Suggest treatment to control blood pressure
Patient: I have had very high blood pressure in the mornings, could be as high as 180/95 and then normal to low in the afternoon. I think this started when taking Valsartan. Are there reports of problems like this? What can cause sometimes very high in the morning and then slowly back to normal or even low like 115/68 ? Doctor: Hi welcome to HCM.I understand your query and concern.Blood pressure can be best controlled through multimodal approach in the form of Drugs,life style modification and dietary restriction.A combination of antihypertensives like Beta blockers and Calcium channel blockers.Its always advisable to keep the blood pressure under 130/80 mm of hg.You are currently prescribed the right kind of drugs.Avoid overt treatment to prevent lightheadedness.,For this I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Reduce the intake of fatty and fried food.One pomegranate a day will help to keep your heart at good pace without clot formation. Dizziness will go away away once the headache and blood pressure will subside.Consult a Cardiologist for further expert management.Post your further queries if any.Thank you.