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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High BP. On Linsoprol And Metoprolol. No Help From Diet Changes. No Other Symptoms. Suggest

Hello...My blood pressure is 144/104...I currently am on 10mg Linsoprol and 25mg Metoprolol...I have an Omron BP machine and seems I am always hovering around 140/100. Should I ask my DR to increase my meds? Ive tried Diet and it seems to not effect my BP at all. I still get headaches and have seen my BP rise to as high as 168/120. I dont feel that it is that high when it is...no other symptoms...sweating..fast heart rate...chest pain. What should I do?
Thu, 7 Nov 2013
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Pediatrician, Cardiology,  's  Response
Hi, I have gone through your query and understand your concerns.

The treatment goal is blood pressure below 140/90 and lower for people with other conditions, such as diabetes and kidney disease. These actions of blood pressure medications and lifestyle changes are not effective in keeping your pressure controlled, it may be necessary to ask your doctor adjust your dose of medicines.

In general, at first metoprolol is 25 to 100 mg once a day (you on 25mg/day). However, the dose is usually not more than 400 mg per day. While the starting dose of lisinopril for treating high blood pressure is 10 mg daily. The usual dose range is 20-40 mg daily (you on 10mg/day). Also lisinopril should not be taken with potassium supplements or diuretics that conserve potassium, for example, hydrochlorothiazide/triamterene (Dyazide), since blood potassium levels may rise to dangerous levels.

Wish you good health.
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High BP. On Linsoprol And Metoprolol. No Help From Diet Changes. No Other Symptoms. Suggest

Hi, I have gone through your query and understand your concerns. The treatment goal is blood pressure below 140/90 and lower for people with other conditions, such as diabetes and kidney disease. These actions of blood pressure medications and lifestyle changes are not effective in keeping your pressure controlled, it may be necessary to ask your doctor adjust your dose of medicines. In general, at first metoprolol is 25 to 100 mg once a day (you on 25mg/day). However, the dose is usually not more than 400 mg per day. While the starting dose of lisinopril for treating high blood pressure is 10 mg daily. The usual dose range is 20-40 mg daily (you on 10mg/day). Also lisinopril should not be taken with potassium supplements or diuretics that conserve potassium, for example, hydrochlorothiazide/triamterene (Dyazide), since blood potassium levels may rise to dangerous levels. Wish you good health.