Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Thank you for asking on HCM!

I understand your concern, and would like to explain that there is not any specific treatment option for high blood pressure.

I would like to know your blood pressure values. How long have you been suffering from high blood pressure? Have you tried any other drugs before?

Benicar (olmesartan) is an angiotensin II receptor antagonist. Olmesartan keeps blood vessels from narrowing, which lowers blood pressure and improves blood flow. Its acts on both diastolic and systolic blood pressure, by lowering them.

This drug acts with a different mechanism from diuretics, but it can be equally effective as mono therapy like diuretics for the blood pressure control, even as first therapy.

If your mean blood pressure values are within the normal limits, while on this therapy and you have not experienced any adverse affects, there is no need to make any changes to your actual therapy.

Meanwhile I would recommend also some lifestyle modifications such as:
- diet modifications ( low salt and caffeine intake)
- a lot of physical exercise
- lose weight if you are overweight

which are necessary to maintain a low blood pressure.

Hope to have been helpful!

Feel free to ask any other questions whenever you need!

Best wishes,

Dr. Iliri

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Brief Answer:
I recommend performing some tests.

Detailed Answer:
Dear XXXXXXX

Thank you for the additional information.

I would like to explain that is necessary to exclude other possible secondary causes (like a metabolic disorder, a thyroid dysfunction or adrenal gland dysfunction etc), which can lead to uncontrolled high blood pressure.

For this purpose I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray and some blood lab tests:

- complete blood count
- thyroid hormone levels
- cortisol plasma levels
- fasting glucose
- kidney and liver function tests
- blood electrolytes
- inflammation tests (fibrinogen, PCR, sedimentation rate).

If all the above tests result normal and a secondary cause of high blood pressure is excluded, you should discuss with your attending physician the possibility of making some changes to your therapy (adding a diuretic or a calcium channel blocker), to control your blood pressure better.

Hope to have been helpful!

I am at your disposal for any other questions, whenever you need!

Regards,

Dr. Iliri

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