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What Causes Elevation In BP Level Despite Taking Felodipine And Cozaar?
My mother just saw her cardiologist two days ago for high blood pressure. Has been ranging from 165/75 in that area. My mother was taking Felodipine 2.5 on the morning and 25 mg Cozaar at night. Since my mother started waking up with the higher systolic pressures, the doctor said to try and take 50 mg of the cozaar in the morning and take the felodipine at night. My mothers pressure is still high. Took the cozaar this morning at 9:00 a.m. with pressure of 148/72. By 12:00 the pressure went up to 176/84 so at 2:00 she took a felodipine 2.5 mg. By 5:00 p.m. pressure still hadn t gone down so she took another felodipine at 8:00 p.m.. She just called me on the phone almost 11:30 p.m. and the pressure still hasn t gone down. Can she take another cozaar? Don t know what to do. how long does it take for the cozaar to act in the system, remember she has always been on the cozaar and felodipine but now told to take no felodipine in the morning just the cozaar, and take the felodipine at night.
Tue, 24 Mar 2020
Hello,
first of all, tell your mother that she has nothing to worry about unless she has an aneurysm or advanced heart failure. High blood pressure is detrimental to the cardiovascular system but we shouldn't worry about short-term elevations. We do care about adjusting the blood pressure in the long-term though.
The first thing to do is to identify potential causes for the high blood pressure which may include symptoms like pain, too much salt in her diet, psychological stress, drugs, etc. If her doctor can identify a factor that may have triggered this blood pressure elevation then the factor will have to be dealt with.
Otherwise, measuring the blood pressure at least twice a day with appropriate equipment and measurement procedure would be necessary to assess her situation. If she does have high blood pressure then adjusting her treatment should help. For example, adding a diuretic (unless contraindicated) or increasing the dosage of the current drugs would be a reasonable next step in such a patient. Please keep in mind that her doctor should approve any change in her medications.
I hope I've answered your question. Please let me know if you need further assistance.
Kind Regards,
Dr Panagiotis Zografakis,
Internal Medicine Specialist
first of all, tell your mother that she has nothing to worry about unless she has an aneurysm or advanced heart failure. High blood pressure is detrimental to the cardiovascular system but we shouldn't worry about short-term elevations. We do care about adjusting the blood pressure in the long-term though.
The first thing to do is to identify potential causes for the high blood pressure which may include symptoms like pain, too much salt in her diet, psychological stress, drugs, etc. If her doctor can identify a factor that may have triggered this blood pressure elevation then the factor will have to be dealt with.
Otherwise, measuring the blood pressure at least twice a day with appropriate equipment and measurement procedure would be necessary to assess her situation. If she does have high blood pressure then adjusting her treatment should help. For example, adding a diuretic (unless contraindicated) or increasing the dosage of the current drugs would be a reasonable next step in such a patient. Please keep in mind that her doctor should approve any change in her medications.
I hope I've answered your question. Please let me know if you need further assistance.
Kind Regards,
Dr Panagiotis Zografakis,
Internal Medicine Specialist
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