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A 69-year-old female asked:

I am allergic to lisinopril and losartan. i'm take amlodipine 10 mg. & hcz 25 mg. but it 's not controlling my blood pressure. still too high. what should i be taking since they said metoprolol wasn't doing me any good. (it worked for 1.5 years.?

3 doctor answers5 doctors weighed in
Dr. Bennett Machanic
Neurology 53 years experience
Blood pressure control is truly critical for long-term health, but do NOT get discouraged, as there are numerous choices. Doses can be adjusted upwards, new medications can be tried. See your internist, get advice regarding the next steps and work closely until levels are stabilized with appropriate success. Diligent followup will achieve your goals.
Dr. Silviu Pasniciuc
Internal Medicine 28 years experience
There are many other antihypertensives that can be successfully used, many times finding conditions that can cause secondary hypertension may help as well, addressing it at the root. Your physician remains your best reference to place things in context.
Dr. Hiep Le
Dr. Hiep Leanswered
Nephrology and Dialysis 43 years experience
Adding spironolactone to Hctz by the combined pill (spironolactone/hctz 25 mg/25mg) should be the next step and if needed, the dose can be increased to 50/50 if blood pressure cannot lower below 135/80 in three months. After that, if optimal BP not achieved adding a beta blocker such as Metoprolol or Carvedilol is the next step, especially if your resting heart rate is above 80 due to Amlodipine.

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Last updated Nov 22, 2021

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