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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Elevated Blood Pressure Levels Be Treated?

I have been taking clonidine .25 mg for about 1 1/2 years. al of a sudden it is only controlling it for about 5 hours. pressure goes as high as 188/108 before my next time to take it. my doctor says blood work is fine. urine test not back yet. the doctor started me on Toprol 25 mg. I have been taking it for 5 days. 3 days ago I increased it to .75 mg. it isn t helping. what should I do??????
Tue, 24 Apr 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

First of all, rule out secondary cause of hypertension like renovascular cause, psychogenic cause, endocrine cause, cardiac cause, etcetera.

For that, investigations like doppler arteriograohy, serum aldosterone, serum sodium, and pottasium, ECG, urine 24 hour metanephrine and VMA like investigations can be done.

If hypertension not controlled by metoprolol alone than other antihypertensive drug can be added.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Parth Goswami
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How Can Elevated Blood Pressure Levels Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. First of all, rule out secondary cause of hypertension like renovascular cause, psychogenic cause, endocrine cause, cardiac cause, etcetera. For that, investigations like doppler arteriograohy, serum aldosterone, serum sodium, and pottasium, ECG, urine 24 hour metanephrine and VMA like investigations can be done. If hypertension not controlled by metoprolol alone than other antihypertensive drug can be added. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami