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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lisinoprol. BP Down. Shall I Discontinue It?

Hello Dr. Samuel, I am currently on 20 MG of Lisinopril per day. I started at this dosage at 284 and now after 18 months, I am 244 and running every other day. BP is down from 180 over 100 to current rate of low 120/60-70.some days 90/60. What happens if I discontinue Lisinopril and how would one go about dropping this as when working out 7 days a week--I can get BP to I see 90/50 and that seems a bit low to me.
Mon, 17 Sep 2012
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General & Family Physician 's  Response
Hello
If you discontinue LISINOPRIL suddenly,you shall definitely have rebound hypertension and that can be dangerous for you.
Ideally you should taper the daily dose to 15 mg and see the response by recording your BP for next 2 months.
Once your body gets used to the lower dose with BP in normal range,you may further reduce it by 5 mg.
However if your BP starts showing upward trend then you may have to revert to earlier dose.
However,all these things should be done under the watchful eyes of your treating doctor.
Don't attempt doing it of your own without the proper guidance of your doctor.
Thanks
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Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Hi,
Thanks for posting your query.
Do you have any other symptom apart from low BP like chest pain, squeezing sensation , breathlessness?
If all other mentioned symptoms are present, then you should stop this medicine and should consult with physician and cardiologist.
You should also go for ECG , 2 D echo and coronary angiography if needed.
If all these symptoms are absent then you may have high dose of lisinopril. You should consult with physician and should go for 10/ 15 mg lisinopril.
After that, you should take regular check up with treating doctor.
Take care,
Dr. Mayank Bhargava
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Lisinoprol. BP Down. Shall I Discontinue It?

Hello If you discontinue LISINOPRIL suddenly,you shall definitely have rebound hypertension and that can be dangerous for you. Ideally you should taper the daily dose to 15 mg and see the response by recording your BP for next 2 months. Once your body gets used to the lower dose with BP in normal range,you may further reduce it by 5 mg. However if your BP starts showing upward trend then you may have to revert to earlier dose. However,all these things should be done under the watchful eyes of your treating doctor. Don t attempt doing it of your own without the proper guidance of your doctor. Thanks