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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medications For BP

have higher blood pressure in a.m. as 150/94 or128/8803 131/89 or 146/83or 145/84. Then in p.m. after taking lisinopril and 25 mg. of toprol BP gets lower as 109/74 105/66111/70 106/66 109/68 80/61 99/46 80/61 and these are readings I have over week. In a.m. take triameterene and 25 mg. og toprol. Seems to be droppong after taking mrds in early p.m. Wondering if meds need adjustiing.
Thu, 3 Jul 2014
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Internal Medicine Specialist,  's  Response
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
Yes, definitely you need adjustments.

With the charting done by you that i can see, you would require to reduce the dosage.

Following are my recommendations:
1. To take a combination of Hydrocholrthiazide and Amlodipine, commonly available as Amlovas-H 5/12.5 once a day.
2. Stop all other anti hypertensive medicines.
3. To take low salt and low fat diet
4. Exercise daily.

I would also suggest you to get following investigations:
1. Serum Creatinine
2. Lipid Profile
3. Fasting Blood Sugar
4. ECG
If you have any further query please ask me.
Stay Healthy.
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Suggest Medications For BP

Dear Friend. Welcome to HCM. I am Dr Anshul Varshney. I understand your concern. Yes, definitely you need adjustments. With the charting done by you that i can see, you would require to reduce the dosage. Following are my recommendations: 1. To take a combination of Hydrocholrthiazide and Amlodipine, commonly available as Amlovas-H 5/12.5 once a day. 2. Stop all other anti hypertensive medicines. 3. To take low salt and low fat diet 4. Exercise daily. I would also suggest you to get following investigations: 1. Serum Creatinine 2. Lipid Profile 3. Fasting Blood Sugar 4. ECG If you have any further query please ask me. Stay Healthy.