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A 62-year-old male asked:

Good evening doctors. blood pressure question. i take 100 mg of metoprolol er taken in am and 100 mg losartan daily taken in pm. my bp was 180/80. a new dr wants to change losartan to losartan plus diuretic. how would i know if this change is good?

2 doctor answers3 doctors weighed in
Dr. Tinuola Adeyanju
Internal Medicine and Pediatrics 41 years experience
The change is to further improve your blood pressure control since it is obviously not controlled. The best thing is to see how your body adjust to the change and to discuss any side effect with your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Hiep Le
Dr. Hiep Leanswered
Nephrology and Dialysis 44 years experience
Your new doctor is correct in changing losartan to losartan hctz. When a patient's blood pressure is out of control with 2 medications, the third one should be a diuretic and hctz is preferred unless you have history of allergy to hctz. If you were advised to drink a lot of fluid before, you should reduce fluid intake at least 20% when taking losartan-hctz for avoiding low blood sodium.
Created for people with ongoing healthcare needs but benefits everyone.

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Last updated May 25, 2022
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