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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 had high blood pressure. Trying to lower it with potassium, magnesium and spironolactone for two weeks, with no change. Just started Lisinopril have only take twice and now BP is 113/75 please adviseyour thoughts. I am very weak. I have been on mostly veg's and fruit with low sodium foods.
Thu, 6 Jul 2017
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General & Family Physician 's  Response
Hello, Thanks for posting your query on Healthcare Magic...
* Brief Answer: You need to be sure that your blood pressure isn't lowered too much by lisinopril. Other causes of weakness should be excluded.
*Explanation: My opinion is that high blood pressure on many occasions is an indication for control .That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure.Then ,Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that dose not help, medications are a must .That is usually decided by your doctor according to your condition and comorbidities .Some drugs that are perfect for patients are not necessary good for others.Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started.
I suggest my patients the following : low salt in diet and good moderate hydration is crucial.
The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about laboratory investigations and be sure that there isn't any electrolyte disturbance also creatinine level is important to check.
*Conclusion: I suggest you do investigations like serum sodium potassium magnesium calcium urea and creatinine , also check your blood pressure readings.

If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.
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Suggest Treatment For High Blood Pressure

Hello, Thanks for posting your query on Healthcare Magic... * Brief Answer: You need to be sure that your blood pressure isn t lowered too much by lisinopril. Other causes of weakness should be excluded. *Explanation: My opinion is that high blood pressure on many occasions is an indication for control .That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure.Then ,Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that dose not help, medications are a must .That is usually decided by your doctor according to your condition and comorbidities .Some drugs that are perfect for patients are not necessary good for others.Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started. I suggest my patients the following : low salt in diet and good moderate hydration is crucial. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about laboratory investigations and be sure that there isn t any electrolyte disturbance also creatinine level is important to check. *Conclusion: I suggest you do investigations like serum sodium potassium magnesium calcium urea and creatinine , also check your blood pressure readings. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.