My father is 65 years old. He had a stroke (left thalamic ich) a few months back, but now his blood pressure remains very high which is 110/180-200. Presently he is taking Prazopress 2.5 1-1-1, Olmesan 40 1-0-1, and Cardobis 1-0-1. Please advise.
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If there is any acute stressful condition, tackle it. BP will be fine.
Measures to control BP (blood pressure):
1. Avoid smoking and other addictions.
2. Reduce salt intake in diet.
3. Reduce fatty foods, junk foods, and saturated fats.
4. Avoid stress and anxiety.
5. Do regular moderate intensity exercise such as brisk walk for 30 minutes. 6. Have proper night sleep, at least eight hours a day including at least six hours in the night (uninterrupted sleep).
7. Reduce weight even if weight is within the normal range.
8. Drink plenty of water.
9. Do deep breathing exercises and meditation.
Measure BP while you are totally relaxed, sit for five minutes in a quiet room without talking to anyone. Empty bowel and bladder before checking BP. Avoid tea, coffee 30 minutes before checking BP. Sit on the chair with feet on the ground, back supported, hand supported on a table, cuff at the position of heart. Check the BP and repeat it after five minutes again. Then check the BP in the other arm and repeat it after 5 minutes. During the entire period remain relax and quiet. Arm with higher BP readings is your exact blood pressure. You may take at least two or more readings and the average of readings is your actual BP. If these measures do not help then switch medicines. But before switching, have renal function tests and electrolytes done. If the tests are normal, and you are not allergic to components of the following medicines, then take tablet Amlodipine or Valsartan 10/160 mg in the morning or evening time. Measure BP daily as described above for two to three weeks. If it normalizes, continue the medicine, if not reconsult.
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