Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
128 Doctors are Online

What do BP levels of 154/86 indicate despite taking Cartia and HCTZ?

User rating for this question
Very Good
Answered by

Practicing since : 2001
Answered : 4767 Questions
My blood pressure is 154/86
I am on blood pressure meds. Cartia xl and hctz. What do I need to do?
Sat, 24 Feb 2018 in Hypertension and Heart Disease
Answered by Dr. Ilir Sharka 31 minutes later
Brief Answer:
I would explain as follows:

Detailed Answer:

Welcome on HCM!

I understand your concern and would like to explain that if your blood pressure values is usually not properly controlled and such high values keep persisting, then your actual anti-hypertensive scheme may be not sufficient.

If you are using 25 mg of Hydrochlorothiazide and 120 to 320 mg Cartia XL, then you may need to add another anti-hypertensive drug.

Coming to this point I would recommend discussing with your attending doctor on the possibility of adding an ACEI (like Ramipril, Lisinopril, etc.) or an ARB (like Olmesartan, Telmisartan, etc.)

In addition, I recommend performing several medical tests to investigate for possible secondary causes of hypertension:

- complete blood count (for anemia),
- thyroid hormones level (thyroid dysfunction),
- blood electrolytes level and arterial blood gas analysis (adrenal cortex dysfunction),
- renal function tests (renal dysfunction),
- liver function tests (metabolism of anti-hypertensive drugs)

It is necessary to closely monitor your BP values (several times daily for a couple of days up to a week) and re-evaluate the started anti-hypertensive scheme.

You should discuss with your attending doctor on the above mentioned issues.

Hope to have been helpful to you!

I remain at your disposal for any further discussions.

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor