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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Blood Pressure

I have high blood pressure, approximately 190/114 which is very high rate. My doctor in Thailand gave me Aspirin 81mg, Norvasc, Olmesartan,Ternomin and Atorvastatin. It is a lot more than I had taken before. I would like you to recommend me about preventing the risk after taking pills. Is there going to be side-effect which may cause me to have a problem with my stomach? I am curious. PS. If I take a supplement, Is it going to be worse or good? , Thank you.
Mon, 17 Oct 2016
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General & Family Physician,  's  Response
For control of blood pressure (BP), initially one drug is prescribed. If one drug does not control BP effectively, then a combination of two, three, and four drugs depending upon control of BP, is prescribed. You have high BP since a long time. High BP causes lots of complication such increased thickening of heart muscle (left ventricular hypertrophy) due to high pressure and kidney disorder such as loss of precious protein especially in long standing high BP . These drugs not only control high blood pressure but also prevent and cure complications of high BP. Combination of drugs has synergistic effects. That means, these drugs complement each other’s effect and prevents development of each other’s side effects.
So in brief, you need a combination of drugs for effective control of BP and prevention of complications of high BP. You always have the option of taking a second and even third opinion if you are not satisfied with treatment.
Aspirin has been prescribed for prevention of blood clotting which is common in patient with high BP. Atorvastatin will bring down your blood cholesterol.
Advice
1.     Continue all medicines and do not alter dose or drug unless advised by your doctor
2.     Regular exercise at least 30 minutes for 5 days in a week. The best types of exercise for lowering BP are walking, jogging, cycling, swimming and dancing
3.     Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol
4.     Consume less salt
5.     Avoid smoking, alcohol, coffee and caffeinated beverages
6.     Lose extra weight if you are overweight and keep your body mass index between 19 and 25. BMI is calculated by formula BMI = Weight in Kilograms / (height in meters x height in meters)
7.     Reduce your metal stress because stress activates sympathetic system and increases BP
8.     Measure your BP regularly and be in touch with your doctor
9.     Avoid eating high energy foods such as cakes, chocolates, and chips
I hope this information will help you. I will be happy if you ask another question
Thanks
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Suggest Treatment For High Blood Pressure

For control of blood pressure (BP), initially one drug is prescribed. If one drug does not control BP effectively, then a combination of two, three, and four drugs depending upon control of BP, is prescribed. You have high BP since a long time. High BP causes lots of complication such increased thickening of heart muscle (left ventricular hypertrophy) due to high pressure and kidney disorder such as loss of precious protein especially in long standing high BP . These drugs not only control high blood pressure but also prevent and cure complications of high BP. Combination of drugs has synergistic effects. That means, these drugs complement each other’s effect and prevents development of each other’s side effects. So in brief, you need a combination of drugs for effective control of BP and prevention of complications of high BP. You always have the option of taking a second and even third opinion if you are not satisfied with treatment. Aspirin has been prescribed for prevention of blood clotting which is common in patient with high BP. Atorvastatin will bring down your blood cholesterol. Advice 1. Continue all medicines and do not alter dose or drug unless advised by your doctor 2. Regular exercise at least 30 minutes for 5 days in a week. The best types of exercise for lowering BP are walking, jogging, cycling, swimming and dancing 3. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol 4. Consume less salt 5. Avoid smoking, alcohol, coffee and caffeinated beverages 6. Lose extra weight if you are overweight and keep your body mass index between 19 and 25. BMI is calculated by formula BMI = Weight in Kilograms / (height in meters x height in meters) 7. Reduce your metal stress because stress activates sympathetic system and increases BP 8. Measure your BP regularly and be in touch with your doctor 9. Avoid eating high energy foods such as cakes, chocolates, and chips I hope this information will help you. I will be happy if you ask another question Thanks