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HIGH BP. ..
My staff is suffering from high bp his age is 60 yrs he is taking olmezest az 20 1 tablet at night and CTD 12.5 in morning
his BP today was 180/100..
he has started taking medicines from 1 week
is this medicine ok and what other precautions shall he take to reduce bp
Answers (25)
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hello as age of 60 yr and patient bp is 180/100 then initiate combination drug that is ok but need to monitor bp daily for month if it's not decrease then need to add some more tables,
need more investigations as well to rule out end oragan dammage such as rft to rule out kidney problem, and also need 2decho to check for LVH i e any change in heart size due to long bp.
Health Tips
DASH diet- low salt, low fat, lean protein, more fruits and vegetables and daily walking for 30 min
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Such High BP, if continuous, is not good. First thing first, is it regularly this high or just one tome reading? does he have other problems? What about his cholesterol, weight and other parameters? all this will decide course of treatment.
Next Steps
Ask him to reconsult. it is absolutely required.
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Need more information please
Does he have any symptoms? Is his b.p constantly high or 180/100 was one episode?
He needs to take salt restricted, fat free diet.
He should get random blood sugar, HbA1c, lipid profile, ECG and cardiac echo done.
It would be better to take individual molecules ( olmesartan, azelnidipine, chlorthalidone) instead of combination. I would suggest CTD 12.5mg in morning, amlodipine 10mg morning and olmesartan 20mg in late afternoon.
Consult online with details and results of investigations.
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Time is a factor — it often takes 2–4 weeks to see full effect.Dosage adjustments may be needed if BP doesn’t improve in another week.
compliance, salt intake, and lifestyle matter ! Be careful about that Continue current meds for another 1–2 weeks, monitor BP twice daily.
If BP remains >150/90, reconsult doctor
Next Steps
Check labs:Serum electrolytes, kidney function (creatinine)Lipid profile, fasting sugar/HbA1c ,ECG (if not already done)
Health Tips
Lifestyle Precautions to Reduce BP:Salt restriction: < 5g/day (avoid papads, pickles, processed food),Daily walk: 30–45 mins,Weight control: Target BMI
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His BP is still high,may take a week more for the BP to reduce.He could take the 2 medicines in the morning together to have a good BP control, instead of having ctd 12.5 in the evening.Salt restriction, increase in potassium intake, using lots of fruits and vegetables, physical activity regularly for 30 minutes a day is recommended.
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Hi brother in this reading of blood pressure, we need immediate hospital administration because it requires injectables to reduce the blood pressure immediately. If it is not possible, then switch the patient to telma 40 +ctz 12.5 + met xl 25 mg in morning and in night Amlodipine 5 mg and consult to us for further management. Tell the patient to stop oil salt diet
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