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High BP. Prescribed amalong, fenolip. ECG, 2-D echo normal. Will medications control BP?

hi doctor,i am 33 years old , moderate physical work style facing head aches in the evening. went for check up, BP is shooting upto 140/100 max and varying between 120/90 to 140/100 doctor suggested for cariological evaluation ECG , 2d-echo normal TGL level is 245 doctor suggested amalong 2.5 mg one tablet in morning and Fenolip 145 mg tablet 1 in the night. how long i should use these medicines? How can i control my BP.
Asked On : Mon, 24 Dec 2012
Answers:  4 Views:  145
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General & Family Physician 's  Response
hello ! seem to be having a frank essential hypertension, and triglyceride levels also need a check , i'll like to inform you that your cardio workup seems to go in good form and this really shall be helpful for you to be off these medicines after some months ....but you'll have to be alert regarding your BP check and try to be on a salt restricted (take LONA) and fat free diet along with moderate yogic and aerobic exercises.....thesr shall take you off medicines in nearby future!...ALL THE BEST!
Answered: Tue, 25 Dec 2012
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General & Family Physician Dr. Nsah Bernard's  Response
Dec 2012
Hello Kona,

Thank you for posting your worry.
Management of high blood pressure is multidisciplinary involving both diet, exercise and medications when necessary because a good number of factors can cause your BP to rise and you might not necessarily be termed a hypertensive patient. Given your age, it is highly possible that you are having high BP secondary to another factor and not necessarily having essential hypertension ( over 80% of hypertension with no cause). Increase in BP depends on many factors such as salt and water, stress, underlying diseases ( thyroid hyperactivity or hormonal imbalances, obesity, renal diseases, tumors etc), smoking, heavy alcohol, family history of high BP etc. All of this conditions need to be identified (if present) and measures then taken to regulate your blood pressure.
In your case, 33 years old, having stage 1 hypertension and not stable. Your cardiac evaluations normal except elevated triglycerides. I do not know if you are overweight or obese, having a family history, smoke, consume alcohol etc? Your management and advice on your lifestyle will depend on those factors.
For you, I will advice you reduce salt in meals, eat rich fiber meals, avoid too much fatty meals and sugar, exercise regularly, no or reduce alcohol gradually, no or reduce smoking gradually. Basically those are the general conditions to control the BP.
As for your medications Fenolip 145mg is used to reduce the TGL level to normal range and prevent cardiac complications of the coronary artery and the amalong 2.5mg ( is a calcium channel blocker for regularizing high BP). It is started in low doses of 2.5mg because of your stage. Daily doses might be increased if desired BP not reached. But, if i was to manage your condition, I would have preferred starting with the general measures first and give you an anti-migraine for the headache. If that is unsuccessful before I place on you on any antihypertensive medication.
But your doctor's option is still welcome. You will probably have to take the amalong for 2-4 weeks and a BP control done before your doctor can decide on stopping the medications or not. Visit your doctor in case of any doubts.

Hope this helps
Answered: Tue, 25 Dec 2012
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response
Welcome to HCM,
You have Hypertension and your readings are not very high,and TG level is high desirable is
You should take care of life style changes and see if your BP readings comes down and till that time please continue treatment as advised by your doctor.
Reduce salt intake to
Regular exercising may be walking 3-4 km/day
If there is use of Tobacco/smoking/or Alcohol please stop both.
If you are over weight reduce weight.
If there is stress take up some yoga and meditation and see BP readings comes in normal range.
Take care of diet not only for salt also avoid butter,Ghee,Cheese,chocolates,cakes,muffins etc.
High calories in diet like refined sugars sweets,Ice creams,.
Recheck FBS,PPBS,Lipid Profile and BP periodically.
Take care.
Good Luck
Answered: Tue, 25 Dec 2012
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Nephrologist Dr. Aditya Bhabhe's  Response
Thanks for the query.
As you are quite young your BP needs to be well controlled.
A low salt diet, weight reduction, relaxation techniques and avoiding smoking and alcohol help in BP reduction.
After adopting these healthy lifestyle measures check your BP regularly with your doctor.
If BP readings are all normal you may be able to come off the medications.
Hope this helps
Good luck.
Answered: Tue, 25 Dec 2012
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