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Diagnosed With Postural Hypotension. Allergic To Amlodopine. Noticed Blood Clot Clot In Eyes. What Is Causing This?

Posted on Tue, 9 Oct 2012

Question: Respected Sir, My father is 72 years of age and has LBBB. For the last couple of years he is on medicines. Few months back he had episodes of syncope and was diagnosed for postural hypotension. The medicines he is currently taking are prolomet r 50, clopilet, daztor and nexito 10. Though he is clinically ok, his bp remains on upper side i.e. 170/70 and at times 190/90. He is allergic to amlodopine. I have asked the treating doctor and he has advised to start minipres xl 5. Today I have noticed a blood clot in his eye. Can it be due to high bp. Also probably there is some swelling on his face. Can it be side effect of prolomet or other medicine. Also since he is having postural hypotension what should be his ideal bp limit. Please advise.

Answered by Dr. Prabhakar C Koregol (44 minutes later)

Dear XXXXXXX,

Thanks for query and detailed description.

Your father’s blood pressure (BP) needs to be below 140/90mmHg. Postural hypotension is generally not related to absolute BP and it is more on the way medicines act. Therefore, it is the level of fall of BP on standing or sitting from supine position, which matters.

Yes, in given situation minipress is good medicine and you can give it to him. Blood in eye can be because of high BP but needs further evaluation if it's due to some other cause.

Swelling of face occasionally described with ramipril, which is part of prolomet r, if some medicines need to be changed but that has to be decided by doctor seeing your father in person.

Do write back for further clarifications on this.

Regards,

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Prabhakar C Koregol (2 hours later)

Sir, His BP never goes to 140/90. If we try to bring it to that level by medicines the diastolic will go 60 or below 60. Also if it remains that high, as I have mentioned, is it XXXXXXX with the given medicines.

Answered by Dr. Prabhakar C Koregol (25 hours later)

Thanks for information.

I would not be able to say it’s dangerous; but events such as heart problems, kidney and eye problems will remain higher in long run in comparison to well controlled blood pressure.

I hope you can work with his cardiologist to achieve a controlled blood pressure.
Let me know if you have any other concerns.

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad