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Should BP medication taken life long? - Online Doctor Chats

Date : 22-Feb-2014
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How can I help you?
User:My Query is - I was having headache & uneasiness 6-7 days back , got it checked ...My B.P was high
User:Doc advised me to take envas o.5
User:so wanna know ..Did I get proper medication or not ?
User:Trust ! It is not too early to start B.P medicne
Doctor:May I know your age?
User:Have also heard that once B.P medicne is started, we have to continue lifelong
User:What are the other ways ,I can keep my B.P under control
Doctor:What you have heard about BP medicine is not entirely true. Medicines can be changed and stopped over the course of time if needed.
Doctor:But as of now, I feel you are stepping on to medicine early.
User:he said that High B.P will effect u
Doctor:Was your blood pressure repeated on different occasions?
User:yes , have got it checked 2-3 times
User:it was almost same
User:then what should i do
User:I have started mdcn , since yesterday
Doctor:Let me elaborate.
User:so should i stop it
User:How can i control?
User:actually I am feeling very uneasy
Doctor:Blood pressure changes are common; so unless the readings are high on different occasions, you may not really be hypertensive.
User:headache , pain
Doctor:I would recheck blood pressure on 3 different occasions of week.
Doctor:If blood pressure are high, then medicine can be started along with life style changes.
User:3 different occasion ?
Doctor:Headache and the uneasiness that you had may or may not be related to blood pressure.
User:so if i dont take medicne thenwont it effect me?
Doctor:You should get your pressures checked after a period of rest and verify if they are persistently elevated.
Doctor:If it is then you can start of this medicine.
Doctor:Your blood pressure number is not that high to concern me.
Doctor:Please recheck blood pressures again.
Doctor:may be you can take help of a low salt diet
User:ya m doing so
Doctor:and early morning exercise as you do this exercise of rechecking.
User:so should i stop ?
Doctor:If you don't find them changed (lowered) you can start envas 0.5mg as instructed.
User:i took it yesterday & today
User:can i stop?
User:he said its a short course for one month
User:Docter said that take for one month & leave it
Doctor:If it is a short course for a month, then that is fine.
Doctor:It won't disturb you much.
User:but what do u say?
User:Does B.P medicne effect ?
Doctor:It is common to try short duration antihypertensive drugs as you implement life style change.
Doctor:So the final opinion that I give you now is as follows:
User:is this medicne fine or there are better medicne than these...
Doctor:1. Be religious with exercise annd low salt diet.
Doctor:2. Take the medicine as instructed.
Doctor:3. Retest blood pressure.
Doctor:As far as you other question which is better medicine
User:so if B.P is high than also i can excersice ?
User:B.P can b coz of cholestrol also ?
Doctor:there are other medicines that are potent and effective, but I don't think that will make much difference as you are only on short term treatment.
Doctor:You can exercise even if your blood pressure is marginally elevated.
Doctor:And blood pressure is not directly from cholesterol issues.
User:it is genetic
Doctor:Most often the cause of blood pressure is unknown.
Doctor:It is believed to be the direct effects of lifestyle.
Doctor:Most individuals who have high stress, improper sleep and inappropriate life style end up with blood pressure.
User:but is it common that b.p mdicne is gvn for a short period or u r hearing it fr the first time
Doctor:Genetic factors may play a role.
Doctor:As I said earlier, it is not uncommon to use antihypertensive for short course.
User:coz everyone is sying tht if started will go lifelong now
Doctor:If you continue a good lifestyle during the next 1 month, there are high chances that your pressure would normalize.
Doctor:As i said in the beginning what you heard is not entirely true.
Doctor:Moreover you are not yet diagnosed as hypertensive.
User:usually how many days it take to normalise
User:how to diagnosed
User:i shud avoid salt intake & excersice more
Doctor:That depends. You need to give the best efforts during the next 1 month to make sure you don't end up as a hypertensive.
Doctor:Yes, restrict salt intake (not completely stop) and start exercise.
Doctor:Have you followed?
User:suggest fruits nd veg that will help
User:yes yes
User:my pulse rate was 90
Doctor:There are no other dietary recommendations from my side.
Doctor:Pulse of 90 is alright.
User:at times i feel palpitations
Doctor:Do you have any other questions?
User:have heard that one should not eat pulses at nite ?
User:is this true
Doctor:Dinner should preferably be light.
Doctor:Further you need to time your dinner atleast an hour before you get to bed.
Doctor:So little bit of pulses is ok.
Doctor:Do you have any other query?
Doctor:Are you there?
User:okay thanks
Doctor:Is there any other question or shall we end this chat?
User:can i have dry fruits ?
Doctor:You can.
User:i used to eat 5 almonds in the morning but due to b.p have stopped
User:wow thanks
Doctor:Is there any other query?
User:no thnaks
Doctor:Thanks for consulting me
Doctor:Bye for now.
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