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What if my BP is low, have white coat syndrome? Should I take avodart, buprop?

What concern should I have if my blood pressure has been reading low, i.e. 99/44. When I see my doctor, it s always higher (white coat syndrome). Medications I take are: Avodart ( Dutasteride ) 0.5mg ( prostate ) 1/day Buprop 12 sr 150mg (W) ( antidepressant ) 1/day Glipizide XL tab 10mg – 2 daily at breakfast (anti diabetic) Lisinopril ( Zestril ) 5mg (high blood pressure) 1/day Terazosin (Hytrin) 10mg (high blood pressure & prostate) 1/day Crestor 5mg (cholesterol) 1 in AM and 1 in PM Metoprolol Succ 25mg (opens blood vessels) 1/day Revlimid 5 mg (myelodysplasia) 1 every other day Warfarin(Coumadin) alternate daily 10 mg/5mg - per/day (this can change per blood test) Nexium, 40mg – 1 capsule daily (heartburn)
Asked On : Thu, 9 Aug 2012
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General & Family Physician 's  Response
Hi, welcome to health care magic

You are on 3 medications that would reduce your blood pressure- lisinopril ( which would also protect your kidneys from damage due to diabetes), hytrin and metoprolol ( can be used for hypertension, also used in angina/ chest pain due to blockage of blood vessels in the heart by cholesterol plaques and in heart failure).

White coat hypertension is accurately diagnosed by 24 hr blood pressure monitoring where the blood pressure is checked in your doctor's office and then at home or any other settings to see if it varies.
White coat hypertension is important because you have an increased risk of developing hypertension later which of course you would know has its risks.

When you are checking your blood pressure at home to compare it to the one you get at your doctor's office, you should do the following: no exercising for at least 30 min before, no coffeee, cigarettes before doing reading, sit quietly for at least 5 mins, with your feet on the ground before doing the test.

In terms of the blood pressure reading above: blood pressure readings vary from person to person and what may cause symptoms in one person may not cause any in another.
Blood pressure readings may vary between 90/60 to 130/80.
The possible causes of low blood pressure include: medication, dehydration, fainting, advanced diabetes, heart disease, alcohol, severe allergic reaction, some persons blood pressure may fall when they stand as well.

If you are having symptoms such as dizziness, confusion, weakness, lightheadness, sleepiness then you should consider visiting your doctor for a check up and possible modification of your medication.

I hope this information is helpful to you, wish you the best

Answered: Thu, 9 Aug 2012
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