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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Bp In The Evening?

My age 79 yrs average built, am on amlopress l in morning 0900 hrs,selokene xl 50 mg at 1700 hrs, minipress xl 2.5 mg at 2200 hrs, but my pr shoots up from 1600 hrs from 145-150 -85-90 to 160-170 -95-100 till 2300 hrs after that it gradually comes down and day time its under controll. worried about the rise in the evening,am old pt of diabetis on oha,recently had a stroke 02 months back, kindly advice am also doctor
Mon, 30 May 2016
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General & Family Physician 's  Response
Hello there

I feel you have a mix of too many short acting and long acting drugs

I suggest an amopress-L twice a day at 8.AM and $ pm will take you through the day

Seloken XL50 mg in the morning and perhaps another in the afternoon evening 4-5 PM should be enough

You don't require Minipress Xl

Please try the above combo and let me know. We need to tinker with your present drugs only
Hope that helps
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What Causes High Bp In The Evening?

Hello there I feel you have a mix of too many short acting and long acting drugs I suggest an amopress-L twice a day at 8.AM and $ pm will take you through the day Seloken XL50 mg in the morning and perhaps another in the afternoon evening 4-5 PM should be enough You don t require Minipress Xl Please try the above combo and let me know. We need to tinker with your present drugs only Hope that helps