A member asked:

Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. pulmonary htn with ckd, lupus.. imdur, diuretics not advised by md. other choices?

2 doctors weighed in across 2 answers
Dr. Theresa Henderson answered

Specializes in Internal Medicine

Complex situation: With both pulmonary and systemic hypertension along with lupus you should be seeing a rheumatologist and a cardiologist who specializes in both pulmonary and systemic. Your medications must be carefully balanced. Seeing a pulmonologist well versed in pulmonary hypertension would also be wise. For the elevated BP avoid salt and all caffeine. Avoid combination cold or allergy meds.

Answered 3/26/2016

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160/80: There seems to be much going on and not fully helping you. For now please check your blood pressure every other morning and every other alternate night. I suspect that the blood pressure data will be different from day to day, in which case you must contact your doctor for treatment advice. Please let me know how things develop.

Answered 3/26/2016

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