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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache And High Blood Pressure

I have a headache and neck, and every time I stand up it feels like my head will explode. Like all of the blood is rushing up to it very fast. I have high blood pressure and take lisinopril for it, but I was out for about a week. I took my normal dose at 7:45am and it is now 11:45pm and I still do not feel any better. Would it be safe to take another one now or should I wait for the morning?
Fri, 31 Oct 2014
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Internal Medicine Specialist 's  Response
Hi,

Thank you for your query. I can understand your concerns.
You need to check your blood pressure before taking another dose.
Abrupt withdrawal of lisinopril has not been associated with a rapid increase in blood pressure, or a significant increase in blood pressure compared to pre-treatment levels.
Antihypertensive activity starts at one hour after oral administration of an individual dose of lisinopril ; peak reduction of blood pressure is achieved by 6 hours. Although an antihypertensive effect is observed 24 hours after dosing with recommended single daily dose , the effect was more consistent and the mean effect is considerably larger with doses of 20 mg or more than with lower doses.
If you are taking 10 mg Lisinopril another 10 mg can be taken at bed-time to achieve the optimum control of blood pressure throughout 24 hours.





Regards

Dr. T.K. Biswas M.D.
Mumbai
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Suggest Treatment For Headache And High Blood Pressure

Hi, Thank you for your query. I can understand your concerns. You need to check your blood pressure before taking another dose. Abrupt withdrawal of lisinopril has not been associated with a rapid increase in blood pressure, or a significant increase in blood pressure compared to pre-treatment levels. Antihypertensive activity starts at one hour after oral administration of an individual dose of lisinopril ; peak reduction of blood pressure is achieved by 6 hours. Although an antihypertensive effect is observed 24 hours after dosing with recommended single daily dose , the effect was more consistent and the mean effect is considerably larger with doses of 20 mg or more than with lower doses. If you are taking 10 mg Lisinopril another 10 mg can be taken at bed-time to achieve the optimum control of blood pressure throughout 24 hours. Regards Dr. T.K. Biswas M.D. Mumbai