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Which medicines can manage my high blood pressure at 57?

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

Patient's Query

Hello doctor,

I am a 57-year-old female weighing 158 pounds. I have hypertension, with a systolic reading of 138 mmHg, a diastolic reading of 80 mmHg, and a heart rate of 82 beats per minute. Spasmodic foods (such as yogurt) increase my hypertension, while antispasmodic foods (alkaline, basic foods) do not. Which medication can I take?

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.    

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

Hello,

Welcome to icliniq.com.

I understand your concern.

A blood pressure reading of 138/80 mmHg is considered elevated compared to normal levels. You did not mention any other cardiovascular risk factors, which would place you in the low-risk category. Initially, I recommend lifestyle changes, including regular exercise such as a 40-minute brisk walk daily, reducing salt and caffeine intake, and quitting smoking (if applicable). If, after three months of lifestyle changes, your blood pressure remains above 130/85 mmHg, we can consider adding medication. At this stage, you do not need any medication.

I hope this helps you.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At February 8, 2019
Reviewed At May 4, 2026

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.

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.

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

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.

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