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Suggest Treatment For High Blood Pressure

Posted on Thu, 18 Sep 2014

Question: I already havehigh blood pressure and I had a Kenalog shot a week ago and my blood pressure has been whacked out especially in the Morning could the shot raise my blood pressure and if so what to do about it.. This morning it was 140 over 90 it's usually under control control and I'm feeling it

Answered by Dr. Benard Shehu (1 hour later)

Brief Answer:
Following answer to your query...

Detailed Answer:
Hi and thank you for asking HCM!

Kenalog is a corticosteroid therapy, which has as a major side effect BP instability (including hypertension and in severe cases hypertensive crisis).

Fortunately for you the BP is at border lines so i advice only non medical therapy to stabilize your BP:
- Reduce sodium (salt) intake
- Try to loose weigh by eating a Mediterranean based diet rich in vegetables, fish and white meat.
- Increase physical activities
- Reduce alcohol intake

If the problem persist (your BP is still above 150/95 mmHg) i recommend consulting your doctor to run other tests and to see the possibility of adding antihypertensive pills in your therapy.

If you were my patient i would like to prefer adding a diuretics in such a case.

Hope this was of help!
Dr. Benard Shehu

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Benard Shehu (2 hours later)

I'm already on diovan 80 mg and atenelol 25 mg as needed do u think my meds need adjusted I have already lost 20 lbs in 3 months and my cortisol level is 21

Answered by Dr. Benard Shehu (4 hours later)

Brief Answer:
I recommend adding diuretics...

Detailed Answer:
Hi back XXXX

It's a good thing that you are loosing weigh. I encourage you continuing this way and keep going with mentioned dietary and life change.

I think that diuretics should be added to your medication. Adding diuretics to existing therapy is the best strategy to stabilize hypertension from corticosteroid therapy.

So i recommend taking co diovan (diovan plus hydrochlortiaside) instead of diovan.

Wish you health!
Dr. Benard Shehu

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Benard Shehu (4 hours later)

Well the weight loss has not been intentional. ..still trying ti figure that out...drs arent sure...can I take aciphex with atenelol and also take lunesta all in the evening

Answered by Dr. Benard Shehu (3 hours later)

Brief Answer:
Following answer to your queries...

Detailed Answer:
Hi and thank you for following up!

You can safely take together atenolol aciphex and lunesta because there aren't any known interaction between this drugs.

The thing that concern me is the unwanted lost of weight I recommend to run abdominal ultrasound, chest x ray and upper endoscopy to determine the cause of weight loss.

Wish you health!
Dr. Benard

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Benard Shehu (10 hours later)

Have had all three meet with gastrointestinal doctor this week..Ultra normal except small kidney stone upper endoscopy to because of swallowing and throat problems making it hard to eat on top of the loss of appetite . some improvement but very slow. they can't seem to figure it out ?

Answered by Dr. Benard Shehu (23 hours later)

Brief Answer:
Tests reports are needed, can you upload them?

Detailed Answer:
Hi back,

Can you send the reports of the tests you did? So, I'll have a look at them and get them analyzed by myself before coming back to you with final conclusions.

Thank you!
Dr.Benard

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Benard Shehu (2 hours later)

I will work on getting records sent..doctor started me on 25 mg atenelol at night...plus 80 mg diovan in morning . this is second day seems to have brought my blood pressure down and lowered my anxiety hoping for the best

Answered by Dr. Benard Shehu (17 hours later)

Brief Answer:
Great...

Detailed Answer:
Hi back,

That's great. Atenolol will improve your heart rate and will help decrease anxiety too.

Diovan will help reduce blood pressure. The overall result will be reduced bp.

Hoping the best!
Dr.Benard
If no more questions, kindly close this discussion!

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Above answer was peer-reviewed by : Dr. Vaishalee Punj