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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Elevation In The BP Level Despite Taking Amlodipine?

2 months of uncontrolled BP. (Family hx of HTN and have been on BP med since age 35 yrs) MD increased Alsace to 20 mg. in AM & PM. Went for stress test and BP too high to perform test. Started on 5 mg. Amlopodine yesterday. BP still high 173/88 this AM. Worried my partner will have a stroke before they figure out what is going on. When can one expect BP to be lowered to a relatively safe level and at one point would a follow up be needed? Has taken 2-4 weeks to see PCP and then cardiologist, so it is not easy to bet in to se a physician. Any advise or suggestions are appreciated. (We know the usual: low salt, exercise, lose weight, fruits & veggies, fish, no smoking, limited alcohol which is our lifestyle.)
Sat, 28 Jul 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I would explain that it is necessary to wait some days in order to see the final effects of Amlodipine in your blood pressure values.

You should know that every change in the anti-hypertensive therapy may take some days to improve your blood pressure values.

So, if your blood pressure values do not drop in the next days, I would recommend increasing the dose of Amlodipine.

In the meantime, I recommend reducing salt and caffeine intake and avoiding straining physical activity.

Hope to have been helpful!

Kind regards,

Dr. Iliri
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What Causes An Elevation In The BP Level Despite Taking Amlodipine?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that it is necessary to wait some days in order to see the final effects of Amlodipine in your blood pressure values. You should know that every change in the anti-hypertensive therapy may take some days to improve your blood pressure values. So, if your blood pressure values do not drop in the next days, I would recommend increasing the dose of Amlodipine. In the meantime, I recommend reducing salt and caffeine intake and avoiding straining physical activity. Hope to have been helpful! Kind regards, Dr. Iliri