Hello!
Welcome and thank you for asking on HCM!
I understand your concern, and would explain that there is no specific treatment of choice for starting therapy for
high blood pressure.
The first thing to do in this situation, is closely monitor your blood pressure different times during the day (in sitting position after 10minutes of total relax) andperform a complete check up from your GP to exclude possible secondary causes of high blood pressure.
So I would recommend a careful physical examination, a resting ECG, a chest x ray and some blood lab tests (
complete blood count, fasting glucose, kidney and liver function tests, thyroid hormone levels, cortisol plasma levels, blood electrolytes,etc.).
If all these tests result normal and your blood pressure values are above 130/90mm Hg, you should discuss with your doctor the possibility of starting a
hypertension therapy.
Regarding
Amlodipine, it is a
calcium channel blocker. It can be used as a starting therapy, as well as diuretics, ACE inhibitors or ARBs.
The choice is usually made based on the patients tolerance, past medical history and blood pressure values.
Hope to have been helpful!
Best regards,
Dr. Iliri