A member asked:

Waling up 2 am lately bp ranges145/110 to 174/96.on diltiazem90mg2x daily and metoprolol 25mg er. some spikes i afternoon to any input?

5 doctors weighed in across 2 answers
Dr. Payam Mehranpour answered

Specializes in Internal Medicine - Cardiology

Not controlled: Based on these readings your BP is not controlled. May need additional medication(s). Weight loss and low salt diet may help.

Answered 1/5/2019

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Uncontrolled HTN: The combination of b-blockers and calcium channel blocker may be is not doing the job. I will add a mild diuretic or a ace inhibitor but you should always talk to your doctor. Also remember low salt high potassium diet, exercise, loose weight if overweight. There are many drug combination and every patient will react in different ways. Stay in communication with your doctor.

Answered 10/4/2013

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