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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Fluctuating BP Levels

Hi I am 39 yrs old and 7 weeks ago I went to the doctors and bp was 150/100 and have cholesterol 6.3. I have been exercising daily, meditate and have changed my diet. I went to docs yesterday and bp was 126/90 but the diastolic fluctuates as it was 90, 88 and 80? What should I do as I have been told that the doctor will advise me whether to go on pills. I don't want to as I feel fine and bp has come right. I was told by the nurse that it is the diastolic which I should keep down??? Thanks.
Fri, 11 Nov 2016
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Cardiologist 's  Response
firstly blood pressure is catagorised in these catagories

normal bp is less then 120/80
pre hypertensive stage is 120 to 139/80 to 89
grade 1 hypertension (mild ) is 140 to 159/90to 99
grade 2 hypertension (moderate) is 160 to 179/100 to 109
grade 3 hypertension (severe) is 180 and above/110 and above
your daisyolic bp whether it is 90 or 88 or 82 falls under prehypertensive stage
so right now for treatment of prehypertensive stage life style modification is advocated
do strenous exercise daily for atleast 45min a day
take low salt diet
drink plenty of water
add fibres in your diet
if not controlled in 3months then medication will be added

but if your diastolic bp is more then 90mm of hg then you should add tab amlodipine 5mg once daily

and monitor bp every third day and keep a record
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Suggest Medication For Fluctuating BP Levels

firstly blood pressure is catagorised in these catagories normal bp is less then 120/80 pre hypertensive stage is 120 to 139/80 to 89 grade 1 hypertension (mild ) is 140 to 159/90to 99 grade 2 hypertension (moderate) is 160 to 179/100 to 109 grade 3 hypertension (severe) is 180 and above/110 and above your daisyolic bp whether it is 90 or 88 or 82 falls under prehypertensive stage so right now for treatment of prehypertensive stage life style modification is advocated do strenous exercise daily for atleast 45min a day take low salt diet drink plenty of water add fibres in your diet if not controlled in 3months then medication will be added but if your diastolic bp is more then 90mm of hg then you should add tab amlodipine 5mg once daily and monitor bp every third day and keep a record