Q. What is the reason for recurrent nocturnal high blood pressure in a patient on anti-hypertensives?
Hello doctor,
I am writing on behalf of my mother and she is currently facing the severe recurrent nocturnal high blood pressure problem. She has been constantly relying on anti-hypertensive drugs from the past five years and the situation is aggravating day by day. Moreover, she claims of facing high pulse rate and is positively confirmed by ECG. Currently, she consumes a combination of Cilnidipine and Metoprolol and also other allied drugs in an emergency.
HelIo,
Welcome to icliniq.com.
Nocturnal nighttime hypertension is a complication of primary secondary hypertension. It can lead to some cardiovascular complications. I usually treat my patients in this situation with Potassium supplements and advice that they avoid any sodium diet. Drugs like Losartan that block angiotensin receptors are some of the medications I advise. I advise her to see a cardiologist for proper evaluation, to know the best management possible in her case. I wish her a quick recovery.
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