Doctor insights on:
Best Medication For Systolic Hypertension
I suppose your question is about Isolated Systolic Hypertension.I will list the groups as there are many
1Diuretics like Hydrochlorthiazide
2Calcium channel Blockers like Cardizem
3Beta Blockers like Coreg
5Angiotensin Convering Enzymes like Lisnopril
6Angiotensin Receptor Blockers like Valsartan
All these drugs can be used in Isolated SystolicHypertension ...Read more
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
ACEI ; carvedilol: Acei = angiotensin converting enzyme inhibitors were first ; continue best track record to reduce mortality rates for congestive heart failure (1 result of HTN) but commonly do not improve heart function, just slow decline. Fat soluble ones, e.g. Perindopril best. Adding on carvedilol, with care (along with aggressively txing drivers of arterial disease) usually improves heart function over time. ...Read more
What is the best medicine to treat isolated systolic hypertension? My systolic elevates but diastolic is perfect. Other meds dropped diastolic too low
SYSTOLIC HYPERTENSIO: First and foremost, lifestyle changes should be instituted which include salt restriction, physical exercise, weight reduction, and limiting alcohol consumption. Regarding medication, ace inhibitors or arb's (angiotensin receptor blockers) are often prescribed for systolic hypertension with a goal of keeping the diastolic pressure above 70. Losartan which you take is an arb. ...Read more
Are ARB's for Isolated Systolic Hypertension 50yr old best treatment with good BMI With healthy LifestyleI? Can they be used alone without diuretics?
For some patients: ARBs are a good choice for high blood pressure in some patients, and can be used without a diuretic. However, the best choice of medication is based on the other conditions a patient has, the other medications they are taking, race, and how high the blood pressure is. Your doctor will be able to make a recommendation for which medication is right for you. ...Read more
Diagnosis and: Treatment depends on level and extent of hypertension. If severe, metabolic causes need to be excluded. Most of the time, cause cannot be pinned down, so it is called "essential hypertension." But it still needs control to minimize damage to end organs, such as brain, heart, eyes, and kidneys. ...Read more
SBP over 140 while D: Sbp over 140 while dbp ok treatment diuretics, ccb. ...Read more
I have isolated systolic hypertension of 150/70. All meds I've tried push the diastolic too low (<60). Which med lowers systolic but not diastolic?
None: Don't concern yourself with the diastolic number. It will come down with the systolic pressure. Some people have a diastolic pressure of zero and are fine. (the diastolic isn't really 0 - it's that our indirect method of measurement (using a cuff) isn't able to accurately measure true central diastolic pressure). ...Read more
What is the treatment for isolated systolic hypertension? Diastolic in the 60-80 range systolic 140-180.
Multiple regimens: Depending on age, a systolic of 140-180 does not mandate treatment if the diastolic is low. Ace inhibitors and beta blockers would be first line treatments if needed. ...Read more
Seem to have tendancy to isolated systolic hypertension but diastolic stays normal. Docs tried meds but diastolic drops too low. How is this treated?
Pulse & Mean Press?: Heart output, pulse, sbp, mean & pres are far more important. Sbp typically read from only 1 heart beat, similar dbp. Usual difference (i.e. Pulse pressure = sbp-dbp) for a sitting relaxed healthy adult ~40 mmhg. Pp has highest relationship to mortality rates, sbp next most important (esp. Stroke rates), dbp low relationship. Ideally sbp < 120 mmhg & ability to be active, not compromised, is good. ...Read more
Is there a solution for isolated systolic hypertension? Diastolic normal, resting HR 47. 54y/o very athletic Normal BMI.
My HR is 61. I'm on 60mg Diltiazem HRx2 daily. I still have isolated systolic hypertension. Doc wants to add Lisinopril. Will this lower my HR too muc?
Lisinopril works by addressing the hormones from the kidney and therefore will not slow the heart. You should work on the underlying cause of high blood pressure which is usually foods rich in sugar and processed foods with salt avoid these.
Walk 15 minutes and drink plenty of water in between meals. ...Read more
Solution for isolated systolic hypertension 158/70 and triglycerides 220? Total cholesterol normal, not overweight, daily exercise, healthy diet.
It is unlikely: That you will be able to modify these abnormal findings without additional pharmacological intervention. An extreme diet of withholding sodium (<1gm) and very low carbohydrate might help but would be unpleasant. Your health care provider should be able to advise you and prescribe additional medication that will allow you to improve the numbers while still living an acceptable life style. ...Read more
Best Meds for HTN:
1. Those that have been shown to reduce stroke, MI, renal disease and CAD in randomized trials. Nothing yet beats a diuretic so that once you have failed the DASH eating plan you should be placed on diuretics.
2, The next med to add depends on you and your teams assessment of which next drug is best for you.
3.Always monitor your BP at some so you have lots of numbers to make decisions on. ...Read more
Is it harmful for my 14 year old son with hypertension to take different medications for it every week for 6 weeks to see which one works best for him?
What hypertension medication work best that has lowest side effects for hard to treat hypertension for a person with PKD?
Lisinopril (ACE inh): Angiotensin converting enzyme (ACE) inhibitors are generally effective and well tolerated and for patients with PKD may help to preserve kidney function better than other BP medications. They are contraindicated however, in early pregnancy due to risk of birth defects. Other meds are acceptable options. Often control of BP without significant side effects is trial and error process. F/u with MD. ...Read more
Could these medications be taken together to treat hypertension if not which combinations is the best? Metoprolol 10mg, triamt/hctz, amlodipine 10mg
Yes, but...: The metoprolol dose you describe is too low, but beta-blockers are not great hypertension drugs to start with anyway. There may be another reason you're on one. The amlodipine and the combo diuretic are good choices, but other agents can be added as needed. Some racial factors may impact drug choices, so keep looped in with your doc. Good luck! ...Read more
What would be the best treatment for rheumatoid arthritis in a 52 year old female. She has hypertension and hypothyroidism and is on medication 4 both?
"BEST" treatment: Means really what is the optimal treatent. What is the balance that is needed between drugs, therapy, exercise and surgery for each specific area that may be affected by the ra. Overall lab work is often used to follow the effects of certain disease modifynh drugs or dmards but these are clicial paths that have many twists and turns. This is why the field of rheumatology and when needed orthopedic. ...Read more
I have an asd, bp151/84 norm lv systolic function, mild mr, dilated rv, moderate tr, moderate pulmonic hypertension, dilated atria. The best solution?
Fix the ASD:
Long standing ASD causes right sided heart failure, pulmonary hypertension and left to right blood shunting. The best solution is to have the ASD repaired. You have all of the cardiac complications of an atrial septal defect. In order to prevent progression of heart disease you should have the ASD repaired. Over time your heart will fail and repair of the ASD may no longer be prudent.
Do it now. ...Read more
All blood pressure medications have been approved by expert committee of Food and Drug Administartion which approves all drugs before they are prescribed& used in USA
All drugs are safe as long as they are prescribed by your doctor.
But like any drug there can be certain side effects and certain containdications for certain drugs for some people. And their benefits and side effects need monitoring ...Read more
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