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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Amlodipine And Irbesartan For Blood Pressure. Any Advice?

I am on amlodipine 5 mg and irbesartan 300 mg. My blood pressure is below 110 in the morning so I do not take the amlodipine in the morning but in the afternoon around 2-4 pm when my blood pressure reading goes up to less than 130. I only take 2.5 instead of 5 mg. Around 6-7 PM, I take half of the irbesartan, because my blood pressure reading is still in the range of 120-130. I take my blood pressure reading 3 times a day and for the last 3 months now my blood pressure is always been normal.Thank you doctor for any advice you can give me.
Thu, 10 Oct 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Since you didn't mention your age and sex which is very important for management for blood pressure treatment .
According to your query I understand one thing that you are over conscious about your blood pressure .
As for example , if your age is 40 years and these reading which you mentioned in your query does not come under the category of hypertension.
2nd important point is type of hypertension as,
primary or essential ,
secondary to other disease.
The upper blood pressure call as systolic and it varies every minute to minute .
Even mere anxiety or tension shoot up the systolic ( upper ) B P . This upper B P is not too dangerous and patient should not take treatment if it is not too high ( 150 -160 mm of Hg).
The lower B P is if high means > 90 mm of Hg then consult a physician and get his opinion and treatment after complete test.
The side effects of anti hypertensive drugs are dangerous so misuse is not good.
In my opinion consult a physician and get his opinion and self medication is very dangerous .
Measurement of B P three times in days is in itself is a disease.
Good luck. Dr. HET
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On Amlodipine And Irbesartan For Blood Pressure. Any Advice?

Hello, Thanks for the query to H.C.M. Forum. Since you didn t mention your age and sex which is very important for management for blood pressure treatment . According to your query I understand one thing that you are over conscious about your blood pressure . As for example , if your age is 40 years and these reading which you mentioned in your query does not come under the category of hypertension. 2nd important point is type of hypertension as, primary or essential , secondary to other disease. The upper blood pressure call as systolic and it varies every minute to minute . Even mere anxiety or tension shoot up the systolic ( upper ) B P . This upper B P is not too dangerous and patient should not take treatment if it is not too high ( 150 -160 mm of Hg). The lower B P is if high means 90 mm of Hg then consult a physician and get his opinion and treatment after complete test. The side effects of anti hypertensive drugs are dangerous so misuse is not good. In my opinion consult a physician and get his opinion and self medication is very dangerous . Measurement of B P three times in days is in itself is a disease. Good luck. Dr. HET