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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Duolin Nebulizer For Asthma And Cardace For BP. But Having BP Swings. Can You Suggest The Dosage?

My mother is 75 yrs old with asthama since 40 yrs.she was using simplyone inhaler since last 10yrs . she has developed BP since past 2 yrs.now her doctor has advised duolin nebulizer which she is taking one time at 4 in the noon and duolin inhaler night 10pm and morning 7 am. but she is having BP swings. she is right now on cardace 5 mg 3 times a day.her BP shoots up after 1 am night and is at 140/90 till morning 7am even after she takes 5 mg cardace at 12 mid night.she had to take another 5 mg at 3 am when she got head ache.she was on 2.5 mg cardace twice a day morning 8 and evening 8 since 2 yrs.but past 5 month since this bp swings have started the 12 hr gap sometimes is found wanting and she has to take an additional 5 mg before the 12 hr gap to reduce her shooting bp.
Tue, 11 Jun 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

The maximal dose of Ramipril (Cardace) is up to 20 mg in a day
It can be taken once a day (or twice at times)

She can step up and maintain Cardace on 10 mg once a day.
If the pressure is still not controlled well – a Diuretic (like thiazide) or a Calcium Channel Blocker (like amlodipine) can be added.

Discuss with her doctor and bet appropriate advice and prescription...

Take care
Wishing speedy recovery
God bless
Good luck
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Taking Duolin Nebulizer For Asthma And Cardace For BP. But Having BP Swings. Can You Suggest The Dosage?

Hi friend, Welcome to Health Care Magic The maximal dose of Ramipril (Cardace) is up to 20 mg in a day It can be taken once a day (or twice at times) She can step up and maintain Cardace on 10 mg once a day. If the pressure is still not controlled well – a Diuretic (like thiazide) or a Calcium Channel Blocker (like amlodipine) can be added. Discuss with her doctor and bet appropriate advice and prescription... Take care Wishing speedy recovery God bless Good luck