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Taking Enelapril and birth control. How do I know I should still be taking medicine?

I am currently taking enelapril and had a reading about 5 yrs ago of 200/210, My readings now are low 150/90. How do I know that I should still be on this drug for my Blood pressure? Will a blood test tell the psysician what drug is best and if I should continue or switch? I also take a injection for Birth control. I think a hysterectomy is in my future, should I seek the council of a Endocronologist for my hormone readings and suggestions on what I should be doing for myself in the future ? Depo now for 5years.
Asked On : Thu, 25 Apr 2013
Answers:  1 Views:  12
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General & Family Physician 's  Response
Hello, and thank you for posting on Healthcare Magic!

It sounds like your blood pressure was quite high! I'm glad to hear that it has gotten better. High blood pressure (known as hypertension) is in most cases a chronic disease. This does not mean that you are doomed to take medication to control your blood pressure forever, but it does mean that unless you make major changes to your lifestyle (such as losing weight, stopping smoking and alcohol, not eating salt) that it is unlikely to go away. So the fact that your blood pressure is better is encouraging, but definitely does not mean you should stop your medicine. In fact, 150/90 is still considered "uncontrolled hypertension", meaning that your blood pressure is at an unsafe, high level.

There is no blood test that will tell your doctor which medicine is best to control your blood pressure. These decisions are made based on what other health problems you have, your drug allergies, your age, your ethnicity, etc.

I'm a little confused about the question regarding a possible future hysterectomy. However, for any problems/questions of this nature, the correct doctor to ask would be either your primary care doctor, or an obstetrician/gynecologist. Endocrinologists rarely deal with questions related to birth control and menopause.

I hope I have given you some useful information, and wish you the best of health.


Dr. Kinney
Answered: Thu, 25 Apr 2013
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