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What Is The Ideal Dosage Of Amlodipine, Accupril And Atorvastatin?

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Posted on Fri, 18 Mar 2016
Question: is amlodipine 5mg, accupril 40mg and atorvastatin 40mg too much. Should I reduce accupril to 20mg
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Answered by Dr. Ilir Sharka (3 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that the doses of the drugs your are taking are just within the therapeutic dose ranges.

What are are your actual bloop pressure values during the day?

What is your actual blood lipid profile values?

Only if your blood pressure values are below the normal values (below 110/65mmHg) and you are experiencing symptoms typical of low blood pressure (like fatigue, dizziness, lightheadedness, etc..), a reduce in the dose of accupril may be considered.

Are you experiencing any symptoms like: muscle weakness, cough, nausea or abdominal pain? This could be adverse effects related to accupril.

From the other hand, if your cholesterol values are too low, atorvastatin dose may be reduced.

But, if your blood pressure values and blood lipid profile are within the normal values and your are not experiencing any adverse effects related to your therapy, you should continue on your actual doses without any modifications.

Hope to have been helpful!

Please

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka (5 hours later)
blood pressure 135/86 in am, 117/75 during day without amlodipine

trig 88
cho1 88
hdl 37
ldl 33
doctor
Answered by Dr. Ilir Sharka (16 minutes later)
Brief Answer:
Opinion as follows:

Detailed Answer:

Hello again,

You blood pressure values are quite optimal for your age under double treatment with Amlodipine 5 mg and Accupril 40 mg.

As I explain you above, if no obvious adverse effects are present, I recommend continuing on the actual combination.

Antihypertensive therapy has no predefined optimal schemes. Usually, from many different possible combinations, it is preferred, any scheme which fits better to a certain individual, primarily accounting for its safety profile and effectiveness response.

Your actual antihypertensive scheme seems effective and safe.

Regarding Atorvastatin 40 mg daily, facing your actual blood lipid profile, I recommend to decrease the daily dose to 20 mg/day, and may be after 3-6 months to 10 mg/day (but first a new blood lipid profile test should be checked).

Wishing you are heaving a pleasant weekend,

Greetings!

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9547 Questions

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What Is The Ideal Dosage Of Amlodipine, Accupril And Atorvastatin?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that the doses of the drugs your are taking are just within the therapeutic dose ranges. What are are your actual bloop pressure values during the day? What is your actual blood lipid profile values? Only if your blood pressure values are below the normal values (below 110/65mmHg) and you are experiencing symptoms typical of low blood pressure (like fatigue, dizziness, lightheadedness, etc..), a reduce in the dose of accupril may be considered. Are you experiencing any symptoms like: muscle weakness, cough, nausea or abdominal pain? This could be adverse effects related to accupril. From the other hand, if your cholesterol values are too low, atorvastatin dose may be reduced. But, if your blood pressure values and blood lipid profile are within the normal values and your are not experiencing any adverse effects related to your therapy, you should continue on your actual doses without any modifications. Hope to have been helpful! Please Kind regards, Dr. Iliri