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Dr. Andrew Rynne

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What might I do to bring my elevated BP to normal?

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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 6273 Questions

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Posted on Tue, 18 Sep 2018 in Hypertension and Heart Disease
Question: I am an 81 yr, old male. My BP is from 140 to 150 over80. I take 5 mg of Lisinopril daily. I eat healthy and exercise What might I do to lower my bp to 120 /80 Thank you very much for your help. XXXXXXX Eckhardt
doctor
Answered by Dr. Ilir Sharka 28 minutes later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

I understand your concern and would like to explain that considering your actual clinical conditions; your active daily profile and healthy life-style what could be beneficial regarding a better blood pressure control seems just optimizing your current medical therapy.

Increasing your daily Lisinopril dose from 5 mg to 10 mg/day would be rational for a better BP lowering.

But considering your age and the supposed overall tolerance, I would advise you not to be too stringent in this regard.

The recommended BP levels in your case would be a systolic BP value around 130 mmHg.

Nevertheless, if lower BP values appear well-tolerated, a further dose escalation may be sought.

You should know that Lisinopril has a daily dose range up to 20 -40 mg.

You just need to frequently monitor your BP values (several times daily for a couple of days) after a dose increase and refer them to your prescribing doctor for the most appropriate decision on the ongoing anti-hypertensive regimen.

Hope you will find this answer helpful!

Kind regards,
Dr. Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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