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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fluctuating Blood Pressure Levels Even After Taking Ciplar. Having Stress. Alternate Medication? On Alprax

hi, i m currently on ciplar La 40, once every night after meals. on normal occassions it works fine with BP and puse under control, but in very stressful conditions sometimes the BP tends to go high such as 130/95. so then i also take restyl/alaprax SR tablets to control the stress and help bring down the BP. is there any other medication i should take as there is work stress which i cannot avoid. otherwise i do not have any other aliments. i am 47 years old and walk for 4 kms every day on the treadmill and also take lot of control of diet . still cannot understand why the BP goes high even after taken ciplar La 40. I from MUmbai, India.
Tue, 7 Aug 2012
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General & Family Physician,  's  Response
Hi,
Thanks from query,
I think your ciplar La 40 is working properly.
I advise you to just change your timings of consuming tablet.
As it is a long acting tablet it has its peak level after 4-8 hours of its consumption.Then it's blood level decreases.So if you take it at night the peak blood level achieved early in morning giving better effect.
In a due course when we arouse from sleep we feel fresh & during night time we have no tension so our blood pressure has no anxiety elevation.
So instead of taking it at night you changed it to take after your break fast at around 8.00 a.m.so its peak level achieved at about 2.00 p.m. at which time your blood pressure is some hat higher side due to work load.
Just measure it after 2 hours of taking tablet & different time of day for at least 15 days.
If you are not getting result consult your doctor to add more drug.
Thanks.
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Fluctuating Blood Pressure Levels Even After Taking Ciplar. Having Stress. Alternate Medication? On Alprax

Hi, Thanks from query, I think your ciplar La 40 is working properly. I advise you to just change your timings of consuming tablet. As it is a long acting tablet it has its peak level after 4-8 hours of its consumption.Then it s blood level decreases.So if you take it at night the peak blood level achieved early in morning giving better effect. In a due course when we arouse from sleep we feel fresh & during night time we have no tension so our blood pressure has no anxiety elevation. So instead of taking it at night you changed it to take after your break fast at around 8.00 a.m.so its peak level achieved at about 2.00 p.m. at which time your blood pressure is some hat higher side due to work load. Just measure it after 2 hours of taking tablet & different time of day for at least 15 days. If you are not getting result consult your doctor to add more drug. Thanks.