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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fluctuating High BP, Occasional Dizziness And Tiredness. Advised Amlodopine, Ca Ch Blocker. Right Medicine?

i have high-ish blood pressure , varying from 180/90 to 120/75, which changes continually. The specialist wants to put me on amlodipine , ca ch blocker, but i understand that it lowers one s heart rate . My pulse rate at rest is 52 . With my 24hr blood pressure test my average reading was 155/85 and pulse lowest 48. i am worried that my pulse will go too low and I might pass out, sometimes i am very dizzy and tired.
Fri, 15 Feb 2013
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to HCM,
You have High Blood pressure (ISH), that is Isolated systolic Hypertension it should be treated and calcium channel blocker are are dug of choice for this type of Hypertension.
Please take care of diet reduce salt to 2.5 gm/day.
If pulse rate is slow kindly check a ECG and see if there is any cause like heart block as if complete heart block is there a Pace maker is required.
If there is nothing then continue the same medicine and dose adjustment periodically.
Take care
Good Luck.
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Fluctuating High BP, Occasional Dizziness And Tiredness. Advised Amlodopine, Ca Ch Blocker. Right Medicine?

Hi, Welcome to HCM, You have High Blood pressure (ISH), that is Isolated systolic Hypertension it should be treated and calcium channel blocker are are dug of choice for this type of Hypertension. Please take care of diet reduce salt to 2.5 gm/day. If pulse rate is slow kindly check a ECG and see if there is any cause like heart block as if complete heart block is there a Pace maker is required. If there is nothing then continue the same medicine and dose adjustment periodically. Take care Good Luck.