What is the dosage of lisinopril 20 mg for BP of 139 over 111?
Patient: I have been on 20 mg of lisinopril once a day for about 60 days. Blood pressure in AM's is about 139 over 85to 90. In the evenings it goes to 139 over 96 to 100. I have a doctors appointment in a week. I excersised tonight and 1 hr later it is 139 over 111 and 15 minutes later it was 139 over 95. Can I take one more pill per day? Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern.I will try to explain you something and give you my opinion.You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values.To judge if it is necesary to rise a medical dosage or add another class we should judge on mean values and other factors like age, cardiovascular associated rics factors and associated disease.The dosage of lisinopril might be added to 40 mg a day, so it is posible to take another tablet.But if I was the treating doctor I would recommend some examination like a cardiac echo, a full blood analyze and a holter pressure monitoring to evaluate your blood pressure values during day and night and than decide.Hope I was helpfull.Best regards,Dr.Ervina.