I am currently am on an extended trip to Florida
Since then my BP has consistently been in the 160/94 range (I've been monitoring it), so I called my primary care physician in XXXXXXX who told me to increase the Norvasc to 10mg.
I've now been on the Norvasc 10mg for 3 days and the BP is still the same, measuring 146/100 at 6:54am and 174/101 at 9:11am, and 160/106 at 10:14 am today. I am using a BP monitor from the drug store.
My question is should I go the the ER (insurance is better if I go there vs Urgent care)? I will be making an appointment with my Dr in XXXXXXX but will not be able to see her for at least a week.
I would recommend as follows:
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I passed carefully through your question and would explain that your blood pressure values are still above the normal ranges.
This means that your current therapy is not very effective in controlling blood pressure values.
Anyway, every change in blood pressure drugs (like increasing the dose of Norvasc) may need up to a week to show its effects and achieve a new balance in blood pressure values.
For this reason, I recommend checking frequently during the next day blood pressure values.
If after a week, your blood pressure values are still above the normal ranges (125/85mm Hg) most of the time, I would recommend adding a new drug to your therapy (an ARB like losartan, valsartan, etc.. or ACEI like ramipril, enalapril, etc..).
There is nothing wrong in combining two drugs like losartan and Norvasc (I don't understand why the ER doctor stopped losartan, before starting Norvasc).
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing all the best,
Dr. Ilir Sharka, Cardiologist