Blood pressure 245/14. Prescribed clonodine and losartan. Should I be worried about this?
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I have been taking 25 mg carvedilol BID for 4 years. Last Saturday night, my BP was at 245/140 at 3PM. I took my carvedilol then (instead of at 9PM). At 5PM it was still 225/130 so I went to the ER. They were able to get it down with 1.5 mg clonodine. Today I saw my PCP who put me on 50 mg of losartan in addition to the carvedilol. I weigh 110 pounds. Should I be worried about this?
Posted Sat, 21 Dec 2013 in Hypertension and Heart Disease
Answered by Dr. Anantharamakrishnan 42 minutes later
Brief Answer: Need investigation and follow up Detailed Answer: Hi friend, Welcome to Health Care Magic This value of pressure is very high and needs aggressive management / and some investigations too Conditions like Pheochromocytoma cause episodic rise of pressure and rate from sudden outpouring of adrenaline /and has to be evaluated. Kidney function needs to be tested Other associated risk factors like cholesterol need attention Ambulatory monitoring of pressure may be necessary… Losartan is a good drug / in most people, a third or even a fourth drug may be necessary Follow up with a Cardiologist (Heart specialist) or Nephrologist (kidney specialist) Good luck Take care Wishing all well God bless
Follow-up: Blood pressure 245/14. Prescribed clonodine and losartan. Should I be worried about this? 12 minutes later
Answered by Dr. Anantharamakrishnan 2 hours later
Brief Answer: Yes Detailed Answer: Hi The dose is OK The maximal dose is 100 mg / and it is not related to the weight Regards