Hello, madame! Welcome to HCM. I understand your concern.
Blood pressure is a variant component of examination. It varies in great figures throughout a day. I understand that this can come as a concern and a worrisome event to non-medical community, but there are a myriad of reasons that cause the blood pressure to fluctuate from day to day, even from hour to hour. These blood pressure-fluctuating factors can be physical activity, psychological
stress, extreme temperatures (when it is hot outside, arteries dilate, hence low blood pressure), physiological diurnal and nocturnal changes in hormone levels etc. Blood pressure is not a credible component if it is measured separately, after some activity, after caffeine-containing beverages, and in the doctor's office (
white coat syndrome). Also, blood pressure can be considered low when under 100/60 mmHg.
Ramipril is a safe and effective drug in
high blood pressure control. It has rare side effects, predominantly with
dry cough, and is counterindicated when there is damage to the kidney function. Dosage of 2.5 mg/day is a good dosage, if it controls the high blood pressure.
I hope I was of help. Take care.
Regards,
Dr. Meriton