Can I have normal BP after taking antihypertensive drugs?

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 May 25, 2023

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?

#

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.

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?

#

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?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
I am on anti-hypertensives. Is my BP normal?

.. 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 be   Read full

Can hypertension cause dilated cardiomyopathy?

.. having HTN (hypertension) which may cause concentric LVH (left ventricular hypertrophy). EF (ejection fraction) 20 to 25 % with both pericardial and bilateral pleural effusion. You need to evaluate the cause of effusion both cardiac and pleural and nee   Read full

Hypertension and Skipping Anti-Hypertensive Pills - A Small Step Towards a Big Mistake

.. the misconceptions prevalent among people against having anti-hypertensive pills .. ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Retinal Diseases in Children - A Complete Guide
Certain abnormalities can be present in the retina of some children. Continue reading to learn more about retinal diseases in children.  Read more»
Home Birth and Hospital Birth - Pros and Cons
The abstract provides an overview of the advantages and disadvantages of home birth and hospital birth.  Read more»
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare 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. Read our Editorial Process to know how we create content for health articles and queries.