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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Hypertension Be Treated?

Hi doc. My mother is high pertensive patient for long time. Her age approx 85, she takes Adalde retard after breakfast ,in the evening she takes Tab hytrin 2 mg, but her bp shoots high, in evening / night .our doc hs prescibed various other bp controling med .but only a Adalade retard works or tab sofvacs Can u please advise
Wed, 22 Nov 2017
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General & Family Physician,  's  Response
Hi thank you for querry.
Acoording to NICE
guidelne if patient age greater than 80 years his BP should be 150/90
in old age 1st line is calcium channel bloker she is using nefidipine or sofvasc
Add An ACEI like ENALAPRIL 5mg or Ramipril 2.5 mg Once a day alng with adalat retard.
if not controlled than add a tbiazide diutetics like Chlorthalidone 12.5 mg once a day.
but if thiazide diuretic is add must check serum potasium level.
if diutetic therapy fail or not tolerated than add a alpha or beta blocker drug like metoprolol or bisoprolol.
hope the answer will help you to asses her condition.
wish her a good health.
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How Can Hypertension Be Treated?

Hi thank you for querry. Acoording to NICE guidelne if patient age greater than 80 years his BP should be 150/90 in old age 1st line is calcium channel bloker she is using nefidipine or sofvasc Add An ACEI like ENALAPRIL 5mg or Ramipril 2.5 mg Once a day alng with adalat retard. if not controlled than add a tbiazide diutetics like Chlorthalidone 12.5 mg once a day. but if thiazide diuretic is add must check serum potasium level. if diutetic therapy fail or not tolerated than add a alpha or beta blocker drug like metoprolol or bisoprolol. hope the answer will help you to asses her condition. wish her a good health.