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Suggest treatment for hypertension with depression

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Practicing since : 2004
Answered : 2254 Questions
Hello Doctors, I am 39 years old and am having some serious issues with my blood pressure. My latest reading was at approximately 11:20am on 29 January 2014 and was 198/84. This is an unusual reading for me because they have been consistently around 160/100. I am 6 feet tall and weigh 225. I am currently prescribed Benicar 40/25, Amlodipine 100,atorvastatin 80, fenofibrate 160, metformin 500, advair 250/50, fluoxetine 40, wellbutrin 100. All of these are taken once a day. I am also taking testosterone cyp 200mg injection every four days. I am having mild headaches, and often feel run down. I do not sleep very well and have a history of insomnia. I do not smoke, and I do not drink soda or coffee. I have a limited salt diet, but I do drink alcohol, probably around six drinks a day. I do not use any illegal drugs including marijuana. My family does have a history of diabetes, but I am not currently diabetic, I take metformin as a precautionary measure. One of my Grandfathers died at age 87 from a heart attack and the other Died at age 86 from congestive heart failure. My father had a stint put in around 15 years ago but is healthy at age 65. I am getting really scared and frustrated. I have two children and I fear that my time is running out.
Posted Tue, 18 Feb 2014 in Hypertension and Heart Disease
Answered by Dr. Benard Shehu 38 minutes later
Brief Answer: Please refer to the following answer... Detailed Answer: Hi XXXXXXX I read your query. I would like to say don't worry you are having only hypertension, obesity, dyslipidemia and pre diabetes that should be stabilized in order to avoid future cardiac problems. Also you should run the following exams: - ECG - Cardiac ECHO - Stress test - Holter and blood pressure 24 h monitoring If everything is normal I would suggest to add antihypertensive pills to your therapy (such as diuretics or betablockers) and conduct a healthy lifestyle. Also I would recommend to consult your psychologist to deal with insomnia and depression. Hope it answered to your query! Dr. Benard
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