Hello doctor,
I am suffering from high blood pressure since last 10 years. I take medicine every day twice but my BP remains same 150/100. I take Starpress XL 0 (at night), CTDT-0.25 (during day). Gender- female, age- 48 years. I have cholesterol little bit high. So I take Rosuvastatin, but ECG is normal. I have also my TSH level high. I daily take Eltroxin 50.
Hi,
Welcome to icliniq.com.
Your BP (blood pressure) is not controlled with beta-blocker (Starpress) and a diuretic (CTD). I advice you to do a renal function test and a renal doppler. The cause of your high BP can be from renal pathology. It should be ruled out.
The second thing is that if both above things are normal, some changes in the medicine is needed. For now, you can add Amlodipine 5 mg OD.
The Probable causes:
Secondary HTN (hypertension).
Investigations to be done:RFT, renal color doppler, blood sugar (FBS, PPBS), electrolytes (Na,K).
Differential diagnosis:Essential vs secondary HTN.
Probable diagnosis:HTN, hypothyroidism, hypercholesterolemia.
Treatment plan:Same with drug optimization.
Preventive measures:Exercise, low salt diet, reduce stress if any.
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