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    Suggest treatment for high blood pressure

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Posted on Wed, 19 Apr 2017 in Hypertension and Heart Disease
Question: I started having problems with my blood pressure 6 months ago. I have tried 6 medications. I wound up in the hospital with a reading of 220. I am on amlodipine, carvedilol and chlorthalidone. My readings are still going from 143 to 154 to 170.
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Answered by Dr. Sagar Makode 1 hour later
Brief Answer:
See the description

Detailed Answer:
Hello,
We need to modify your antihypertensive. Carvedilol and chlorthalidone are not very effective alone on blood pressure.
I would advise you to continue amlodipine 10 mg once a day and start tab Telma CTD (40/12.5) once a day which is a combination of telmisartan and chlorthalidone. If taking amlodipine in the morning then have this in the evening. You can continue carvedilol, and later we can taper it.
You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Hope this helps you and get back if you have any doubts.
Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1820 Questions

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