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Suggest ways to manage BP levels

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Posted on Sat, 16 May 2015
Question: Is 145/75 bad Bp first thing in morning -- I'm 205 pounds 59 year old female -- not a diabetic -- non smoker
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Answered by Dr. Shoaib Khan (16 minutes later)
Brief Answer:
Yes ma'am, it is indeed bad

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Yes ma'am, a blood pressure level of 145/75 mmHg first thing in the morning is indeed a sign of poorly controlled blood pressure and will most certainly require lifestyle changes and medications to bring it under control.

Your doctor has just started you on lisinopril, and its effect should have started showing by now, as you have been on it for a few days. But in my opinion, if the morning reading of 145/75 mmHg was while you were on lisinopril, then we need to either increase the dosage or frequency, or add another medication to the treatment chart

I hope you find my response helpful. Please do not hesitate to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shoaib Khan (1 hour later)
Thank You for your answer- I just began lisiniprol yesterday so I'm sure I won't see change this quickly-- XXXX
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Answered by Dr. Shoaib Khan (11 hours later)
Brief Answer:
Yes, we should wait for a little longer to observe its effect

Detailed Answer:
Hello once again XXXX.

Yes, the real changes will take some time to settle in, but hopefully lisinopril does the job.

Just to keep you well informed, blood pressure management usually takes changing of 2-3 drugs during the initial stages to find the most suitable one, suiting the individuals specific needs, so please be patient and report any side effects, and if at all there are still high blood pressure readings (i.e. if you are measuring your BP at home). These are indications for a change in the current treatment (i.e. change in the drug).

Please do not hesitate to write to me anytime XXXX, I am always here to help. :)

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest ways to manage BP levels

Brief Answer: Yes ma'am, it is indeed bad Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. Yes ma'am, a blood pressure level of 145/75 mmHg first thing in the morning is indeed a sign of poorly controlled blood pressure and will most certainly require lifestyle changes and medications to bring it under control. Your doctor has just started you on lisinopril, and its effect should have started showing by now, as you have been on it for a few days. But in my opinion, if the morning reading of 145/75 mmHg was while you were on lisinopril, then we need to either increase the dosage or frequency, or add another medication to the treatment chart I hope you find my response helpful. Please do not hesitate to write back to me for any further clarifications, I am always here to help. Best wishes.