Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

186 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have leg muscle spasm and high blood pressure. Taking apresoline. Why is it not getting controlled?

Answered by
Dr.
Dr. Nsah Bernard

General & Family Physician

Practicing since :2012

Answered : 1704 Questions

default
Posted on Fri, 1 Feb 2013 in Hypertension and Heart Disease
Question: what could be the cause for high blood pressure that wont go down with medicationbeen going on for 1&half years im now on apresoline have to see another cardioliest have leg muscle spasms when i lie down
doctor
Answered by Dr. Nsah Bernard 2 hours later
Hi XXXXXXX

Thank you for posting your worry.

Proper management of high blood pressure is multidisciplinary including use of drugs (up to 4 and at times 5), diet (salt, oil, alcohol use etc.), lifestyle change ( exercising, eliminating stress, etc.).

First, your doctor had to eliminate all possible causes of secondary hypertension that could result to resistant hypertension. Secondary hypertension is when there is high blood pressure secondary to other underlying disease conditions like kidney diseases, endocrine diseases, cardiac diseases, tumors, thyroid diseases etc. (the list is long and this could be triage by your doctor according to your own clinical and paraclinical presentations). These causes can be corrected medically and so needs to be treated first.

In the other hand, if we are sure that you are having primary/essential hypertension (which has no specific cause or unknown or no cause), then by definition of resistant hypertension (which is blood pressure which remains above goal/target value despite concurrent use of 3-4 antihypertensive medications of different classes with at least 1 diuretic and all in their optimal doses.), we would have to make sure that you are actually on 3-4 antihypertensive medications, proper medication adherence, you have adjusted your diet, you perform at least a 30 minutes walk day/ exercising, eliminating medications that could increase blood pressure and other lifestyle changes which are aimed on naturally bringing down the blood pressure.

So, if you feel you have more information that you can provide to help us better understand your own situation and see if they are specific things we would need to add.

Also, given your age, resistant hypertension is often a common problem in clinical settings and so your doctor will have to adjust your treatment regimens with different classes of drugs until he/she can find the proper regimen that can bring down your blood pressure below goal value. Different people react differently to different antihypertensive drugs.

Hope the above info was helpful and please do not hesitate to write back if you have further questions.

Nsah, MD

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

The User accepted the expert's answer

Share on

Recent questions on  Hypertension

doctor1 MD

i have high blood pressure and i have taken my medicine. i have a bump on the side of my head. it havent got big or anything. and my doctor told me to not bother it if it is not bothering me. well it is starting to bother me a little. and the side of my head by my ear keeps jumping and like numbness go towards my teeth. what that might be

doctor1 MD

dear sir,i am 35 year old. having the ED problem since form 2 year, as i consulated with doctor, they have tested me the sugar BP & TESTOSTERONE (FREE) found evernting normal. and suggested me the Nano leo cap twice a day for three month. Kindly requesting to give us the suggescation regarding this .

doctor1 MD

Dr. Oz, I know you're show is geared mostly towards women but I really am in dyer need of help. I'm a 22 year old male and I'm currently taking two 20mg instant release Adderalls a day. My blood pressure is normal on a daily basis, but high blood pressure and heart disease does run in my family. My concern is in regards to Erectile Disfunction. It is a real self confidence killer! My penis doesn't get fully erect when I'm about to have sex, its hard but not where it can stay up the air hard..excuse the reference. Also some other times it will get hard, but it will not stay that way for long amounts of time. Does anyone know why this could be? I also have trouble staying hard. For example if it slips out, there is a switch of positions,or the slightest distraction, it wont remain hard. I take adderall but don't notice a difference in this when I take it and when I don't. I exercise regularly (4-5x a week) and eat relatively healthy(for a college student). I am stressed a lot and i know that could be a cause of my problems. but does anyone have any ideas? Also is it to early for someone my age (22) to take pills such as viagra or cialis? What are the long term side effects?

doctor1 MD

I dont get proper eraction while performing sex,In past I was brown sugar addict,now I have got dibetis and high blood pressure but my main problem is not getting proper erection of penis can you give me an appointment timing and day where I can discuss my problems face to face or suggest me any sexologist who can give me proper treatment.
Thanking you in anticipation
Your's faithfully
SHIRISH ANDHARI

doctor1 MD

how often can you take Prednisone? I have reallybad inflamation in my hands and it took it away . The swelling has come back now and I dont know that much about it.

doctor1 MD

Patient: Female, 73 years, 6 months old, 5'7" tall, 230 lbs., in generally good health. Hypertension well controlled with medication, lifelong history of recurring clinical depression . Currently takes medication for depression and hypertension,...

doctor1 MD

Im a 70 year old stage two diabetic. I woke up in the night with dry heaves...I just went to the store and fell faint and nauseated. I rested for 30 minutes and felt a lot better. I home now and concerned ! I had low blood presure. Now its 128...