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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Hypertension, Discontinued HCYS Due To Low Sodium And Increased Benicar. On Nerontin, Aldomet, Hydrocodone, Plavia And Spiriva

I am female, almost 80, and have had hypertension since l975. I have known for several years that not only do I have morning hypertension, but if I lie down for a couple of hours my pressure goes up. Recently I had to discontinue my HCYZ because of a low (127) sodium. My doctor increased my Benicar from 10mg. daily. I am now up to 30mg. daily, which is not controlling my B/P It is 170-180 diastolic in the morning when I get up, and goes down to 130-140 diastolic mid-morning. Occasionally it will go down to 120 for short periods. If I lie down in the afternoon, which I have to do because of a bad back, it will go back up to 150-160. The systolic is always ok. I have tried spreading the dose of Benicar, which doesn't seem to help. Do you think Benicar is the med. for me? I am also on Aldomet 500mg 4xd, Coreg 6.5mg.2xd,Nerontin 2mg. 4xd, Hydrocodone 7.5mg 4xd, Flecianide 50mg 2xd, Plavix 75mg qd,Zetia 10mg qd, Tricor 145mg.qd, and Spiriva inhaler qd
Mon, 30 Sep 2013
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Cardiologist,  's  Response
Hi,

To my point of view, Benicar is a good medicine, however, in your case, I personally, would add Amlodipinum, a calci-blocker drug.

So, Benicar would take the maximum dose (40 mg), if the BP is not stabilized, could start amlodipin 10 mg.

Talk to your cardiologist for this my suggestion.

Thank you.
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Had Hypertension, Discontinued HCYS Due To Low Sodium And Increased Benicar. On Nerontin, Aldomet, Hydrocodone, Plavia And Spiriva

Hi, To my point of view, Benicar is a good medicine, however, in your case, I personally, would add Amlodipinum, a calci-blocker drug. So, Benicar would take the maximum dose (40 mg), if the BP is not stabilized, could start amlodipin 10 mg. Talk to your cardiologist for this my suggestion. Thank you.