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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Medication Necessary For Having Blood Pressure In Range Of 175/120?

My reading vary to 175/120 best only once 140/110 bottom number is always above 105. Top usually around 160. I'm 61 in good health and eat right and excirse but they have me on three meds 50 mg metorolol,hydrorothiazide 25mg, lisinopril 80 mg and sertraline 50 mg for depression. They upped my meds twice in two months and did all kinds of bood work through the VA. It's getting worse and I sleep and have no energy. Ready to through all of down the toilet any suggestions. Also have severe migraines 3-4 times a week in the middle of the night?
Mon, 20 Mar 2017
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Internal Medicine Specialist 's  Response
Considering your history and age, your prescription seems to be missing a calcium channel blocker. Since you are on high doses of all the other drugs it would be worthwhile to start one.Another very effective drug in your case could be spironolactone(Potassium sparing diuretic).
Please consult your physician before starting any drug.
I would also advise you to get a renal artery doppler done since renal artery stenosis could be a cause of resistant hypertension.
Under no circumstance should you stop medication.
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Is Medication Necessary For Having Blood Pressure In Range Of 175/120?

Considering your history and age, your prescription seems to be missing a calcium channel blocker. Since you are on high doses of all the other drugs it would be worthwhile to start one.Another very effective drug in your case could be spironolactone(Potassium sparing diuretic). Please consult your physician before starting any drug. I would also advise you to get a renal artery doppler done since renal artery stenosis could be a cause of resistant hypertension. Under no circumstance should you stop medication.