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Suggest Treatment For High BP
Question: My BP 170/90 pulse 92/min weight 73 kg age 81 years.
I was taking minipressXL 5 once and calaptin 40 morning & evening . Doctor has advised instead of calaptin 40 take 2 times IVABRAD 5 . I feel calaptin 40 was right for me. request advise
I was taking minipressXL 5 once and calaptin 40 morning & evening . Doctor has advised instead of calaptin 40 take 2 times IVABRAD 5 . I feel calaptin 40 was right for me. request advise
Brief Answer:
Needs more information
Detailed Answer:
Hi there
I have read your query
From your query, I surmise you have hypertension
I need to know if there are any other associated poblems you are facing.
Maybe heart disease, or prior stroke?
Please let me know this information
Then I can give you a more reliable information
Best of luck
Dr Mittal
Needs more information
Detailed Answer:
Hi there
I have read your query
From your query, I surmise you have hypertension
I need to know if there are any other associated poblems you are facing.
Maybe heart disease, or prior stroke?
Please let me know this information
Then I can give you a more reliable information
Best of luck
Dr Mittal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I do not have heart disease nor had a stroke.Request early answer
Brief Answer:
suggest angiotensin receptor blockers
Detailed Answer:
Hi
First and foremost I will tell you why the change has been suggested.
Its because the bp is somewhat high, and because the medicines you were on are not that much recommended for high blood pressure as per the newer guidelines.
In the latter part of the answer i am assuming that
1. you do not have any other disease, except hypertension
2. you had taken your medications regularly prior to the record of blood pressure.
If either of the situations is not fulfilled, we may have to reconsider
First, I agree with your doctor to change calaptin. However I do not agree with his replacement drug- Ivabrad- which is supposed to reduce the blood pressure by slowing the heart rate, and therefore used for angina.
I would suggest another group of medicine called ARBs like telmisartan or olmesartan. This is again 40 mg (olmesartan), and you can start with this medicine. It is a more accepted group as per the new guidelines. Just once a day may do to start with. We can recheck bp at a later time and adjust the dose thereafter.
Best of luck
Dr Mittal
suggest angiotensin receptor blockers
Detailed Answer:
Hi
First and foremost I will tell you why the change has been suggested.
Its because the bp is somewhat high, and because the medicines you were on are not that much recommended for high blood pressure as per the newer guidelines.
In the latter part of the answer i am assuming that
1. you do not have any other disease, except hypertension
2. you had taken your medications regularly prior to the record of blood pressure.
If either of the situations is not fulfilled, we may have to reconsider
First, I agree with your doctor to change calaptin. However I do not agree with his replacement drug- Ivabrad- which is supposed to reduce the blood pressure by slowing the heart rate, and therefore used for angina.
I would suggest another group of medicine called ARBs like telmisartan or olmesartan. This is again 40 mg (olmesartan), and you can start with this medicine. It is a more accepted group as per the new guidelines. Just once a day may do to start with. We can recheck bp at a later time and adjust the dose thereafter.
Best of luck
Dr Mittal
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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