Thank you for posting a query.
and joint arthritis
are two different disease not realated to each other’s. As you have told the blood pressure is 144 / 96, I think the diastolic is higher than normal for this age. For this, you have to consult with your treating doctor for changing the drug / dosing. Because, she needs more meticulous treatment. The higher diastolic blood pressure indicates a poor control of hypertension. Other antihypertensive agents which may be considered are losartan
group of drugs. These newer antihypertensive agents are better. So, consult with your treating doctor about this. If the hypertension does not respond to this, then two antihypertensive agents should be considered and they should be given in two different times of day.
About her joint pain, in this age many disease can lead to this condition. The causative agent may be idiopathic or bone erosion due to osteoporosis
, increased uric acid
In cases of osteoporosis newer treatment modalities are available to increase the bone mineral density which invariably leads to a good prognosis. For this, you have to consult with an orthopedic surgeon. You can consult with a physiotherapist for light exercise appropriate for her.
You have to do an uric acid level in blood to exclude increased uric acid level as a causative agent.
Now, in case of a patient with this type of joint pain the only antihypertensive that has to be avoided is hydrochlorothiazide
. It increases the uric acid level and leads to increased pain.
So, you have to consult with your treating doctor / cardiologist for control of hypertension and orthopedic surgeon for joint pain.
Hope this information suffices. Let me know, if you have any more question.