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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can High Blood Pressure Be Treated?

I just started taking Losartan 25mg for my high blood pressure I m A 58-year-old African-American woman ... i ve only been taking it for 1 1/2 weeks but my blood pressure doesn t seem to be going down he seems to be going up does this medication worked well in African Americans .
Wed, 20 Dec 2017
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General & Family Physician,  's  Response
Many studies favour use of calcium channel blockers and thiazide diuretics in Aferican-Americans for optimal BP control. It should be kept in mind that hypertensive medications may take 2-3 weeks for exerting their full effects. The second thing is that Losartan can be started 50mg once daily to max 100mg daily. Although you have not mentioned your average BP readings before and after starting Losartan yet you may use 50mg once daily. Summing up the discussion, in my opinion you should start taking Losartan 50mg once daily in morning while monitoring home BP readings for a week. If still suboptimal response then you can safely switch to a calcium channel blocker (Amlodipine 5mg once daily titrated to response).
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How Can High Blood Pressure Be Treated?

Many studies favour use of calcium channel blockers and thiazide diuretics in Aferican-Americans for optimal BP control. It should be kept in mind that hypertensive medications may take 2-3 weeks for exerting their full effects. The second thing is that Losartan can be started 50mg once daily to max 100mg daily. Although you have not mentioned your average BP readings before and after starting Losartan yet you may use 50mg once daily. Summing up the discussion, in my opinion you should start taking Losartan 50mg once daily in morning while monitoring home BP readings for a week. If still suboptimal response then you can safely switch to a calcium channel blocker (Amlodipine 5mg once daily titrated to response).