve your blood pressure. The tables (supplements) contain the extract of garlic and hibiscus respectively.
2. Green tea and coffee contain a moderate amount of caffeine. Caffeine is causing your blood pressure to increase. Enalapril tries to reduce bp while caffeine tries to increase it. That's why your bp will remain the same high. I always advise my patients not to use caffeinated drinks.
3. Yes, reading as low as 109/68 are within normal range. Unless, you are having symptoms like: dizziness, passing out, shaking, etc.
I advise to monitor your bp, record the results to get them revised by your caring doctor for further evaluation and proper treatment strategy.
Hope it answered to your queries!
Dr.Benard
Following answers to your queries...
Detailed Answer:
Hi XXXX,
Yes, please find answers to your questions as following:
1. Yes, using garlic and hibiscus will help improve your blood pressure. The tables (supplements) contain the extract of garlic and hibiscus respectively.
2. Green tea and coffee contain a moderate amount of caffeine. Caffeine is causing your blood pressure to increase. Enalapril tries to reduce bp while caffeine tries to increase it. That's why your bp will remain the same high. I always advise my patients not to use caffeinated drinks.
3. Yes, reading as low as 109/68 are within normal range. Unless, you are having symptoms like: dizziness, passing out, shaking, etc.
I advise to monitor your bp, record the results to get them revised by your caring doctor for further evaluation and proper treatment strategy.
Hope it answered to your queries!
Dr.Benard
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Raju A.T
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