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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest dosage for ramipril

i have high blood pressure and are on the lowest dose of ramipril, 1.25 mg,howver, my legs are very shaky tonight. I have had this a few times recently. i took my blood pressure tonight and it is sky high 167/93. i think i have to call my cardiologist tomorrow. I take ramipril at night. should I dou7ble the dose tonight to 2.5 mg? i have gradually come down slowly from 10 mg 2 years ago, but maybe 1.25 is too low. i have been on it for only 3.5 months.
Wed, 16 Mar 2016
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Cardiologist 's  Response
Hello and thank you for using HCM.

I carefully read your question and i understand your concern. Ii will give you my opinion.

When we treat hypertension our goal is to achieve mean values below 140/90 mmHg. A hypertensive patient might have excessive values under physical or emotional stress and this is normal but when we talk about daily mean values they should be under 140/90. Only with this values we can say that we have a good and controlled blood pressure.

So, if you say that in a random measurement you find high values like 167/93 it might be reasonable to rise your medicament dosage.
In fact the ramipril dose that you take is a very small one.

So my opinion as a cardiologist is that you can rise the dosage to 2.5 and even 5 mg because it cant cause any harm.
It will lower your blood pressure values to 120/80 and this is our target for you.

Of course it is mandatory to know some blood analyses to do so like your creatinin levels, so i advise you to consult it with your cardiologist.

Hope I was helpful.
Wish you good health.
Best regards.
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