- male
- 50 Years
- 07/02/2025
I've got a pretty long medical history with congenital heart disease, two open-heart surgeries, and a pacemaker implanted because of atrial fibrillation. My thyroid levels are low, and I'm on medications like Cordarone and beta blockers. It's been rough over the last year with this intense pounding sensation over my nose and super high blood pressure that just won't get under control. I've tried all the check-ups I can think of. What could possibly be causing this uncontrollable high blood pressure, and what can I do about it?
Answered by 1 Apollo Doctors
Uncontrollable high blood pressure can be challenging to manage, especially with your complex medical history. Since you are already on Cordarone, a Beta Blocker, and thyroid medication, one option to consider adding is an ACE inhibitor like Lisinopril. The recommended dosage for Lisinopril is usually starting at 10 mg once a day, which can be adjusted based on your blood pressure response. Additionally, a diuretic such as Hydrochlorothiazide may also be beneficial in controlling your blood pressure. It is important to monitor your blood pressure regularly and work closely with your healthcare provider to adjust your medications as needed.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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I've been dealing with high blood pressure and tachycardia since 2012 and it's been pretty frustrating. I've done all sorts of tests and nothing seems to be working out. It's especially annoying with the tachycardia because whenever I start on medication, it works for a bit, then just stops being effective after a while. Right now, I'm taking a mix of meds including metoprolol 150mg (50mg three times a day), ntp 25mg, prazosin 5mg, diltiazem 90 Sr, cilnidipine 10mg, and losartan 50mg among others. This whole situation is starting to feel a bit hopeless. I'm curious if there's anything else I should be trying, or if there's some reason these meds lose effectiveness so quickly. Any insight you could give would be really appreciated.
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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?
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.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.