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Headache post intake of high BP medicines - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
User :   I am experiencing high blood pressure and have a terrible headache 189/110 I am 55 years old, female, with diabetes, 155 lbs. 5'6 exercise 5 times a week. Vegan diet, diabetes. I started Lisinopril 10mg last month because of high blood pressure. 145/100 was reading with Dr. I stopped taking the med several days ago due to waking up with a headache. I took a pill an hour ago and do not know if this is a dangerous level reading. Should I wait for the med to kick in or should I seek medical attention now

Doctor :   Hi
User :   hello
Doctor :  
Since when are you having this headache?
User :   this afternoon
Doctor :  
Do you have vomiting or nausea?
User :   I came home from work and checked my blood pressure
User :   I feel terrible
User :   in the head
User :   no vomiting
User :   some nausea but very little
User :   mostly headache
Doctor :   Did you experience such headaches in the past?
User :   just recently before they put me on the medicine
User :   and then my blood pressure went down but I then started getting headaches at night and when I woke up from the medicine
Doctor :   Do you have fever?
User :   so I just took myself off it for the last several days to see if the high blood pressure was a fluke
User :   no
User :   fever
Doctor :  
The headache probably is related to the rise in blood pressure and not related to any brain complications.
User :   got you
Doctor :  
But it would be better if you can have an examination done
User :   should I just take some over the counter headache med
User :   and wait for the blood pressure medicine to work
Doctor :  
At the ER to confirm if it is not due to a complicated causes.
User :   i had a physical the other day
User :   and just had my labs done 2 days ago
User :   I was doing good then
User :   how long does it take for blood pressure medicine to start doing it's job
Doctor :   A rise in blood pressure can cause minor bleed in the brain which can cause severe headaches.
User :   I do not have ins is why I am asking
Doctor :   Ok.
Doctor :  
It is better to have an examination done or
User :   do you think it is risky for me to wait until the medicine starts to work
Doctor :  
you can take tablet tylenol for pain relief
Doctor :  
with the Blood pressure medications
User :   can the rise in blood pressure give me a headache in the base of my neck and back of my head
Doctor :  
Get a check up done by your doctor later
User :   I will
Doctor :  
to see if you may need any alteration in the BP medications that you take.
User :   I called them and the answering service told me they are closed and offered no help
Doctor :  
If at any point of the time if the headaches increases inspite of taking tylenol medication and if you develop vomiting then you may have to rush to the ER.
Doctor :  
To avoid these complications in the future be regular in your daily medications.
User :   how dangerous is my blood pressure
User :   I will
Doctor :   I cannot predict the BP unless if some one can measure it.
User :   it is 189/110
Doctor :   It is high.
User :   I took it 1/2 hr ago
User :   is it dangerously high
Doctor :   Have you taken your BP medications for today.
User :   or can I wait on medicine
User :   1 hour ago
Doctor :  
User :   still have headache and would like to know how long it takes for the medicine to start to work
Doctor :  
Then i would suggest you to repeat the recordings now and another hour later.
User :   I will
User :   thank you for your answer
Doctor :   The recordings after 2 hours of the medication will let you know if the BP is reducing.
User :   ok
Doctor :  
If it has not reduced then you might need further medication.
User :   ok
Doctor :   Before taking any other BP medicines contact your doctor
Doctor :  
and then decide on taking any medication for today.
Doctor :  
And the further treatment options has to be decided after the consultation with your doctor tomorrow.
Doctor :  
Have you followed?
User :   yes
User :   I will
Doctor :  
Do you have any query?
User :   just want to be clear that I understand what you have told me
Doctor :  
I shall repeat it.
User :   I can go ahead and take something for the headache
Doctor :   1. Check your BP now and repeat it after another hour.
User :   and if after an hour my blood pressure has not gone down I should seek medical attention or call and get an adjustment on my meds
Doctor :  
2. If it is persistently high consult your doctor for further actions.
User :   if I start to have vomiting I should go to er now
Doctor :  
3. You can take tablet Tylenol for pain relief, AVOID ASPIRIN.
User :   I will check blood pressure now and let you know what it is now
User :   I will be back in a minute
User :   ok
Doctor :  
4. If you develop vomiting or if the headache is persistent or increasing then you must have to rush to the ER.
User :   it is better it is now 168/97
Doctor :  
User :   I will follow your instructions
Doctor :  
Recheck it after another hour to make sure it is reducing.
User :   I will
User :   thank you
Doctor :  
And do not forget to report to your doctor tomorrow.
User :   I will
Doctor :  
Please fill in the feed back form too.
User :   I did
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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