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What Causes Fluctuations In BP While On Medication For GERD?

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Posted on Wed, 11 Feb 2015
Question: I have been taking coversyl plus for about 3 years 4gm/1.25.About 3 weeks ago my systolic blood pressure increased from 135 to 154 to 170 range.I started taking medication for Gerd about this time.My other blood pressure reading is 88.Could the medication pantoprazol 40gm.that i am taking have caused this or do I need to increase the dosage of coversyl
doctor
Answered by Dr. Panagiotis Zografakis (17 minutes later)
Brief Answer:
I don't believe it's pantoprazole

Detailed Answer:
Hello,

Pantoprazole does not cause worsening of hypertension. GERD or any other discomfort may cause it though! If you were annoyed by GERD (burning sensation, disturbed sleep etc) your blood pressure could have risen.

If pantoprazole succeeds in reducing GERD discomfort then your blood pressure may get lower again.

I cannot say for sure whether this is what happened to you but this is a possible explanation.
Besides that, a sudden worsening of hypertension may be an indication for investigation about secondary causes of hypertension. In your age, endocrinological problems or atherosclerosis may cause such a worsening. Narrowed renal arteries may decrease blood flow to the kidneys. When blood flow to the kidneys is reduced, the kidneys react by increasing blood pressure.
Another thing to consider is whether (or not) you have changed something in your everyday activities or diet. Added salt has detrimental effects on blood pressure control. The same applies for psychological stress.

In conclusion, if your GERD goes well, you don't eat too much salt, you're not under unusually intense psychological stress etc then you should check out the other reasons, I've mentioned.

I hope I've helped!
If you'd like further information, please use your follow-up questions.

Kind Regards!
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Causes Fluctuations In BP While On Medication For GERD?

Brief Answer: I don't believe it's pantoprazole Detailed Answer: Hello, Pantoprazole does not cause worsening of hypertension. GERD or any other discomfort may cause it though! If you were annoyed by GERD (burning sensation, disturbed sleep etc) your blood pressure could have risen. If pantoprazole succeeds in reducing GERD discomfort then your blood pressure may get lower again. I cannot say for sure whether this is what happened to you but this is a possible explanation. Besides that, a sudden worsening of hypertension may be an indication for investigation about secondary causes of hypertension. In your age, endocrinological problems or atherosclerosis may cause such a worsening. Narrowed renal arteries may decrease blood flow to the kidneys. When blood flow to the kidneys is reduced, the kidneys react by increasing blood pressure. Another thing to consider is whether (or not) you have changed something in your everyday activities or diet. Added salt has detrimental effects on blood pressure control. The same applies for psychological stress. In conclusion, if your GERD goes well, you don't eat too much salt, you're not under unusually intense psychological stress etc then you should check out the other reasons, I've mentioned. I hope I've helped! If you'd like further information, please use your follow-up questions. Kind Regards!