Suggest treatment for high blood pressure
I would explain as follows:
Welcome and thank you for asking on HCM!
I passed carefully through your question and would explain that these increased blood pressure values could be related to increase peripheral resistance due to Takayasus Arteritis.
I would like to know the medications that you have tried and the doses.
Some changes in your therapy are necessary.
A central anti-hypertensive therapy (methyldopa, moxonidine, etc) would be a good treatment option.
I remain at your disposal for any further questions!
Amlodipine - 10mg once a day
Telmisartan - 80mg twice a day
Carvedilol - 25mg twice a day
Issorbide - 60mg once a day
Hydrazaline - 50mg four/five times a day
Plavix - 75mg once a day
Furosamine - 40mg once a day
Xanax - 1mg as needed
Pravastatin - 40mg once day
Multi-vitamins, C, E , Flax Oil, Omega 3, Potassium, Magnesium, Zinc, Biotin, Calcium, B Complex
I should mention that I don't sleep well and that I can feel and hear my heart pumping which is very annoying
I should mention that a TEE test was done and found out that I have a small hole in my heart
Opinion as follows:
It seems that you are following a full option therapy for controlling cardiovascular risk factors.
As I mentioned you before, your resistant hypertension may be directly linked with Takayasu arteritis (large blood vessels including aorta and its branches are affected and renal arteries as well).
You need to check your renal function tests as well as an exact overview of the entire blood vessels involved by this inflammatory process, as they may play a role on your resistant hypertension.
Meanwhile, I recommend adding Methyldopa (Aldomet), another hypertensive medication to your actual treatment, initially 250 mg every 8hr daily and increasing subsequently 500 to 1000 mg q8hr,
In addition, switching from Amlodipine to Nifedipine extended release (Procardia XL) 30 t0 60 mg daily and increasing up to 120 mg daily could help controlling better your extremely high blood pressure values.
You need to discuss with your attending doctor on the above mentioned issues.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
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