I'm worried because my blood pressure has been 14090 for the past 20 days, and I've started having mild chest pain. I've done all the heart-related tests like ECG, echo, and TMT, and they all came back normal. Should I be taking blood pressure medicine? My doctor hasn't prescribed anything for it yet, but I'm thinking maybe I should start at least for a few days. I weigh 110 kg, and my doctor only put me on cholesterol medication since my cholesterol is high. What do you think about starting bp medicine?

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

Your blood pressure reading of 14090 mmHg falls into the category of Stage 1 Hypertension according to most guidelines Since your heart-related tests (ECG, ECHO, TMT) are normal, and your doctor has not prescribed blood pressure (BP) medication, they may believe that your condition can initially be managed with lifestyle changes and monitoring. However, your weight (110 kg) and high cholesterol are additional risk factors for cardiovascular disease, and managing your blood pressure is crucial.

Dr. Ranjith Suggests...

Consult a Cardiologist

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Answered 04/07/2025

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I've just gotten my blood test results back, and I'm a bit worried because my HDL cholesterol level is pretty low at 29 mgdl. Plus, my TCHDL cholesterol ratio is 5.2. Could you tell me what this means and how I might improve these numbers?

Low HDL cholesterol levels can increase the risk of heart disease. To improve your HDL cholesterol levels and lower your TCHDL cholesterol ratio, you can consider taking Atorvastatin (brand name Lipitor) at a dosage of 10-20 mg daily. Additionally, incorporating lifestyle changes such as regular exercise, a healthy diet rich in fruits, vegetables, and whole grains, and avoiding smoking can also help improve your cholesterol levels.

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I'm trying to figure out the best time to take my blood pressure medicine. Is it better in the morning or evening? I'm currently on Amlip 5. Would love your advice on this.

See a specialist for accurate diagnosis and targeted treatment.

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Continue all the medications..

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