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Blood pressure and Migraine
I am having migraine and currently taking amitriptyline 10 mg and propronolol 20 mg once a day for 3 months.My Bp was showing as 160/80 and 140/80 mmHg during last dr visit. I didn't had BP Before. Been advised to monitor Bp at home for a month. what is best time to take bp at home. Prior or post taking medicines we need to monitor Bp? Please advise.
Answers (16)
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It may be caused by stress/anxiety, migraine pain itself, new-onset hypertension, poor sleep, high salt intake, weight/lifestyle factors, and excessive spicy or junk food intake.
You should monitor your BP daily and maintain a BP chart. Then consult us. We will examine you properly and, if required, advise investigations. After that, we will suggest appropriate medications, exercise, and diet planning.
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Greetings ma’am,
I can understand you must be confused with all of this happening at the same time.
Firstly I suggest you to stay calm and understand the root cause. Migrain can be occuring due to many reason that needs avoiding possible triggers. Medical help is adviced only if the symptoms are affecting daily life or severe. This needs to be answered by your 3 month history of using tablets.
When u have an ongoing migrain attack, checking your blood pressure might give a false high values. And Im sorry to say of the values are found to be 160/80, monitoring for 1 month with no lifestyle modifications is not going to be of any help, irrespective of the time you will check your Bp at home.
Next Steps
Kindly consult online for further discussion. I will help you understand this better and start treatment at the right time to avoid consequences of under treated BP.
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It depends on the medicine..mostly morning..need to dowhole body test and they will prescribe you medicine accordingly..
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Monitor biweekly. No relation with food.
If you stop stress anxiety, sleep properly bp.remains normal with tab.
Change life style n diet plan drastically
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Take daily in morning and evening .
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can check blood pressure twice in a day at home at morning and at night.
Next Steps
Best is Ambulatory blood pressure monitoring
Health Tips
decrease salt intake and sedenatary lifestyle
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Both are helpful to initiate and titrate dose of medicine.
You can even increase dose of proponolol to 20mg daily.
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Free online consultations for age 50 years and older.
Best wishes
www.jgsr-health-education.in
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You need to keep monitoring the BP readings, twice daily, preferably in the morning and night before the dinner
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Your BP readings can fluctuate with migraine, stress or pain, so don’t panic 👍
Home monitoring usually helps clarify things well. Book a consultation with me once I’ll guide you on correct BP monitoring and proper migraine BP management.
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Your BP readings are intermittently elevated, and propranolol itself can also lower BP and pulse. Home BP monitoring helps determine whether this is true hypertension or temporary elevation due to stress, pain, anxiety, or migraine episodes.
Next Steps
-Check BP twice daily for 2–4 weeks:
-Morning: after waking, after 5 minutes rest, before tea/coffee and before medicines
-Evening: around 6–8 PM before dinner/resting state
-Take 2 readings 1 minute apart and record average
-Also note pulse rate, headache episodes, dizziness, or palpitations
-If BP persistently remains >140/90 mmHg on home readings, physician review may be needed.
Health Tips
-Avoid checking BP immediately after stress, exercise, caffeine, or migraine attacks
-Sit calmly with back supported and feet flat while measuring
-Reduce excess salt, maintain sleep, hydration, and regular exercise
-Seek urgent care if severe headache, chest pain, breathlessness, or BP >180/120 occurs
-Contact me anytime on Practo for further consultation.
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Kindly do connect and consult with me for better treatment plan and advice on practo app
..
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Dr. Mayank Mittal
General Physician
3 yrs exp
Jaipur
Take your BP medicine at morning (9:00Am)
And BP monitoring for week and write it somewhere
And what was your pulse?
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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