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Hyper tension
My blood pressure usually remains 140/90 at resting condition. But I feel somewhat my pressure spikes while getting tensed and anxiety , on that time pressure measured 180/110 with palpitations and heart bit also reached upto 130 bpm. While I went doctor chamber last pressure was 160/110 mm hg and doctor advised to start for medicine as follows :
Bitacap Tr 40 mg at after breakfast and Olmesar 20 mg at evening or night .
What I feel pressure abnormalities noted while getting more anxious not always. My current age is 39. What should I do need to be start medicine or monitor alternative way . Because heared that medicine can't be stopped once started.
Answers (16)
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At 39 years, with:
• Resting BP ~140/90 mmHg
• Spikes to 160–180 / 100–110 during anxiety
• Palpitations up to 130 bpm
• Normal cardiac evaluation
You are not dealing with “only anxiety” anymore.
This pattern fits early (Stage 1–2) hypertension with anxiety-triggered sympathetic surges.
Important points you must understand:
• Repeated readings ≥140/90 at rest = true hypertension, not just stress
• Anxiety does not create hypertension, but it exposes it
• BP of 180/110 is dangerous, even if episodic
• White-coat hypertension usually normalizes outside clinic — yours does not
So your doctor’s concern is valid and appropriate.
Next Steps
1. Yes — start the medication (for now)
Your prescription is reasonable:
• Bitacap-TR 40 mg (beta-blocker + extended release)
• Controls heart rate, palpitations, anxiety-related BP spikes
• Olmesartan 20 mg
• Protects heart, brain, kidneys
• Long-acting, safe, first-line drug
Health Tips
• ❌ Do NOT stop medicines abruptly once started
• ❌ Do NOT chase BP numbers during panic
• ❌ Do NOT rely only on lifestyle when BP already reaches 180/110
• ✔ Reduce salt to
Answered
1/1 people found this helpful
Hypertension or increased blood pressure is multi-faceted and is usually due to a variety of causes, of which anxiety can also be one.
A thorough evaluation of your symptoms along with a detailed medical history can definitely help in the long run to establish a baseline of your symptoms.
Next Steps
Please book for a consultation for a much comprehensive and detailed discussion regarding your health.
Health Tips
If in case of BP > 200/110 mmHg, any chest pains, or severe headaches, please contact your nearest emergency ward or casualty ward hospital.
Answered
1/1 people found this helpful
Hello
Thanks for query
First managment of BP and anxiety both required
Control your BP ith medication
And Anxiety with proper concelling and if requred then support of pshycotherapy or with mediction
BP medication need to monitor blood pressure then according increase the dose and decrease dose (Dont do your self)
Next Steps
Blood investigation
cardiac profile
Health Tips
Continue medication
Control BP
Do consult doctor for further managment
Answered
1/1 people found this helpful
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