
What Causes High Blood Pressure Despite Taking Nebicard?

Consider a night time anti hypertensive medication
Detailed Answer:
Hi,
I understand your medical history and glad you gave details.
With what I understand you seem to have hectic work schedule and the current medication nebicard 2.5 mg is not able to control the evening blood pressure.
In such a case I suggest my patients to take a dose of antihypertension medication at night and check the change after two weeks. It is important to keep BP recordings thrice a day and show it to the doctor called 'BP Diary'. The doctor can titrate the doses and give the best working BP medication (there are many anti BP medications that work differently). The goal should be to keep the blood pressure under 140/90 anytime with medication and life style changes. So please go back to your doctor about my suggestion and necessary modification.
One extremely important thing is to modify lifestyle with at least 3 hours of exercise a week and increase fibre (with 5 cups of fruit and veg per day). I suggest to reduce the intake of white rice, white bread, sugar and salt in your daily diet.
Hope this is useful information.

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