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Suggest treatment for high blood pressure

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Posted on Thu, 24 Jul 2014
Question: My blood pressure is staying high. On Hydrochlorithiazide, cardvedilol,zoloft and Xanax. I wake up with a racing heart and nausea. Bp is 171/124. Cant keep down
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Answered by Dr. Michelle Gibson James (1 hour later)
HI XXXXXXX
Well I presume that you are taking your medicines without missing them even 1 time .

You have not mentioned the dose of any of your medicines .

If your Bp medicines are not on their maximum dosage then I can increase the dosage of Carvedilol ( for that I need to know what dose you are on now ). So kind tell me on what dose you are on .
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (4 minutes later)
Carvedilol 6.25 mg twice daily
Hydrochlorothiazide 25 mg once daily
Zoloft 50 mg once daily
Xanax 0.5 mg four times daily
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Answered by Dr. Michelle Gibson James (3 hours later)
Brief Answer:
the dose of carvediol can be optimised

Detailed Answer:
HI, thanks for using healthcare magic

The carvediol is in the family of drugs called beta blockers. These agents , in addition to reducing blood pressure , can also reduce the heart rate.

The dose range of the carvediol is 6.25 mg twice daily up to 25 mg twice daily so there is room for it to be increased.

You may want to consider visiting your doctor for an assessment and modification of your meds.

He or she may initially increase to 12.5 mg twice daily before moving up to 25 mg twice daily.

There are many hypertensive persons who need at least 3 medications for control. If the use of higher doses of carvediol and hydrochlorothiazide are not helpful then you may need another antihypertensive from another drug family.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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Suggest treatment for high blood pressure

HI XXXXXXX Well I presume that you are taking your medicines without missing them even 1 time . You have not mentioned the dose of any of your medicines . If your Bp medicines are not on their maximum dosage then I can increase the dosage of Carvedilol ( for that I need to know what dose you are on now ). So kind tell me on what dose you are on .