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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Elevated BP In The Morning,lisinipril, BP Drops Suddenly,no HTN, Hawthorn Berries The Solution ?

My BP is elevated in the morning and near norm in the evenings?? I am 70 years old, still work home health social work full time. Range in a.m is 145 to 180 over 75 to 90 in morning and drops to 130 s/ 70 s by evening. If I take 5mg lisinipril more than 2 days in a row, it drops too suddenly. Md says that tells him I don t have HTN.??? So I do take Hawthorn Berries a couple times a day. I try to watch my sodium as I am very sensitive to that. I wonder about potassium but electrolytes are normal??
Sat, 12 May 2012
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Cardiologist,  's  Response
Hello! After a careful discussion & analysis of your symptoms, I would like to suggest you
1) Early morning rise of blood pressure definitely suggests that you have got hypertension
2) Lisinopril is not suited to you due to its side effect of postural hypotension / dose dependent hypotension.
3) You are needed to take antihypertensive treatment regularly to prevent further complications after consultation with a cardiologist, preferably ARB or a Beta blocker.
Thanks & take care of yourselves!
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Elevated BP In The Morning,lisinipril, BP Drops Suddenly,no HTN, Hawthorn Berries The Solution ?

Hello! After a careful discussion & analysis of your symptoms, I would like to suggest you 1) Early morning rise of blood pressure definitely suggests that you have got hypertension 2) Lisinopril is not suited to you due to its side effect of postural hypotension / dose dependent hypotension. 3) You are needed to take antihypertensive treatment regularly to prevent further complications after consultation with a cardiologist, preferably ARB or a Beta blocker. Thanks & take care of yourselves!