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What Causes High BP When On Cilacar Along With Swelling And Tiredness?

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Posted on Fri, 2 Jan 2015
Question: I USED TO TAKE LISONIPRIL 5 AND DITIDE BUT THEN MY BP STARED TO REMAIN IN 145/90 RANGE. HE GAVE ME TELMA 80 BUT THEN IT DIDN'T CONTROL IT. SO HE CHANGED TO CILACAR 10 TWICE A DAY. HOWEVER MY BP HAS CONTINUED TO RISE AND NOW IT IS IN 155/100 RANGE WITH LITTLE SWELLING SEEN AT THE ANKLE JOINTS, SLEEPINESS, TIREDNESS AND RED EYES. PLEASE ADVISE. THANKS
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Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Regular morning walk along with regular medication essential

Detailed Answer:
Thanks for asking on HealthcareMagic. I have gone through the details provided. Hypertension is often not easy to treat. You need to limit your salt intake. The next thing is regular morning walk and exercise. The third step would to be maintain a healthy lifestyle and diet. Unless these steps are taken, the medicines would not be effective.

It is not unusual to grow tolerance to antihypertensive medications. In that case, a higher dose is required to reach the same effect that could earlier be achieved with a lower dose. The dose titration has to be done by your treating physician and you would need to comply.

If I had a patient like you, I would probably have asked him to take some beta blocker like metoprolol along with the other medicines. The next thing would be a thiazide diuretic like aquazide (hydrochlorthiazide) which might also have helped in reducing your ankle edema. Please talk to your doctor about this. Please continue the medicines that he has prescribed.

The symptoms that you mention, are likely to be due to uncontrolled hypertension. You would need to gain control over it for the symptoms to go. The lifestyle modification steps along with regular medication is essential for this.

Wish you health.

Regards
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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Causes High BP When On Cilacar Along With Swelling And Tiredness?

Brief Answer: Regular morning walk along with regular medication essential Detailed Answer: Thanks for asking on HealthcareMagic. I have gone through the details provided. Hypertension is often not easy to treat. You need to limit your salt intake. The next thing is regular morning walk and exercise. The third step would to be maintain a healthy lifestyle and diet. Unless these steps are taken, the medicines would not be effective. It is not unusual to grow tolerance to antihypertensive medications. In that case, a higher dose is required to reach the same effect that could earlier be achieved with a lower dose. The dose titration has to be done by your treating physician and you would need to comply. If I had a patient like you, I would probably have asked him to take some beta blocker like metoprolol along with the other medicines. The next thing would be a thiazide diuretic like aquazide (hydrochlorthiazide) which might also have helped in reducing your ankle edema. Please talk to your doctor about this. Please continue the medicines that he has prescribed. The symptoms that you mention, are likely to be due to uncontrolled hypertension. You would need to gain control over it for the symptoms to go. The lifestyle modification steps along with regular medication is essential for this. Wish you health. Regards