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Suggest Treatment For Hypertension
Hi, my husband and i just got home and checked his BP it was 177/142..we have been monitoring it for the past 4 days and he has an average of 160/104 from what the blood pressure cuff is telling us...He has fatige and had a headache this morning, should we be on our way to the E.R? It has gone down to 150/98..
Fri, 24 Nov 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Yes, it's a case of hypertention because blood pressure is in most reading on higher side and therefore outpatient management is required.
If a patient came to me with such history, then after going through the history and physical examination, some relevent test might be done to know the underlying cause.
If the age is below 60, I would suggest daily ACEI like Enalapril or Ramipril and titrated. if not in control, the second line of drug is CA channel blocker like amlodipine. Even then if not controlled then diuretics is added.
Lifestyle modification is also required such as:
Less salt, sugar, proceesed food and fat in diet
Reduce worries and tensions
Regular exercise
Less meat more vegetables
Regular BP monitoring
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Wasim Murtaza
I have reviewed your query and here is my advice.
Yes, it's a case of hypertention because blood pressure is in most reading on higher side and therefore outpatient management is required.
If a patient came to me with such history, then after going through the history and physical examination, some relevent test might be done to know the underlying cause.
If the age is below 60, I would suggest daily ACEI like Enalapril or Ramipril and titrated. if not in control, the second line of drug is CA channel blocker like amlodipine. Even then if not controlled then diuretics is added.
Lifestyle modification is also required such as:
Less salt, sugar, proceesed food and fat in diet
Reduce worries and tensions
Regular exercise
Less meat more vegetables
Regular BP monitoring
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Wasim Murtaza
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