Get your Health question answered in 3 easy steps

147 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes high blood pressure after taking Losartan?

Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 15451 Questions

default
Posted on Mon, 25 Aug 2014 in Hypertension and Heart Disease
Question: My blood presure is 198/109. The doctor change my meds from Lisinopril 20mg to Losartan 100 mg two week ago. My presure was about 160/75 when he change it
doctor
Answered by Dr. Michelle Gibson James 36 minutes later
Brief Answer:
was trying to bring BP to goal

Detailed Answer:
HI, thanks for using healthcare magic

The previous value of 160/75 mmHg was above the BP goal for persons with high blood presssure. In 2014, new guidelines were released in the US (called the JNC 8 blood pressure guidelines).

In these guidelines the blood pressure goal for persons over 60 was raised to : (1) systolic (top value) less than 150 and (2) diastolic (bottom value) of less than 90.
Goal is bp less than 150/90

Because your top value was 160 (even though bottom was 75) , your doctor changed the medication to try to see if the blood pressure would improve.
He would unfortunately not have known that it would rise higher, he was trying to bring it down to the BP goal.

You would need to contact him to let him know that the blood pressure is even higher.
You may need to take an additional medication to help to bring it down or use a combination tablet (two medications combined into one tablet).

Most persons with high blood pressure need more than one medication so it would not be unusual for your doctor to add another one.
It would help to bring you to goal BP

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication

Recent questions on Lisinopril

doctor1 MD

Currently have a head cold. Sinus drainage, coughing. No fever or any other symptoms. It s all in my nose and sinuses. I take 10mg Lisinopril per day. I ve been using some Afrin for the congestion about every 12 hours for the past couple days. Can I take 12 hour pseudophedrine HCL instead of the Afrin?

doctor1 MD

I am now on estradoil 0.5mg, lisinopril 10mg, prenatal vitamins (though not pregnant) 1 a day, fish oil 3 a day, and calcium 600 + D usp, and I used to take folic acid which I quit taking. Now my hair which was extremely thick is falling out and I have lost at least 3/4 of the thickness could this be due to not taking folic acid anymore? I am will be 71 this month. Thank you.

doctor1 MD

patches of brusing on upper rignt arm that are deep purple/dark red. man is 73 years old and takes medicine for blood pressuer (lisinopril 40mg), zolpidem 10mg for sleep, albuterol fulsate proair hfa inhailer and advair 250/50 for copd. had been taken off his colestrol medication (cresterol) by his primary physician but the brusing has reoccured.

doctor1 MD

My BP was around 150/100 and I was started on lisinopril at 20 mg. After 3 weeks it is typically around 130/88. However every once in a while (twice) it has spiked back up to 150/95. Both times this occurred it was after a day when I had diarrhea. Two questions - first could the lisinopril be purged following diarrhea such that it takes a day or two to get back to the normal effects of the drug and second. While on Lisonopril is it typical to occasionally have your BP break through the effects of the drug
                                                                 

doctor1 MD

I take medication and cannot take pills so I cruch them and put them in water and wait til they dissolve then drink it my medication list is metoprolol tartrate 50 mg I daily.i also take metformin hcl 1000 mg 1/2 tablet twice a day lisinopril 10...

doctor1 MD

My 74 year old mother has afib, which she was diagnosed with 2 to 3 years ago. She was cardioverted and placed on flecanide. Few months later had another afib episode and cardioverted again. Then, few months later decided to have the cardiac...

doctor1 MD

Is there any negative drug interaction between motrine and either chlorthalidone , carvedilol or lisinopril? I was told Advil can not be used with any of the 3. What about motrine?