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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment to control BP level

I take 150 mg of atenolol and 10 mg of hydrochlorothiazide each day. My doctor recently put me on 10 mg Lisinopril/hctz in place of the hctz I was taking. My blood pressure dropped to 102/62 and I felt weak and had no energy as well as other side effects so I stopped taking it and started back on the hctz I was taking before. I still have a terrible cough from taking the Lisinopril. My blood pressure fluctuates so much that some times it is in the 120/80s and then this morning it was 150/92. I can't seem to get it regulated. Any suggestions?
Mon, 1 Jun 2015
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Cardiologist 's  Response
Sir, cough with lisinopril is known of, a better alternative is ARB, ie telmisartan, valsartan, olmesartan. The combination of this drug is better with HTZ, in terms of neutralisation of side effects and optimisation of benefit. The fluctuations may be due to shorter half life of lisinopril (12hrs), off the drugs I suggested telmisartan (half life 24 hrs) would help us eliminate cough and fluctuations
Regards Dr Priyank Mody
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