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Suggest Treatment For High BP Readings

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Posted on Thu, 26 Mar 2015
Question: What can you do if someone's blood pressure is 224/94? They already take Metoprolol 25 mgs BID and Lisinopril 5 mgs once a day.
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Answered by Dr. Anshul Varshney (27 minutes later)
Brief Answer:
Should go to ER

Detailed Answer:
Welcome to HCM. I am Dr Anshul Varshney.
I understand your concern.
These BP readings are very high, and one would require to see doctor immediately, who would investigate and start you on anti hypertensive medications.
Metoprolol and Lisinopril are not going to control this high BP.
Medicines would be decided based on the Kidney functions and Serum Potassium levels.
This high BP is considered as an Acute Emergency.
I would advise following investigations:
1. Kidney Function tests
2. Thyroid profile
3. Fasting Blood sugar
4. Fasting Lipid Profile
5. ECG.
I would advise you to get these investigations done. Based on the reports your doctor will start you on medications that would get your BP under control.
Commonly used anti hypertensives are Amlodipine, Metoprolol, Telmisartan, Diuretics.
But at present this "Someone" should go to ER, they will get his/her BP down with Intravenous Frusemide and will order tests.
Avoid pickle, alcohol, namkeen. Take low salt, and oil free diet.
I hope it helps.
Stay Healthy.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For High BP Readings

Brief Answer: Should go to ER Detailed Answer: Welcome to HCM. I am Dr Anshul Varshney. I understand your concern. These BP readings are very high, and one would require to see doctor immediately, who would investigate and start you on anti hypertensive medications. Metoprolol and Lisinopril are not going to control this high BP. Medicines would be decided based on the Kidney functions and Serum Potassium levels. This high BP is considered as an Acute Emergency. I would advise following investigations: 1. Kidney Function tests 2. Thyroid profile 3. Fasting Blood sugar 4. Fasting Lipid Profile 5. ECG. I would advise you to get these investigations done. Based on the reports your doctor will start you on medications that would get your BP under control. Commonly used anti hypertensives are Amlodipine, Metoprolol, Telmisartan, Diuretics. But at present this "Someone" should go to ER, they will get his/her BP down with Intravenous Frusemide and will order tests. Avoid pickle, alcohol, namkeen. Take low salt, and oil free diet. I hope it helps. Stay Healthy.