What is the treatment for persistent hypertension?

Hello,

Welcome to icliniq.com.

I can understand your concern.

Your blood pressure is uncontrolled, though you are on blood pressure medication. Your blood pressure goal should be less than 130/80 mm Hg. You can start non-pharmacological measures to control your blood pressure, such as daily walks or exercise, reducing your salt consumption, stopping consuming processed food, and considering salt alternatives. Similarly, reducing weight is another effective measure to have good control of blood pressure. The previous laboratory tests that you shared show that you had slightly raised serum creatinine, and with raised blood pressure, it is a bit concerning as blood pressure can further deteriorate kidney functions. Also, the medication you are currently using can sometimes interfere with renal function. I would advise you to repeat serum creatine and serum electrolytes. Your echo and ECG (electrocardiogram) were normal, and this is very reassuring. However, I would advise to repeat an ECG. Your renin levels and aldosterone were also normal. If your blood pressure continues to be raised despite the above non-pharmacological measures you can increase your current dose of medicine, which is Lisinopril 10 mg to 20 mg once daily after doing the above blood tests, or you can start Amlodipine 5 mg at night in addition to Lisinopril in the morning and that should control your blood pressure. It is important to control blood pressure, especially in young people, as long-term high blood pressure can cause significant morbidity. Please let us know if you have any further queries, and we will be happy to answer.

I hope this information will help you.

Thanks.