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What Causes Fluctuations In BP Every Morning?
Question: My father, age 90, has a big variation in blood pressure every morning. Starting about 205/95 upon rising from bed, 107/65 an hour later, then settling down for the day around 140/75 about three hours after rising. This has been going on for two months at least. He is taking lisinopril, atorvastatin, carvedilol, fish oil, glucosamine chondroitin, isosorbide mononitrate, probiotic dialy and rivaroxaban. His doctor is concerned about the stroke risk with hypertention, but seems to have no explaination about the daily variation.
Brief Answer:
investigation / rescheduling drugs - XXXXXXX help
Detailed Answer:
Hi friend
Welcome to Health Care Magic
It is difficult to say why this happens…
In the young, we generally investigate – hormones thyroid, cortisol, aldosterone and in particular epinephrine and norepinephrine… It is often cumbersome and may not be cost effective….
We routinely look at the basics like kidney function, electrolytes, especially potassium
In the meanwhile changing the timing / splitting the dose into 2 times and/or adding a small dose of diuretic (say the like of thiazide 6.25 or 12.5 mg) could help
The treating doctor alone could conclude better based on total clinical picture…
Good luck
God bless you
investigation / rescheduling drugs - XXXXXXX help
Detailed Answer:
Hi friend
Welcome to Health Care Magic
It is difficult to say why this happens…
In the young, we generally investigate – hormones thyroid, cortisol, aldosterone and in particular epinephrine and norepinephrine… It is often cumbersome and may not be cost effective….
We routinely look at the basics like kidney function, electrolytes, especially potassium
In the meanwhile changing the timing / splitting the dose into 2 times and/or adding a small dose of diuretic (say the like of thiazide 6.25 or 12.5 mg) could help
The treating doctor alone could conclude better based on total clinical picture…
Good luck
God bless you
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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