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Suggest Treatment For High BP And Headache

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Posted on Tue, 20 Jan 2015
Question: My blood pressure is high. I have a headache. Will anything help my headache while I'm waiting to see a doctor to manage my bp?
doctor
Answered by Dr. Anshul Varshney (9 minutes later)
Brief Answer:
What is your Blood Pressure?

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
I need to know your BP value to help you better. As taking any pain killer in extremely high BP can be very dangerous.
Revert with the asked details when you can and we will discuss it.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Anshul Varshney (1 hour later)
On a brand new Omron 3 Series BP Monitor

159/94 immediately after walking around.
152/90 after resting a few minutes.

I took 20 mg of Linisopril at 5:00pm Mon and Tues; and 40mg yesterday.

NOTE: I gained 100 pounds in the last eight months, due to emotional overeating, binge eating and stress eating. I got hurt on the job 2 years ago and subsequently fired; and I'm still fighting with Workers' Comp for proper care and a settlement. I have chronic pain and I'm still unemployed. My savings are gone, my credit card bills are mounting, and a year of back taxes remains unpaid.

In October, when I had insurance and a primary care physician, he said the bp was elevated because of the severe (stress) headaches, not vice verse. He gave me samples of Lisinopril (40 mg per day) and told me to see a chiropractor for the headaches. I stopped a month ago because I can't afford the chiropractor anymore and I ran out of the medicine. Urgent care prescribed enough medicine for two weeks and now I need to find a physician to prescribe more.

Can I take 60 mg of Lisinopril for a couple days until I can get in to see a doctor?

NOTE: Prior to my accident and the onset of all this pain, my BP has always been normal; and sometimes borderline low.
doctor
Answered by Dr. Anshul Varshney (13 hours later)
Brief Answer:
Seems to be Tension type headache.

Detailed Answer:
Dear Friend,

This range of BP is unlikely to cause headache.

It seems you have Tension type/Stress headache which you are just correlating with your BP.
No, do not increase the dose of Lisinopril on your own as this can cause side effects.
At this range of BP, I prefer to use Amlodipine.
You should see your doctor and discuss my opinion with him.

If you have any further query, please ask me.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Anshul Varshney (2 hours later)
Blood work was done at urgent care facility 4 days ago. My liver enzymes are elevated. One of them is 4 times the normal range and another is six times the normal range. The doctor suggested fatty live disease.

Do you still recommend Amlodipine?
doctor
Answered by Dr. Anshul Varshney (6 hours later)
Brief Answer:
Amlodipine is safe

Detailed Answer:
Dear Friend.
Amlodipine can be taken in patients with fatty liver.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For High BP And Headache

Brief Answer: What is your Blood Pressure? Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. I need to know your BP value to help you better. As taking any pain killer in extremely high BP can be very dangerous. Revert with the asked details when you can and we will discuss it.