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How to control high BP despite taking medication?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My dad has a persistent blood pressure of 150/95 mmHg even after taking Telmisartan 40 in the morning and Cilnidipine 20 in the evening. What should be done, and how risky is this blood pressure?

Please advise.
Answered by Dr. Salam Salloum

Education:

MRCP

Professional Bio:

Dr. Salam Salloum is a dedicated Cardiologist with extensive expertise in diagnosing and treating heart diseases, arrhythmias, hypertension, and heart failure. He specializes in preventive cardiology, cardiac imaging, and interventional procedures. Known for his thorough clinical approach and compassionate care, Dr. Salam Salloum is committed to improving cardiovascular health through personalized treatment plans and the latest advancements in heart care.    

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Hello,

Welcome to icliniq.com.

I understand your concern.

Your dad is taking Telmisartan 40 mg once a day. If he has been on it for over two weeks and his kidney function is stable, the dose can be increased to 80 mg, either as a single dose in the morning or as a divided dose (40 mg in the morning and 40 mg in the evening). He should continue taking Cilnidipine 20 mg. The ideal blood pressure should be less than 130 mmHg for systolic (top number) and less than 85 mmHg for diastolic (bottom number). If the blood pressure is not controlled according to these recommendations, other medications may need to be added.

I hope this helps you.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At February 7, 2019
Reviewed At March 25, 2025

Education:

MRCP

Professional Bio:

Dr. Salam Salloum is a dedicated Cardiologist with extensive expertise in diagnosing and treating heart diseases, arrhythmias, hypertension, and heart failure. He specializes in preventive cardiology, cardiac imaging, and interventional procedures. Known for his thorough clinical approach and compassionate care, Dr. Salam Salloum is committed to improving cardiovascular health through personalized treatment plans and the latest advancements in heart care.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Salam Salloum
Dr. Salam Salloum

Cardiology

Education:

MRCP

Professional Bio:

Dr. Salam Salloum is a dedicated Cardiologist with extensive expertise in diagnosing and treating heart diseases, arrhythmias, hypertension, and heart failure. He specializes in preventive cardiology, cardiac imaging, and interventional procedures. Known for his thorough clinical approach and compassionate care, Dr. Salam Salloum is committed to improving cardiovascular health through personalized treatment plans and the latest advancements in heart care.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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