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Suggest Treatment For High BP

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Posted on Wed, 6 May 2015
Question: Hi

I am taking Nexovas O 40 for high BP. BP is now in the range of 130/90 to 120/80. This is after a month of taking this medicine.

In 2009, I had kidney stones and was removed. Since then I drink lot of water, almost 7 liters a day. Since this medicine is based on Calcium, would chances of kidney stones reoccur? What are the percentages?

Please advise

XXXX
doctor
Answered by Dr. Goswami Debopom (1 hour later)
Brief Answer:
Chances of kidney stones to reoccur is very rare.

Detailed Answer:
Welcome to Healthcare Magic. Thank you for posting your query.
I can understand your concern.

You see , for many years the standard therapy for raised calcium was dietarycalcium restriction. However , recent studies have shown that low calcium diets increase the risk of incident stone formation. perhaps by reducing the amount of calcium in the intestine to bind oxalate.

Do not worry about the increased stone forming potential . It rarely occurs.

I would suggest you to
- Continue to drink water
- Go for regular blood pressure checkups
- Continue with the medications.

Keep in touch with your doctor. He/she can examine you and guide on further management.
I have gone through all your reports.
They are all normal.

Hope this helps.
Write back to us.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Goswami Debopom (28 minutes later)
Thank you Doctor.

Should the dosage be reduced now?

XXXX
doctor
Answered by Dr. Goswami Debopom (1 hour later)
Brief Answer:
No the dosage should not be reduced.

Detailed Answer:
The antihypertensive medication dosage titration should be done by your doctor only after recording your blood pressure for a few days.

If it stays way below normal, then the dose can be reduced a bit.

For the time being , continue with it and keep in touch with your doctor.

Hope this helps.

If you do not have any other query , kindly close the answer thread and rate it.
Regards
Dr. Goswami
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Goswami Debopom

General & Family Physician

Practicing since :2013

Answered : 484 Questions

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Suggest Treatment For High BP

Brief Answer: Chances of kidney stones to reoccur is very rare. Detailed Answer: Welcome to Healthcare Magic. Thank you for posting your query. I can understand your concern. You see , for many years the standard therapy for raised calcium was dietarycalcium restriction. However , recent studies have shown that low calcium diets increase the risk of incident stone formation. perhaps by reducing the amount of calcium in the intestine to bind oxalate. Do not worry about the increased stone forming potential . It rarely occurs. I would suggest you to - Continue to drink water - Go for regular blood pressure checkups - Continue with the medications. Keep in touch with your doctor. He/she can examine you and guide on further management. I have gone through all your reports. They are all normal. Hope this helps. Write back to us. Regards.