Get E-Book on COVID-19

Q. I am on anti-hypertensives. Is my BP normal?

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 12, 2019

Hi doctor,

I am 62 and male. I am on anti-hypertensive medication for years, my current BP is in the range of 140 to 150 (sys)/60 to 70 (dia). Is this BP good enough for my age? Any suggestions, please?

Dr. Sagar Ramesh Makode

Cardiology General Medicine Internal Medicine
#

Hello,

Welcome to icliniq.com.

Diastolic BP is fine, but systolic is mildly elevated. According to recent evidences and guidelines, lower is better. If BP is persistently elevated above 140, then it is better to add some other medicines to keep it atleast below 140 consistently and preferably below 130 systolic. We are not much concerned about diastolic BP even if goes lower.

Since pulse rate is 60, then Concor dose may be increased to 7.5 or 10, but cautiously monitoring pulse rate. Instead better option is to add another medicines like Losartan 25 mg or Chlorthalidone 25 mg. Should also have low salt diet and regular exercises. So, overall, we should target BP a bit lower.


Was this answer helpful?

 | 

Thank you doctor,

I have taken Concor 10 and Losartan but BP did not change much. I was suggested to add Minoxidil 10 mg daily. I tried for two days and BP was down to about 130/60. Is this the effect of Minoxidil? Any comment, please?

Dr. Sagar Ramesh Makode

Cardiology General Medicine Internal Medicine
#

Hello,

Welcome back to iclliniq.com.

It is due to Minoxidil. But, it is not a first line agent and usually left as a last choice due to side effects profile. So, initially you may increase Losartan to 50, then to 100 mg once a day. Later, if needed diuretic is added like Hydrochlorthiazide or Chlorthalidone 25 mg then to 50 mg. So, in my opinion, it is better not to go with Minoxidil and try other options. If above drug is not helpful which is unlikely, then next in the line is Prazosin. So, we should follow a step by step approach.


Was this answer helpful?

 | 

Related Questions:
I am on anti-hypertensives. Is my BP normal?
Can hypertension cause dilated cardiomyopathy?
Hypertension and Skipping Anti-Hypertensive Pills - A Small Step Towards a Big Mistake

Related Video
Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Hypertension medicines are causing side-effects. What medication to take?

Query: Hello doctor, I have hypertension and also suffer from asthma. I have been prescribed ARBs. However, I have experienced respiratory side effects (dyspnea) that lead me to discontinue the medication. The side effects are class effect and all drugs from this class will have these effects. I cannot us...  Read Full »

Why does my blood pressure remain high even after taking medicines for 10 years?

Query: 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 ...  Read Full »

Can BP tablets cause high uric acid level?

Query: Hi doctor, I am 35 years old. Height 166 cm, weight 76 kg. My uric acid level has come to 8.9. I did this checkup one year before and it was 8.4. At that time I had stopped eating all pulses for at least one month. I am pure vegetarian. I do not have any symptom of gout or any other stuff. I do hav...  Read Full »

Also Read


Can naked body to body massage spread HIV?
Hello doctor, I recently had some business trip during which I had some naked body to body massage wherein massager vag...  Read more»
Are COVID-19 Patients Infectious for up to 90 Days After Recovery?
There have been reports of recovered COVID-19 patients getting reinfected and testing positive for almost 3 months. Read...  Read more»
Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care 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.