HomeAnswersCardiologylosartanIs there a need to taper off Losartan after reduction in my blood pressure?

Can Losartan change blood pressure in three days?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Isaac Gana

Medically reviewed by

Dr. K. Shobana

Published At May 30, 2022
Reviewed AtSeptember 6, 2023

Patient's Query

Hello doctor,

My blood pressure went up to 169/100 mm of Hg a couple of days before a scheduled stress Echo. My T4 is elevated and my Synthroid dose is being tweaked and I am three weeks into that. I am a 68-year-old woman in good health and not overweight and have not had a history of hypertension. An internist that I saw thought I needed to be medicated. I started Losartan (25 mg) once a day for three days. I had the stress Echo yesterday and my blood pressure before the test was 159/96 mm of Hg. Afterward, it was 138/94 mm of Hg. Today it is down 120/80 mm of Hg in the am and the same this afternoon. I have not taken the 25 mg of Losartan for 28 hours now. Do I need to continue? Could the three doses of Losartan be responsible for the change or just the relief that the test is over? I would prefer not to be medicated unnecessarily. I eat a healthy diet and do not smoke or drink alcohol. Is there a need to taper off the Losartan and how would I? My thyroid glands are suppressed because 68 years ago my thymus gland was radiated because I sounded raspy. I have had no issues but have been on Synthroid for 48 years. A few times I have had to change my dose. Currently, my T4 is elevated, and l landed in the ER three weeks ago with stomach, chest, and left arm pain. I had a full workup for my heart and CT abdominal scan with contrast and everything checked out WNL. I found out a few days later about the elevated T4. Three years ago this happened and my Synthroid dose was adjusted and I felt better in a few weeks. I am currently on Pravastatin 20 mg and vitamin D medication for three days.

Answered by Dr. Isaac Gana

Hi,

Welcome to icliniq.com.

Sorry about your health issues. Do stay positive, you will be fine. Before now how often do you check your blood pressure readings? Have you ever experienced regular dizziness or headaches? The fact that you have had issues with your thyroid for quite a long time can predispose you to high blood pressure. It is too early to start taking medications if you have never had high blood pressure at any time. You need to monitor your blood pressure readings for at least a month, reduce salt intake, and exercise before a decision can be made on placing you on medications. Best regards.

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

Dr. Isaac Gana
Dr. Isaac Gana

Cardiology

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