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High BP, taking lisinopril. How long will it take to normalize?

My blood pressure is 160/110. i began taking lisinopril 40 mg approximately one week ago. My blood pressure has not changed at all. How long will it take to work? i am worried of heart attack and stroke . i have had hypertension for 5 years now, am 23 years old. both of my parents have HTN and my father died of heart disease. the clinician i saw told me i would benefit from a diuretic . but i have heard good and bad things about diuretics, saying they could harm the kidneys. i am very confused and scared. please help
Asked On : Thu, 23 Aug 2012
Answers:  1 Views:  1051
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General & Family Physician 's  Response
Hi, welcome to healthcare magic

Hypertension or high blood pressure can be classified as primary or secondary. In primary hypertension there is no specific cause that can be highlighted, there may be a strong family history.
In secondary hypertension there is another condition that is causing the high blood pressure such as hormonal problems.
Even though you have a strong family history family history of hypertension, because of your age, you should still be screened for any secondary causes.

One of the main causes of non responsive or resistant hypertension is excess blood volume which can result from- persons being given too much fluid, retaining too much fluid which can occur in excess salt intake and also in the absence of a diuretic.
Diuresis is very important in hypertension, you are more likely to have kidney disease as a result of your uncontrolled blood pressure thant the medication.
You need to consider taking the medication suggested by your doctor.

I hope this information is helpful to you
Answered: Fri, 24 Aug 2012
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