Suggest treatment for uncontrolled hypertension
Patient: I recently had a pacemaker installed.I have gout (I khow it is not associated with the pacemaker) I have been taking a 0.6Mg Colchicine since then my blood pressure is always very high.Currently it is 201/107.It stays around this reading even though I take a 300Mg Diltiazem and a 320 Mg Diovan.daily.These medication seem to be ineffective in binging down my pressure. Your advice will be greatly appreciated. Doctor: In addition to medication try lifestyle modification like Salt restriction to 1.5 gms per day Do not eat processed food.Do meditation and simple yoga Exercise daily Sleep for 8 hours dailyTake a Magnesium supplement at bedtime .You can try vegetable juicing  using beets , parsley and  celery these veggies have shown to reduce blood pressure .Try them one by one .reduce weight if you are overweightStop smoking and alcohol since Alcohol precipitates Gouty attack.all these measures will get your BP to the required level .After 1 week of trying these if you still have high bp a new drug belonging to a different drug group needs to be added .hope this helps you.