7 doctors weighed in:
Grandmother on 4 blood pressure medications - still having a fluctuating blood pressure reaching 200/100+. Any ideas?
7 doctors weighed in

Dr. Pedro Hernandez
Internal Medicine - Geriatrics
3 doctors agree
In brief: Add meds.
Keep adding medicines until pressure goes down over time.
Give appointments every week. Monitor BP at home. Use Clonidine to lower BP higher than 200/100. Even consider Clonidine patch. Refer her to a hypertension specialist, or to a nephrologist ( kidney). Rule out pheochromocytoma.

In brief: Add meds.
Keep adding medicines until pressure goes down over time.
Give appointments every week. Monitor BP at home. Use Clonidine to lower BP higher than 200/100. Even consider Clonidine patch. Refer her to a hypertension specialist, or to a nephrologist ( kidney). Rule out pheochromocytoma.
Dr. Pedro Hernandez
Dr. Pedro Hernandez
Thank
Dr. Quang Nguyen
Internal Medicine - Endocrinology
2 doctors agree
In brief: Need to find cause
She has resistant hypertension and need a throughout workup.
Is her potassium low too? You need to know if there is something else causing the hypertension. Primary hyperaldosteronism/cushing's/pheo/thyroid/obstructive sleep apnea/kidney disease/medication side effects...It's time to see a hypertension specialist. The HTN might just be a symptom at this point. Don't just treat the symptoms.

In brief: Need to find cause
She has resistant hypertension and need a throughout workup.
Is her potassium low too? You need to know if there is something else causing the hypertension. Primary hyperaldosteronism/cushing's/pheo/thyroid/obstructive sleep apnea/kidney disease/medication side effects...It's time to see a hypertension specialist. The HTN might just be a symptom at this point. Don't just treat the symptoms.
Dr. Quang Nguyen
Dr. Quang Nguyen
Thank
Dr. Soroosh Armandi
Anti-Aging Medicine
1 doctor agrees
In brief: Workup
She needs a hypertensive workup.
Putting patients on BP meds without knowing the underlying problem is simply placing a bandaid on a cut that will never heal on its own. She needs to see a cardiologist who can perform a thorough hypertensive workup.

In brief: Workup
She needs a hypertensive workup.
Putting patients on BP meds without knowing the underlying problem is simply placing a bandaid on a cut that will never heal on its own. She needs to see a cardiologist who can perform a thorough hypertensive workup.
Dr. Soroosh Armandi
Dr. Soroosh Armandi
Thank
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