Blood Pressure Fluctuation

The blood pressure can fluctuate in any healthy person. Normal physical activities like walking, exercising, and swimming can cause a sudden spike in blood pressure. Stress and poor diet are also a reason for low blood pressure. It can also fluctuate depending on the temperature.

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I have been prescribed a combination of Amlodipine 5 mg and Valsartan 80 mg for high blood pressure. How should I take this combination?

Query: Hi doctor: I have been prescribed a combination of Amlodipine 5 mg and Valsartan 80 mg after being diagnosed with high blood pressure. If I take the medicine continuously, my blood pressure can drop to 56/100 mmHg or something similar, and if I stop, it can rise to 90/150 mmHg? I want to know how t...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hi, Welcome to Thank you for your query, As long as your blood pressure without any medication is below 160/100 mmHg that means your blood pressure could be controlled with monotherapy. So I recommend you that take only Valsartan 80 mg once daily before breakfast. Then monitor the bl...  Read Full »

I am taking Dilzem tablets for hypertension and tachycardia, but my BP becomes normal only after taking Telma tablets. What should I do?

Query: Hello doctor, I am taking Dilzem CD 120 for the past four years for hypertension and tachycardia. My heart rate was normal but my BP was not reducing. I was taking Dilzem CD 120 in the morning and Dilzem-SR 90 at night. But my BP went high up to 160/100 mmHg. So I started taking Dilzem CD 120 capsul...  Read Full »

Dr. Yash Kathuria

Answer: Hello, Welcome to Thank you for your query. I understand your concern regarding your high BP (blood pressure) and heart rate. First of all, Diltiazem prescribed for BP and heart rate is quite unusual unless your heart rate rhythm is irregular or some abnormal rhythm is present. Pleas...  Read Full »

My mother had a sudden 1-minute episode of unconsciousness with varying blood pressure, and later she was normal. Is it a concern?

Query: Hello doctor, My mother felt dizzy and sweaty, eventually fainted for about a minute. She was not responding to anything and after that woke up to the sound of calling her. Her blood pressure reading shorty after was 99/55. She ate some stuff very little here and there and it went up to 107/64. I am...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hello, Welcome to I can understand your concern. According to your statement, your mother has a history of dizziness, sweating, and fainting for a minute. The clinical features from which your mother was suffering may result from various underlying health conditions like low blood sugar...  Read Full »

I was diagnosed with borderline hypertension in my twenties, and now I am taking medication for it. How can I control my blood pressure?

Query: Hi doctor, From age 20 to 40, I had consistent blood pressure readings of 140/90 mmHg. Many doctors said it was prehypertension and not to treat yet. After my 40s, my systolic started getting into the 150, and I went on a beta blocker and then tablet Lisinopril. For the last ten years, my BP has bee...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Your question was left incomplete, so kindly see to it. It would help if you had a healthy lifestyle, like Avoiding fatty, oily, and high-calorie diets. Have a low-salt diet and monitor blood pressure thrice a day for one week, then once or twice a week. If bloo...  Read Full »

My wife has high blood pressure despite taking medicines for past three months. Please help.

Query: Hi doctor, My wife had a tingling sensation in her left arm and leg five months ago and was treated later. She has high blood pressure and was given Micardis 80 mg, Norvasc 5 mg, and anxiety medicine, Dolo 50 mg, started with a half tablet and now it is three. Also, Xanax R 0.5 mg. Still, her blood ...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Check your blood glucose (fasting and post-prandial) to rule out diabetes, as tingling can be a symptom. For blood pressure, you can take a split Micardis (40 milligrams Telmisartan and 12.5 milligrams Hydrochlorothiazide) dose of 40 milligrams twice a day and increase...  Read Full »

I am a 76-year-old woman with fluctuating blood pressure levels. Is it fine to continue taking the Floricot tablet?

Query: Hi doctor, I am a 76-year-old woman, and my blood pressure fluctuates to 160/70 mm Hg, 167/67 mm Hg, and 179/59 mm Hg. My doctor advised me to take the Floricot tablet. Is it fine to continue taking this tablet?  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hi, Welcome to I understand your concern. You have high blood pressure, which requires medication to be controlled, and the target is to achieve blood pressure below 130/80 mm Hg. High blood pressure and uncontrolled diabetes cause many complications that affect the kidneys, eyes, he...  Read Full »

My mother's blood pressure keeps on fluctuating despite taking medication. Why?

Query: Hi doctor, This concerns my mother's BP (blood pressure). She is nearly 70 kilograms in weight and has been on BP (blood pressure) treatment for the last four months, and here I am giving a summary regarding her BP treatment. 1. Four months ago, the first time the treating physician checked her BP f...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to I do feel she needs ambulatory BP (blood pressure) monitoring to see her BP and variations throughout the day rather than just measurements at the physician's clinic. This is to rule out what is known as white coat hypertension (which is due to high BP at the time of me...  Read Full »

My blood pressure peaks in the late evening and at night, and I have gained weight from taking Escitalopram for it. Can you suggest an alternative?

Query: Hello doctor, I was diagnosed with high blood pressure and took tablet Olmesartan 20 mg. However, I had blood pressure peaks late in the evening and early at night. So, I started taking Escitalopram 5 mg, and the peaks disappeared. However, I gained 20 kgs. Is there an alternate medication to tablet...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to Thank you for your query. I understand your concern. You have proper blood pressure control. Regarding the tablet Escitalopram (antidepressant), one of its side effects is weight gain. It can be replaced with Effexor XR (Venlafaxine) 75 mg once daily. It does not ca...  Read Full »

What are the possible causes of fluctuations in my blood pressure readings?

Query: Hello doctor,I am 30 years old and unmarried. I have been having fluctuations in my BP for the past two months. Some sample readings for the past few days are listed belowAt 3 PM - 121/85 mm of Hg.At 5 PM - 131/74 mm of Hg.At 10 AM - 131/82 mm of Hg.At 10 PM - 120/70 mm of Hg.I get anxious when I ch...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I carefully read your recent BP (blood pressure) values, and I am glad to confirm that you do not have hypertension. Those fluctuations are quite normal and may happen in every normal individual. They are considered normal physiological responses. I would like to expla...  Read Full »

I am a 69-year-old female experiencing a fluctuation in my blood pressure. How can I make it consistent?

Query: Hello doctor, I am a 69-year-old female with hypertension and severe diabetes. For the last 15 years, I used to take Telma H 40 mg, and it used to be enough, but in the last three months after having a UTI, the blood pressure is almost above 150 mm Hg; sometimes it goes to 138 but mostly above 150 o...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to Please check your blood pressure daily a few times and make a record of it for 3 to 4 weeks to see how much is your average blood pressure. Depending upon it, medicine dosages can be modified or substituted. Daily aerobic exercise for 30 minutes or more reduces blood...  Read Full »

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