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What Causes Spike In BP?
My wonderful husband (of 46 yrs) has been treated for 20 yrs due to high blood pressure- lisinoprel 40 mgs 2x a day. Over the approx. 6mos his pressure will swing widely. i.e. 189/98 to 98/56. We live in small town and are waiting for appt. in large city- but not avbl until next 2/4/14. most of the time it is well controlled but the periods of "normal" are growing farther apart. What causes this?
Thu, 23 Jul 2015
It's odd that if the same drug which was effective for so many years is suddenly causing so many fluctuations.
1) It is more persistent on higher side adding another drug is best.
2)substitute lisinopril with a longer acting one like perindopril 4mg twice a day or 8 mg once, this has a far longer half life so will eliminate the fluctuations, and because it's exactly like lisinopril in other characteristics we don't need to worry for same
3) check his other parameters, like his salt intake, his kidney status, any other Co existing problem like diabetic, which may cause fluctuations
Regards Dr Priyank Mody
1) It is more persistent on higher side adding another drug is best.
2)substitute lisinopril with a longer acting one like perindopril 4mg twice a day or 8 mg once, this has a far longer half life so will eliminate the fluctuations, and because it's exactly like lisinopril in other characteristics we don't need to worry for same
3) check his other parameters, like his salt intake, his kidney status, any other Co existing problem like diabetic, which may cause fluctuations
Regards Dr Priyank Mody
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