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Suggest Medication For Hypertension
Hi good afternoon.My husband is 43yrs old,5ft 9" tall,weighs 186lbs,medical history of HTN for 3yrs now and uses 2 2.5mg bendroflumethiazide tablets in the morning with a 25 mg captopril tablet and another 25mg catopril tablet at night daily,his blood pressure is usually 150/100.i would like to know if the dosage is too much for the blood pressure reading,he also complains about pain in his knees.
Mon, 13 Jun 2016
Hello!
Thank you for asking on HCM!
I carefully passed through your question and would explain that his blood pressure values are above the normal ranges. This means that further changes to his actual antihypertensive therapy need to be made.
Regarding the doses, I would explain that the captopril dose he is taking is a low daily dose. I would recommend increasing the dose to 50mg twice a day, in order to have a better control of his blood pressure.
While, I would not recommend making further changes to bendroflumethiazide doses, as this is a normal maintenance dose. But, this drug is not recommended as first line therapy for high blood pressure.
You can discuss with his doctor the possibility of switching from bendroflumethiazide to another antihypertensive drug like hydroclorothiazide or a calcium channel blocker (nicardipine, amlodipine, etc.).
Some lifestyle modifications would also help maintain normal blood pressure values:
- diet modifications (reduce salt and caffeine intake)
- stop smoking or alcohol intake
- perform a lot of physical activity (walking, jogging, aerobics, etc.)
- reduce weight if he is overweight.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Thank you for asking on HCM!
I carefully passed through your question and would explain that his blood pressure values are above the normal ranges. This means that further changes to his actual antihypertensive therapy need to be made.
Regarding the doses, I would explain that the captopril dose he is taking is a low daily dose. I would recommend increasing the dose to 50mg twice a day, in order to have a better control of his blood pressure.
While, I would not recommend making further changes to bendroflumethiazide doses, as this is a normal maintenance dose. But, this drug is not recommended as first line therapy for high blood pressure.
You can discuss with his doctor the possibility of switching from bendroflumethiazide to another antihypertensive drug like hydroclorothiazide or a calcium channel blocker (nicardipine, amlodipine, etc.).
Some lifestyle modifications would also help maintain normal blood pressure values:
- diet modifications (reduce salt and caffeine intake)
- stop smoking or alcohol intake
- perform a lot of physical activity (walking, jogging, aerobics, etc.)
- reduce weight if he is overweight.
Hope to have been helpful!
Kind regards,
Dr. Iliri
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