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Suggest Treatment For High BP Despite Taking Amlodipine

Posted on Mon, 22 May 2017

Question: Good morning Dr. XXXXXXX This is regarding treatment of high blood pressure of my elder sister. As advised, Betacap was completely stopped. Amlodipine 5 mg was taken in the morning only. The BP readings have been as under :

3/5/2017 132 / 67
4/5/2017 100 / 70
5/5/2017 80 / 65

Since today the BP in the morning was 80 / 65, she has not taken Amlodipine 5mg. Please advise. Regards.

Answered by Dr. Bhanu Partap (39 minutes later)

Brief Answer:
Hello XXXXXXX

Detailed Answer:
Yes you have done it right by not allowing her to take today's medicine. Do not give any medicine and monitor blood pressure regularly twice daily at a fix time after 10 mins of relaxation for coming few days.

If blood pressure stays below 140/90 mmHg during these days then dont start any medicine and keep on following healthy life style.

If bp goes above 150/100mmhg then again start with amlodipine 2.5mg once daily in morning.

I would also like to know her heart rate or pulse rate along with blood pressure recordings.

I remember i have told you to get one ECG and ECHO done, please do it and forward me the reports.

Kind Regards
Dr Bhanu Partap

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Above answer was peer-reviewed by : Dr. Remy Koshy