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Suggest Treatment For High Blood Pressure
Question: my blood pressure is high 170 over 120 and isn't affected by clonidine what should I do?
YYYY@YYYY
YYYY@YYYY
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this symptomatology:
- an infection
- an inflammatory disorder
- an electrolyte imbalance
- thyroid dysfunction
- adrenal gland dysfunction.
For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests:
- a resting ECG
- a chest X ray study
- some blood lab tests (complete blood count, thyroid hormone levels, PCR, sedimentation rate, blood electrolytes, fasting glucose, plasma levels of cortisol and aldosterone)
- an urine analysis
- urine levels of metanephrines for possible pheochromocytoma.
You should discuss with your doctor on the above tests.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this symptomatology:
- an infection
- an inflammatory disorder
- an electrolyte imbalance
- thyroid dysfunction
- adrenal gland dysfunction.
For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests:
- a resting ECG
- a chest X ray study
- some blood lab tests (complete blood count, thyroid hormone levels, PCR, sedimentation rate, blood electrolytes, fasting glucose, plasma levels of cortisol and aldosterone)
- an urine analysis
- urine levels of metanephrines for possible pheochromocytoma.
You should discuss with your doctor on the above tests.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i have been taking hydrochlorothiazide 10mg a day for a month or more and no results
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
This a really low dose for hydrochlorothyazide.
I recommend increasing the dose to 25mg in the morning.
I would also advise adding another antihypertensive drug to your therapy such as ACEI (enalapril, lisinopril) or ARB class (valsartan, telmisartan, etc.).
If your blood pressure is still high a week after making these changes, the next step would be add a calcium channel blocker (amlodipine, nicardipine, etc.).
I would also advise performing the above mentioned tests in order to exclude possible secondary causes of high blood pressure.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
This a really low dose for hydrochlorothyazide.
I recommend increasing the dose to 25mg in the morning.
I would also advise adding another antihypertensive drug to your therapy such as ACEI (enalapril, lisinopril) or ARB class (valsartan, telmisartan, etc.).
If your blood pressure is still high a week after making these changes, the next step would be add a calcium channel blocker (amlodipine, nicardipine, etc.).
I would also advise performing the above mentioned tests in order to exclude possible secondary causes of high blood pressure.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr. Iliri
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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