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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Medicine To Control Blood Pressure?

30 male smoker 206lbs 5 8 high blood pressure recently controlled with 10mg Lisinopril (about 2 months),10mg Amlodipine (about 6 months) & 25mg Hydrochlorothiazide (About 6 months). Also take 20.6mg Omeprazole Magnesium (on over 5 years) for acid reflux and Dasotraline 6mg (about 4 months) for adhd study. Over the last two weeks I have had High heart rate {~100 when wake up 113-128 throughout day} (thought maybe dasotraline so lowed dose from 8mg to 6mg, avoided caffeine and alcohol and drink 1-2 gallons of water a day as well as a Gatorade) Numb and tingle feeling eye line of face to middle of skull for 10-14 hrs a day (lower dasotraline seemed to make this not as frequent or sever but still there periodically after 5 days of lower dose however last 24 hours has been much more prevalent from cheekbone to jaw line. Intermittent muscle cramps in calves forearms upper arms lower right back and side(thought dehidration so avoided caffeine and alcohol and drink 1-2 gallons of water a day as well as a Gatorade). Over the last few days (could have been longer but I didn t notice) I have noticed my stool is green and I am going to the bathroom less frequently than normal. Still at least once a day. Also not falling asleep well, seem to be wanting to smoke more than normal, struggling with concentration and lengthy or purposeful (ie: work related/important) conversations. I had a tooth ache a couple months ago but it went away and my sister totaled 2 cars in 10 days but everyone s fine and neither directly effected me but I would say I m a little more stressed than usual but never been a problem before. Waiting on lab work from clinical trial, ECG 5 days okay was good other than heart rate. Freaking out as I normally always feel healthy.
Tue, 31 Mar 2015
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Psychiatrist 's  Response
Hi welcome to HCM.
I understand your query and concern.
Best treatment for elevated blood pressure is through drugs like beta blockers and Ace inhibitors.Before that adequate management and work up is needed.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives and antiarrhythmics will help.Reduce the intake of fatty and fried food.One pomegranate a day will help to keep your heart at good pace without clot formation. Stress management is most vital in your case.Consult a Cardiologist for further expert management.Post your further queries if any.
Thank you.
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What Is The Best Medicine To Control Blood Pressure?

Hi welcome to HCM. I understand your query and concern. Best treatment for elevated blood pressure is through drugs like beta blockers and Ace inhibitors.Before that adequate management and work up is needed.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives and antiarrhythmics will help.Reduce the intake of fatty and fried food.One pomegranate a day will help to keep your heart at good pace without clot formation. Stress management is most vital in your case.Consult a Cardiologist for further expert management.Post your further queries if any. Thank you.