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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Keep BP Level Under Control

Yesterday I was mowing my lawn. I know it can elevate blood pressure. But is 180/103 sound right? My pulse was 66. I had to take a break cause I was not feeling right. I felt very dizzy, out of breath and also felt like a set of heavy books were laying on top of my head. Everytime I would try to move it felt as if from my head all the way to my fingertips had a tingly sleepy feeling. I checked it 20 minutes later and it was 106/91 pulse 91. I am on one bp med atenolol. I was also on lisinopril but was taken off it because my bp kept going to low for the doctor. It seems like my bp can't stabalize. I want it to all stop.
Thu, 22 Dec 2016
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General & Family Physician 's  Response
hi and pleased to answer you
In case of médical drug treatment, the recommendations advise to start the hypertension treatment with a monotherapy, I mean a single molecule. After 4 weeks of initial treatment, an adaptation of the treatment is recommended.
If it is not effective enough, the doctor will prescribe 2 antihypertensive drugs in combination, at low doses. We talk about dual therapy. Two thirds of hypertensive patients are undergoing dual therapy.
Often, patients even need triple therapy or even Quadra therapy to normalize their blood pressure.
Fortunately, there are fixed combinations, that is to say, tablets that already contain 2 or 3 antihypertensive drugs. This allows not to have to take too many different tablets per day, even under quadri-therapy. The first fixed combination of 3 antihypertensives is Exforge HCT®.
I believe that for you two molecules is quite a lot for your hypertension. I urge you to keep lisinopril and stop the atenolol.
I remind you that the medical treatment should not be stopped, if the tension stabilizes.
best wishes
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Suggest Treatment To Keep BP Level Under Control

hi and pleased to answer you In case of médical drug treatment, the recommendations advise to start the hypertension treatment with a monotherapy, I mean a single molecule. After 4 weeks of initial treatment, an adaptation of the treatment is recommended. If it is not effective enough, the doctor will prescribe 2 antihypertensive drugs in combination, at low doses. We talk about dual therapy. Two thirds of hypertensive patients are undergoing dual therapy. Often, patients even need triple therapy or even Quadra therapy to normalize their blood pressure. Fortunately, there are fixed combinations, that is to say, tablets that already contain 2 or 3 antihypertensive drugs. This allows not to have to take too many different tablets per day, even under quadri-therapy. The first fixed combination of 3 antihypertensives is Exforge HCT®. I believe that for you two molecules is quite a lot for your hypertension. I urge you to keep lisinopril and stop the atenolol. I remind you that the medical treatment should not be stopped, if the tension stabilizes. best wishes