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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for high BP

Hi, I am 47, 4 11, 208lbs. I have high blood pressure and medicine has been changed thrice(side affects). Lisinopril after three years, ziac after about a year and now losartan. I am a african american female and I have pretty large breasts. My gallbladder was removed about a year ago Ive had very bad pain since. Some time ago my sleep was disrupted by hearing my pulse in my right ear. Along with this I started waking feeling like I wasn t breathing properly, and now I am waking up over in the late night or early morning with a rapid heart beat that I can feel and hear in my right ear. I also feel some paused or delayed heart beats but these are not just at night. Oh yeah, I have reflux/digestion problems. Seems like I m just falling apart. With no medical insurance it seems next to impossible to get answers.
Mon, 1 Jun 2015
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General & Family Physician 's  Response
hi i have gone through your question in african american vasodilators and diuretics are best you may take hydoclorthiazide 25mg in morning with amlodipine 5mg at evening also if your heart beat is fast than it worth to take beta blockers for instance metaprolol 25 mg in morning with drugs check your bp daily and titrate the dose accordingly reduce your weight take less salt daily intake less than 1.5g and do exercise decreases systollic bp by 20-30 mmhg thanks hope answer your question
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