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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fluctuation In The Blood Pressure?

87 year old mother whose blood pressure is consistantly between 146/73 to 190/91. During cataract surgery last week it was 212/101. Dr prescribed Atenolo 25 mg. Pressure dropped to 80/50 in one hour and then up to 121/70 in the next and then maintained that until she took her medicine the next morning when it was 146/70 again. Dr said to cut pill in half. Now every day my mother feels week and has to nap. Had heart tests and everything is OK in that area. Is this normal dosage and lethargy?
Wed, 31 Aug 2016
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Cardiologist 's  Response
Hi,

It is a normal dose for such pressures. But the people with advanced age may develop such complications, especially in the first dose. If she feels weak and sick even after cutting the dose, then it would be a better idea to change the medication. Calcium channel blockers , such as Amlodipine are more preferred in her age, ACE inhibitors may be prescribed as well if there is no renal impairment.

Wishing a good health to your mother

Come back if you have any further questions
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What Causes Fluctuation In The Blood Pressure?

Hi, It is a normal dose for such pressures. But the people with advanced age may develop such complications, especially in the first dose. If she feels weak and sick even after cutting the dose, then it would be a better idea to change the medication. Calcium channel blockers , such as Amlodipine are more preferred in her age, ACE inhibitors may be prescribed as well if there is no renal impairment. Wishing a good health to your mother Come back if you have any further questions