
What Do Fluctuations In BP When On Losartan Indicate?

I would suggest as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to explain that when facing with uncontrolled values of blood pressure, two main points should be recalled in mind.
First of all, potential triggering factors that may exacerbate high blood pressure should be promptly identified and avoided as well. Sure that caffeinated coffee, spicy and salty food, etc have an important influence. They should be avoided, and a more healthy life style must be followed (diet rich of fibers and unsaturated fat, etc, frequent physical activity, etc)
A recent check up of renal, liver function tests is necessary, as well as a thyroid hormone blood level, and adrenal function (electrolytes).
Secondly, a current review of antihypertensive therapy should be performed. A frequent blood pressure monitoring would be helpful to identify a mean of day-night BP values. If necessary (facing uncontrolled BP values) a double, or even triple therapy should be started. A calcium channel blocker, and/or a thiazides may be added to Losartan. Dose adjustments should be sought too.
You should discuss with her attending doctor about these issues.
Hope to have been helpful to you.
Feel free to ask me whenever you need. Greetings! Dr. Iliri

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