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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Blood Pressure With Raynaud S Syndrome

Hello! I m 29yrs old male, reasonably fit (BMI 24.5), I don t smoke and never had, don t exceed recommended alcohol weekly intake, avoid fast foods etc. I try to excersise every day, 2 miles walk to work, cycling over the weekends etc, and yet I suffer from high blood pressure. It s been high since I was a teenager, so I ve been taking Lisinopril 20mg for last 5 years. I switched to Fosinopril Sodium 20mg 6 months ago as I starting loosing hair and that s one of possible side effects of Lisinopril, but it made no difference. Instead my BP has been getting higher for that period. My doctor advised switching back to Lisinopril 20mg, but it s still high (on average 140-150/85-90). My doctor suggests getting some more readings on daily basis and if it doesn t go lower, she would increase my dose to 40mg or try taking some other drug with Lisinopril. My problem is that I also suffer from Raynald s syndrome, had problems with cold fingers since childhood. Will taking higher doses of drugs lowering BP increase severity of Raynald s? Is there anything else I can try to lower my BP? I excersise, don t smoke, eat healthy food and I still have blood pressure of 70-years old. Can I try any diet supplements or natural herbs to tackle this problem?
Wed, 28 Jun 2017
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Cardiologist, Interventional 's  Response
Hi ... If you were my patient .. I would get your serum creatinine , ultrasound abdomen and renal artery Doppler first . if they were all normal then probably search for some unusual causes for high BP in young . Coming to your treatment .. I think CCB group of drugs like amlodipine or cilnidipine are better choice of drugs for high BP with Raynauds. I can surely help you further if you can furnish me the reports of above mentioned tests.
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Suggest Treatment For High Blood Pressure With Raynaud S Syndrome

Hi ... If you were my patient .. I would get your serum creatinine , ultrasound abdomen and renal artery Doppler first . if they were all normal then probably search for some unusual causes for high BP in young . Coming to your treatment .. I think CCB group of drugs like amlodipine or cilnidipine are better choice of drugs for high BP with Raynauds. I can surely help you further if you can furnish me the reports of above mentioned tests.