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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High BP Despite Taking Fosonopril?

I have been taking monopril fosinopril (name brand) 2 @20mg for 15 years no problem(I have 3 70% blockages in LCA and have triple vessel heart disease diagnosed in feb 2007/was implanted with taxus drug eluting stent...I have been taking 2@75mg metropolol since as well as 75 mg plavix, 2 @20mg monopril fosinopril , 2.5-5.mg of diabeta, 10 mg lipitor, 2 81 mg aspirin as well as 1-2 @1mg ativan sublingual ever since...my condition for most part stable..no further hospitizations.however in November of 2013 when I was told monopril discontinued (I was given 100 pills and told that was it) I developed high b/p/ with angina pains, was able to control with my remaining monopril fosinopirl & nitro/ativan....I was then told by pharmcist the only replacement pill available was mylan fosinopril, the first few days taking this was fine, then #1, I begin experiencing sever stomach pains...4-10th day, then I took two of my 20mg ea monopril fosinopril..b /p returned to normal...coversyl name brand was recommended as a result...the last few nights when taking mylan fosinopril it is like I am taking very little medication (chemical) my b/p in the am are 140=155/61/65 prior when on monopril my b/p am were always between 98/50+ (low end) to no higher than 118/55 always except when having an issue...now the pm's are 180/69+ pm to 155/64 a.m. ....this has never happened before /last night and the night before I took (as prescribed the w mylan fosinopril 20mg x2 + 3 2 2,g as[orom )tp ;pwer [ressire///om ttje mext morning my readings were 1152/64?????? It is like I am taking no fosonopril at all?????....I suspectr with the ativan it would be much higher
Fri, 7 Aug 2015
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Cardiologist 's  Response
Bp changes can occur with time even on the same drug regimen, It is not imp. to delve into the causes of HBP but to controll. Any time high BP will cause angina due to increased O2 demand.There are so many drugs that can be given to you by your MD e.g. Lotensin, Clonidine and Amlodipine,to name a few.
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What Causes High BP Despite Taking Fosonopril?

Bp changes can occur with time even on the same drug regimen, It is not imp. to delve into the causes of HBP but to controll. Any time high BP will cause angina due to increased O2 demand.There are so many drugs that can be given to you by your MD e.g. Lotensin, Clonidine and Amlodipine,to name a few.