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What Do High BP Levels Indicate While On Cartia And HCTZ?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I understand your concern and would like to explain that if your blood pressure values is usually not properly controlled and such high values keep persisting, then your actual anti-hypertensive scheme may be not sufficient.
If you are using 25 mg of Hydrochlorothiazide and 120 to 320 mg Cartia XL, then you may need to add another anti-hypertensive drug.
Coming to this point I would recommend discussing with your attending doctor on the possibility of adding an ACEI (like Ramipril, Lisinopril, etc.) or an ARB (like Olmesartan, Telmisartan, etc.)
In addition, I recommend performing several medical tests to investigate for possible secondary causes of hypertension:
- complete blood count (for anemia),
- thyroid hormones level (thyroid dysfunction),
- blood electrolytes level and arterial blood gas analysis (adrenal cortex dysfunction),
- renal function tests (renal dysfunction),
- liver function tests (metabolism of anti-hypertensive drugs)
It is necessary to closely monitor your BP values (several times daily for a couple of days up to a week) and re-evaluate the started anti-hypertensive scheme.
You should discuss with your attending doctor on the above mentioned issues.
Hope to have been helpful to you!
I remain at your disposal for any further discussions.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I understand your concern and would like to explain that if your blood pressure values is usually not properly controlled and such high values keep persisting, then your actual anti-hypertensive scheme may be not sufficient.
If you are using 25 mg of Hydrochlorothiazide and 120 to 320 mg Cartia XL, then you may need to add another anti-hypertensive drug.
Coming to this point I would recommend discussing with your attending doctor on the possibility of adding an ACEI (like Ramipril, Lisinopril, etc.) or an ARB (like Olmesartan, Telmisartan, etc.)
In addition, I recommend performing several medical tests to investigate for possible secondary causes of hypertension:
- complete blood count (for anemia),
- thyroid hormones level (thyroid dysfunction),
- blood electrolytes level and arterial blood gas analysis (adrenal cortex dysfunction),
- renal function tests (renal dysfunction),
- liver function tests (metabolism of anti-hypertensive drugs)
It is necessary to closely monitor your BP values (several times daily for a couple of days up to a week) and re-evaluate the started anti-hypertensive scheme.
You should discuss with your attending doctor on the above mentioned issues.
Hope to have been helpful to you!
I remain at your disposal for any further discussions.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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