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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Lower Systolic Blood Pressure?

Am 71 all parameters are normal with the exception of high systolic BP. Avg 165/65 with PR 59. Take 200mb a day Toprol XL, 40mg Lisinopril, 10mg Amlodopine and just started 25 mg Aldactone. Any suggestions to lower systolic. Weight is 178 and walk min of 2.5 miles per day, cholesterol normal and minimal red meat based diet. Recent carotid and heart echos normal.
Fri, 6 Jul 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I would explain that Aldactone is not a potent anti-hypertensive. It has weak anti-hypertensive effects. Instead, I would recommend trying Torasemide which is a diuretic with higher anti-hypertensive effects compared to Aldactone. Another treatment option would be Methyldopa or Moxonidine. I recommend discussing with your doctor on the above treatment options. In the meantime, I would recommend trying to reduce maximally salt and caffeine intake in your diet.

Hope to have been helpful!
Wishing all the best,
Dr. Iliri
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How To Lower Systolic Blood Pressure?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that Aldactone is not a potent anti-hypertensive. It has weak anti-hypertensive effects. Instead, I would recommend trying Torasemide which is a diuretic with higher anti-hypertensive effects compared to Aldactone. Another treatment option would be Methyldopa or Moxonidine. I recommend discussing with your doctor on the above treatment options. In the meantime, I would recommend trying to reduce maximally salt and caffeine intake in your diet. Hope to have been helpful! Wishing all the best, Dr. Iliri