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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Valsartan Effective In The Treatment Of High Blood Pressure?

I recently so my doctor and my blood pressure was 180 over something...so I have never had high blood pressure b4 even when I gained so much weight...now he prescribed Valsartan...after reading the description.....160 mg 1x per day ...is this the safest way to start or is there something else I should consider?
Tue, 10 Oct 2017
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern

1. If was your attending Physician I would not have immediately put you on high blood pressure medication rather I would have preferred first to exclude risk factors for high blood pressure like lipid- blood sugar and Thyroid profile for any cardiovascular risk factor of high blood pressure.

PS. family history [ for essential hypertension] is another for which kidney function tests are advisable along with chest X-ray, EKG

2. Other secondary factors which can contribute to high blood pressure are being overweight, leading a sedentary lifestyle, high salt intake, and addiction to smoking/alcohol.

3. Get a second opinion from a Cardiologist who might initially start with the lowest dose [i.e. with 25 mg], since you never have high blood pressure, thus incorporate the dietary regime in between:

i. LOW SALT DIET
. Total salt intake should not exceed 2.5 gm per day
. No extra salt should be taken during meals.
. Use Losalt, where salt is essential
. Avoid salt-rich foods: pickles, papads, sauce, cheese, salted butter/ biscuits/ peanuts-cashews/buttermilk, popcorns, wafers, preserved/tinned food. [Make sure high protein diet is taken in moderation]

ii. LOW FAT DIET
. Avoid saturated oils [coconut oil, dalda, butter, ghee, cream] instead use monosaturated oils [olive oil] or polyunsaturated oils [sunflower, corn oil]
. Avoid all deep fried foods, unskimmed milk, and meat.
. Increase fiber intake i.e. leafy vegetables, salads, fruits, pulses, and legumes.
. Use skimmed milk or double toned low-fat milk.

PS. valsartan is an Angiotensin II receptor antagonist which include constricting blood vessels and activating aldosterone to reduce blood pressure thereby preventing strokes, heart attacks, and kidney problem. I prefer the same in people with type II diabetes and high blood pressure or albumin in urine [KW: kimmelstiel wilson syndrome] since it is known to slow the development of ESRD [end stage renal disease]

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Is Valsartan Effective In The Treatment Of High Blood Pressure?

** Thanks for contacting with your health concern 1. If was your attending Physician I would not have immediately put you on high blood pressure medication rather I would have preferred first to exclude risk factors for high blood pressure like lipid- blood sugar and Thyroid profile for any cardiovascular risk factor of high blood pressure. PS. family history [ for essential hypertension] is another for which kidney function tests are advisable along with chest X-ray, EKG 2. Other secondary factors which can contribute to high blood pressure are being overweight, leading a sedentary lifestyle, high salt intake, and addiction to smoking/alcohol. 3. Get a second opinion from a Cardiologist who might initially start with the lowest dose [i.e. with 25 mg], since you never have high blood pressure, thus incorporate the dietary regime in between: i. LOW SALT DIET . Total salt intake should not exceed 2.5 gm per day . No extra salt should be taken during meals. . Use Losalt, where salt is essential . Avoid salt-rich foods: pickles, papads, sauce, cheese, salted butter/ biscuits/ peanuts-cashews/buttermilk, popcorns, wafers, preserved/tinned food. [Make sure high protein diet is taken in moderation] ii. LOW FAT DIET . Avoid saturated oils [coconut oil, dalda, butter, ghee, cream] instead use monosaturated oils [olive oil] or polyunsaturated oils [sunflower, corn oil] . Avoid all deep fried foods, unskimmed milk, and meat. . Increase fiber intake i.e. leafy vegetables, salads, fruits, pulses, and legumes. . Use skimmed milk or double toned low-fat milk. PS. valsartan is an Angiotensin II receptor antagonist which include constricting blood vessels and activating aldosterone to reduce blood pressure thereby preventing strokes, heart attacks, and kidney problem. I prefer the same in people with type II diabetes and high blood pressure or albumin in urine [KW: kimmelstiel wilson syndrome] since it is known to slow the development of ESRD [end stage renal disease]