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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP While Suffering From Arthritis And Alzheimer S Disease

My mother is 91. I was testing my blood pressure with a new home machine and took hers, too. Mine was fine, but hers is 172/113! She has had high bp and is currently taking Triamterene W/Hctz 37.5/25, 1/day, as well as Amlodipine 5mg Tab 1/day. She is mostly physically inactive each day as her knees and back bother her from arthritis. She weighs approx. 170-175 and is about 5 6 and has been diagnosed with early alzheimer s. Should I be rushing her to the hospital for nitroglycerine or something?
Thu, 2 Feb 2017
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Cardiologist 's  Response
hello,
It's not an emergency, but her bp medicine needs to changed. I would have increased the dose of Amlodipine to 5 mg twice a day. Or triamterene is not a effective antihypertensive so it can also be changed to telmisartan if bp is high. So you can discuss these issues with your local doctor.
She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Get her lipid profile and sugars tested once..
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Suggest Treatment For High BP While Suffering From Arthritis And Alzheimer S Disease

hello, It s not an emergency, but her bp medicine needs to changed. I would have increased the dose of Amlodipine to 5 mg twice a day. Or triamterene is not a effective antihypertensive so it can also be changed to telmisartan if bp is high. So you can discuss these issues with your local doctor. She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Get her lipid profile and sugars tested once..