TX – Approach: Stage 1: HCTZ 12.5 to 50 mg orally once daily, OR Benazepril 10-40 mg orally once daily (Diabetic patient, inc MAU), OR Metoprolol 50 mg orally (regular-release) twice daily (if HR is high), OR Amlodipine 2.5 mg PO QD (older patient, PVD, CAD). Stage 2: Hydrochlorothiazide : 12.5 to 50 mg orally once daily, and Benazepril : 10-40 mg orally once daily OR Benazepril : 10-40 mg orally once daily, and Metoprolol : 50 mg orally (regular-release) twice daily OR Hydrochlorothiazide : 12.5 to 50 mg orally once daily, and Metoprolol : 50 mg orally (regular-release) twice daily initially OR Benazepril : 10-40 mg orally once daily, and Amlodipine 2.5 mg PO QD

bp management docterine says abrupt decrease in bp cause vital organ damage and cause reperfusion injury. so its step wise decrease frst thing hv patience..trust ur doctor it takes our body sm time to get adjusted to a drug.. take ur drug on time..keep bp monitoring if symptoms persists beyond a week consult ur doctor he might change drug or modify dosages to get desired effect. well in case of any sort of emergency cosult him immediately.