Question 1

I've been checking my blood pressure with a monitor, and every time the cuff gets tighter, I start feeling some chest pressure. It's not super strong, but I definitely notice it, and it happens every time I check. My blood pressure was 12588. I'm also worried because I get chest pains sometimes. What could be causing this?

Accepted Answer

The sensation of chest pressure when the blood pressure cuff is tightened could be due to increased pressure on the chest wall. However, since you also mentioned that you experience chest pains sometimes, it is important to monitor this closely. With a blood pressure reading of 12588, it is within the prehypertension range. To help manage your blood pressure and chest discomfort, you can take a low dose of Amlodipine (brand name: Norvasc) 5mg once daily. Additionally, it is advisable to follow up with your healthcare provider for further evaluation and management.

Question 2

I'm 20 and was diagnosed with hypertension a couple of years back. With the chaos of COVID, my schedule was kind of all over the place, so I ended up taking my blood pressure meds around 2 in the afternoon. Whenever I check, my BP seems to hover around 13080 or 85. Is this considered controlled? Also, is it okay for me to start taking my BP meds after breakfast instead? I've always been under the impression that the effects of these pills only last about 12 hours, and then my BP might rise after that. I'm also undergoing psychiatric treatment and currently on metoprolol and amlodipine since my doctor stopped the telmisartan when COVID hit. Could you help me out here?

Accepted Answer

Your blood pressure reading of 13080-85 is within the normal range, but it is on the higher side of normal. To further control your blood pressure, you can consider taking your medications in the morning after breakfast. Metoprolol and amlodipine are commonly used to treat hypertension. You can take Metoprolol 50mg once daily in the morning after breakfast and Amlodipine 5mg once daily in the morning after breakfast as well. These medications work effectively to help lower your blood pressure throughout the day. It's important to continue monitoring your blood pressure regularly and follow up with your doctor for any adjustments in your treatment plan. Additionally, make sure to adhere to a healthy lifestyle, including a balanced diet, regular exercise, and stress management, to further support your blood pressure control.

Question 3

I'm a 47-year-old guy who's been taking Losartan for my high blood pressure for the past three years. It used to keep things stable, but for the last couple of weeks, my blood pressure has been running high. Do you think this medication is still the right choice for me? Should I consider adjusting the dose or maybe switching to a different medication? I'm quite concerned about these changes and want to make sure I'm managing my hypertension effectively.

Accepted Answer

Considering that your blood pressure has been on the higher side despite being on Losartan for 3 years, it may be necessary to reassess your treatment plan. Losartan is a common medication for hypertension, but sometimes a change in medication or dosage adjustment may be needed for better blood pressure control. I recommend consulting your healthcare provider to discuss the possibility of increasing the dosage of Losartan or adding another medication such as Amlodipine to better manage your blood pressure. It's important to monitor your blood pressure regularly and make any necessary adjustments under the guidance of your healthcare provider.

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