Dr. Sagar Ramesh Makode
MBBS., MD, GENERAL MEDICINE ., DM, CARDIOLOGY(SENIOR RESIDENT
Cardiology, General Medicine, Internal Medicine
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.