Question: I am on 40mg of Lisinopril per day. 20mg morning and 20mg noon. My bp is very low 1st thing in the AM and I am useless until around 4pm. I'm 83 yrs old, history of atrill-fib well controlled with metaq. BP was up this AM at 132/72. problem here? thanks, xxxxxxxx YYYY@YYYY

These are my BP readings between 6AM-7AM from July 1 - July 12: 131/72, 118/66, 128/65, 131/67, 120/62, 120/61, 128/71, 124/61, 131/69, 117/60, 132/72, 142/78...heart rate between 53 and 65. today was 142/78 with heart rate 56. I feel reasonably good. Where can I find some pep in the first 3/4 of the day? ( I live alone, with cat, widowed, post broken hip from 2011, rarely go out alone but I still do drive my car. ) I used to sew, embroider, garden years ago, 1982-95 I was a Claim Supervisor for an insurance co and then phone service for Bloomingdales by mail until 2000 when I stopped working due to a-fib. Mid 1990 until my husbands death in 2013 he was increasingly disabled and I was often his only caretaker.

you have my stats and some history. question is : how can I get some energy and enthusiasm before 4pm daily. I eat a good breakfast (protein, fruit, a little carb ) no coffee/tea, that brings on systolic pressure well over 200 ! lunch is well balanced. what am I missing ? I don't feel old, I just feel at droopy loose ends. thanks.....Lenore

reply to your questions: meds: breakfast 400mg Multaq ,20mg Lisinopril, 1/2 of a 25mg metoprolol, 0.5mg clonazepam for life rx'd by a XXXXXXX U med school prof of psychiatry whose study is anxiety. (anxiety disorder since I was about 3 years old ), 81mg aspirin. Also OTC omega3,C500mg,D3 400iu, 1 stresstabs vitamin,500mg Beet Root for magnesium........Noon: clonazepam, omega3,D3,beet root.....dinner: multaq, 1/2 tab metoprolol, clonazepam, vit C, 2 D3, beet root. sleep pattern: I have a fistula. Sleep on a good night: from 10 or 11pm 1 hour,then 2 hours,then 4hours...often I will fall asleep in the AM for 1 hour but not know it until I wake up. 6am is wake-up time, my cat rules ! I am very responsive to changes in atmospheric pressure: outgoing high pressure means less sleep at night and vigilance in the daytime ( I think I have the best kidneys in town ).thank you.

cat is a 6AM person, today it was 5AM, I slept well, she came to check on me...her vet says she could be a service cat. if she feels I'm in distress she will poke her nose in my ear and vigorously lick my cheek until I get her to stop ! I failed note that the other 20mg of lisinopril is taken at noon. I've been on clonazepam since the early 1990's....no change there but I will ask about the metoprolol, I have no idea why I'm taking it. I've dropped most carbs the last couple of days and 2lbs which I do not need and I feel a bit better. the AM pills are a real handful, I can feel them hit without the extra carbs with breakfast so I will take that up also. thank you so much for your help, it's helpful to have a doc who isn't rushing to the next patient !