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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent High Blood Pressure Despite Medications?

my mom had a stroke due to high blood pressure, on nov 30th . she came home on Dec 3 , she was on AMLODIPINE 5 mg , LISINOPRIL 10mg , OMEPRAZOLE 40 mg a day . DEC 16 , her blood pressure still high 194/ 100. next day she went to see dr . dr raise her Lisinopril to 40 mg , but suggested her to take 20 mg for 2 or 3 days first . so we did . today her blood pressure were 173/86 , 160/82 , 185/95 . the last one we just took one hour ago . i am worry . Are the medicines working ?
posted on Thu, 13 Mar 2014
Twitter Fri, 10 Oct 2014 Answered on
Twitter Mon, 13 Oct 2014 Last reviewed on
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Neurologist,  's  Response
Not every person responds to the same treatment regimen and sometimes even in the same person it can change over time as there are many factors influencing blood pressure.
If it seems to be consistently high for several days then her regimen should be changed either by incrementing dose or by introducing another antihypertensive drug of a different class. I suppose you have been told about the need of a low salt diet. If the patient has other symptoms apart from the measurings like intense headache, confusion, vomiting perhaps more urgent evaluation and treatment in the emergency department is more appropriate.
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What Causes Persistent High Blood Pressure Despite Medications?

Not every person responds to the same treatment regimen and sometimes even in the same person it can change over time as there are many factors influencing blood pressure. If it seems to be consistently high for several days then her regimen should be changed either by incrementing dose or by introducing another antihypertensive drug of a different class. I suppose you have been told about the need of a low salt diet. If the patient has other symptoms apart from the measurings like intense headache, confusion, vomiting perhaps more urgent evaluation and treatment in the emergency department is more appropriate.