Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Systolic Hypertension
Question: I am 66 years old,male Asian,I am on 320mg/12.5mg valsartan Hctz and 5md ampodipine.My bp monitor in the morning(after work out 1 hr) average 125-130/65-70 and afternoon(5-6PM) 160-170/80-85.My problem may be isolate systolic hypertension.What type medications need to lower my systolic and keep my diastolic same.Thanks.
Brief Answer:
Add nitrates.
Detailed Answer:
Hi
Thanks for choosing HealthcareMagic for your query.
I would suggest you to add nitrate to your regimen.
Nitrates are very effective in lowering systolic blood pressure and has minimal effect on diastolic blood pressure.
A long acting nitrate like isosorbide mononitrate 30 mg slow release tablet should be taken every day.
Please discuss options with your cardiologist.
Regard
Dr Rishu
Add nitrates.
Detailed Answer:
Hi
Thanks for choosing HealthcareMagic for your query.
I would suggest you to add nitrate to your regimen.
Nitrates are very effective in lowering systolic blood pressure and has minimal effect on diastolic blood pressure.
A long acting nitrate like isosorbide mononitrate 30 mg slow release tablet should be taken every day.
Please discuss options with your cardiologist.
Regard
Dr Rishu
Above answer was peer-reviewed by :
Dr. Yogesh D
My average heartbeat 58-65 per minute add nitrate can cause any problems?thanks.
My doctor prescripted Benicar 40mg/12.5mgHCT.I found out this drug too expensive and no generic available.Can you provide me the list of drugs working similar as close as to Benicar and generic available(olmesartan medoxomil-hydrochlorothiazide).Thanks.
My doctor prescripted Benicar 40mg/12.5mgHCT.I found out this drug too expensive and no generic available.Can you provide me the list of drugs working similar as close as to Benicar and generic available(olmesartan medoxomil-hydrochlorothiazide).Thanks.
Brief Answer:
Follow up answer
Detailed Answer:
Hi again,
No nitrates are not going to cause bradycardia,As they will decreses the blood pressure so mild increase in heart rate can be noted,Which will be good for you.
Olmesartans generic version is still not there in market so instead you can take MICARDIS(Telmisartan)40mg in combination with chlorthiazide.
Thanks.
Brief Answer:
Follow up answer.
Detailed Answer:
Hi
Nitrates will be safe for you as reduction of systolic blood pressure will increase you heart beat which is good for you.However as such nitrates have no direct effect on heart rate.
Thanks!
Follow up answer
Detailed Answer:
Hi again,
No nitrates are not going to cause bradycardia,As they will decreses the blood pressure so mild increase in heart rate can be noted,Which will be good for you.
Olmesartans generic version is still not there in market so instead you can take MICARDIS(Telmisartan)40mg in combination with chlorthiazide.
Thanks.
Brief Answer:
Follow up answer.
Detailed Answer:
Hi
Nitrates will be safe for you as reduction of systolic blood pressure will increase you heart beat which is good for you.However as such nitrates have no direct effect on heart rate.
Thanks!
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
