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What Do I Do About Fluctuations In High Blood Pressure While Having Irregular Heart Beat And Discomfort While Breathing?
Question: I have been prescribed Lisinopril, Amlodipine and Clonidine and I feel so bad not being able to breath good, Irregular heart beat, flushing and weakness, so I took only Lisinopril a couple of days and felt better with blood pressure around 165/85. I woke up this morning with blood pressure of 237/90, so I took Lisinopril and Amlodipine and blood pressure stayed around 200/90 until lunch time so I took the Clonidine and my blood pressure went down to 144/79 within 1 hour, now I feel bad again, have irregular heart beat and can't breath good. I do have COPD and take symbicort which works very well. I am confused and don't know what to do. Do you have anything to suggest?
Brief Answer:
Considerations
Detailed Answer:
Hello and thank you for sending the query,
Your blood pressure is clearly very challenging to control. For this reason I think it is very important that you see a physician who is specialized in handling refractory hypertension. This is typically a cardiologist or nephrologist.
There are multiple new classes of medications now to control blood pressure and you may be a candidate for an adjustment of your medication regimen to control the BP better while not causing you to feel bothersome side effects.
I would discuss this with your primary doctor to see if he is amenable to referring you to a specialist for further management of this challenging issue.
Sincerely,
Dr. Galamaga
Considerations
Detailed Answer:
Hello and thank you for sending the query,
Your blood pressure is clearly very challenging to control. For this reason I think it is very important that you see a physician who is specialized in handling refractory hypertension. This is typically a cardiologist or nephrologist.
There are multiple new classes of medications now to control blood pressure and you may be a candidate for an adjustment of your medication regimen to control the BP better while not causing you to feel bothersome side effects.
I would discuss this with your primary doctor to see if he is amenable to referring you to a specialist for further management of this challenging issue.
Sincerely,
Dr. Galamaga
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Above answer was peer-reviewed by :
Dr. Raju A.T
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