Why is my blood pressure elevated even after taking medications?

Q. I am a 31-year-old male, and my blood pressure is elevated even after medications. Please help.

Answered by
Dr. Isaac Gana
and medically reviewed by Dr.Meera Premanand
This is a premium question & answer published on Mar 02, 2022 and last reviewed on: Dec 13, 2023

Hi doctor,

I am 31-year old male. I follow a good diet and do physical work. My BP is 140/90 mm of Hg, and my pulse is 75 bpm. I take tablet Hydrochloride 25 mg, tablet Carvedilol 6.25 mg, tablet Diltiazem 350 mg and Potassium. Recently I took EKG, echocardiogram, stress test, ultrasound of the kidneys and heart with contrast to check my health. Please explain if my health is fine while taking these medications.

#

Hello,

Welcome to icliniq.com.

I understand your concern. Do you take your blood pressure medications as prescribed? Which time of the day do you usually measure your blood pressure? Do you consume a lot of salt? These factors will determine how best to approach your situation. Thank you.

Thank you doctor,

I take my tablet Hydrochloride 25 mg, tablet Carvedilol 6.25 mg, tablet Diltiazem 180 mg along with 20 mEq Potassium in the morning, tablet diltiazem 180 mg and tablet 20 mEq Potassium tablet in the evening. My prescriptions have changed several times, but it seems never to go down entirely no matter what I take. I have been watching my sodium intake and trying to keep it around 2000 mg a day, and trying to be sure to drink plenty of water and no coffee. I have been having this for 15 years. I will lose some weight, but I am not overly heavy. It does run in my family, but I am missing something. Please guide me.

#

Hi,

Welcome to icliniq.com.

If you say you have been battling with this for 15 years, it means you were 16 years of age when you started getting treated for hypertension. It indicates you most likely have secondary hypertension. Did you use corticosteroids as a child? Have you ever checked your thyroid function and kidney function? Is ultrasound and CT (computed tomography) taken for the abdomen? Did they check your cortisol levels for adrenal glands? Do you know if your mother smoked while pregnant with you? I suggest tablet Hydrochlorothiazide 25 mg (Benzothiadiazine) morning and evening. It should help. When measuring blood pressure, ensure you do it immediately you wake up in the morning, not after doing physical activity. It would help if you had additional investigations to check for secondary causes. I hope this helps. Thank you.

Thank you doctor,

I never took Corticosteroid tablets, as far as I can remember. I did have a thyroid function test and a kidney function test. I do not think I have ever had a CT of my abdomen or cortisone levels checked to get it checked. My mother does not smoke, and I do not know either. Also, I do not drink alcohol either. I appreciate your thoughts on this. I am just trying to get another opinion from another doctor to see if maybe we are missing something. I will have to get my doctor to try the other two tests. Thank you.

#

Hello,

Welcome back to icliniq.com.

Yes, please talk to your doctor about the need to do the other investigations. If the source of your blood pressure is found in the future, you might go off antihypertensive medication depending on the cause. The earlier, the better. I hope this helps. Thank you.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Hypertension: Overcome the Highs

Your blood pressure value is considered as hypertension when constantly there is a blood pressure of more than 140/90 mmHg ... A family history of hypertension ... Manageme   Read full

Hypertension - How Aware Are You?

Please check the answer key and get to know how much you know about hypertension based on your score ... Not only does it help control your weight it also helps you relieve your stress, which incidentally happens to be anothe   Read full

I have high blood pressure and feel chest pain. Please help.

.. could be related to gastroesophageal reflux or muscle pain. I recommend taking an antacid and Acetaminophen. If the pain persists, I would recommend consulting with your attending physician for a physical exam and some tests as follows: Resting ECG   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Retinal Diseases in Children - A Complete Guide
Certain abnormalities can be present in the retina of some children. Continue reading to learn more about retinal diseases in children.  Read more»
Home Birth and Hospital Birth - Pros and Cons
The abstract provides an overview of the advantages and disadvantages of home birth and hospital birth.  Read more»
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.