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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP Despite Taking Diltiazem

I have had high levels of Potassium. Use to be 6.4. Now is 5.6. Understand normal level is 3.5 to 5.2. My doctor has me taking fludrocortisone - (2) .1 mg tablets per day. But my blood pressure is high, between 135 and 175. I take diltiazem . Also take Lipitor. Cholesteral level is 153 and HDL is 44. My concern is the high blood pressure. Is this a bad level. I exercise, don t drink, or smoke, have good weight and eat good food.
Fri, 27 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.

Yes, your BP is elevated. Should have low salt diet. What's the need for Fludrocortisone? Should request your doctor for anti-hypertensive. Fludrocortisone may cause elevated bp so request your doctor to keep its dose as less as possible. Diltiazem is not a strong anti-hypertensive so better to replace with tab Amlodipine depending upon the need.

Hope this helps you and get back if you have any doubts.
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Suggest Treatment For High BP Despite Taking Diltiazem

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, your BP is elevated. Should have low salt diet. What s the need for Fludrocortisone? Should request your doctor for anti-hypertensive. Fludrocortisone may cause elevated bp so request your doctor to keep its dose as less as possible. Diltiazem is not a strong anti-hypertensive so better to replace with tab Amlodipine depending upon the need. Hope this helps you and get back if you have any doubts.