Brief Answer:
Discontinue losartan

Detailed Answer:
Hello. Thank you for the question and welcome to HCM. I understand your concern.

I am going to try to address your problem using my personal experience. Based on your age of 40 years old, I would not use the approach of immediately treating high blood pressure with medication. There are other simple approaches to treat hypertension. Keeping in mind that there are a lot of physiological factors that can raise the blood pressure in any individual, including me. There is psychological stress and caffeine-containing beverages that raise the blood pressure. The figures you provided are not dramatic, because in everyday life they are expected figures. Normal blood pressure figures, at resting state, are 100-139/60-89 mmHg. My opinion is that you should discontinue the losartan, and keep being physically active and restrict the salt intake to a minimum. This is not because of your worry about damaging the kidneys, because it is not a common phenomenon. Basically, if we read everything that is written on the side effect section of a drug or on the internet, we would not be using medication anymore. Every single medication is prescribed by a doctor, after a careful benefit/risk weighing has been done. To sum up, based on your age and your physical activity, my opinion is that you should discontinue losartan and keep being physically active, restrict salt intake. If the phenomenon of having a systolic blood pressure if 145 mmHg is really worrisome to you, then I would suggest you to be put on a 24-hour blood pressure monitor, to see how the blood pressure figures are spun in 24 hours. It is only then, when we can decide about starting you on a certain medication.

I hope I was helpful with my answer. I am happy to help, if you have followup questions. Please rate my answer, if you do not.

Kind regards,
Dr. Meriton

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