Suggest medication for fluctuating BP levels
Patient: Hi I am 39 yrs old and 7 weeks ago I went to the doctors and bp was 150/100 and have cholesterol 6.3. I have been exercising daily, meditate and have changed my diet. I went to docs yesterday and bp was 126/90 but the diastolic fluctuates as it was 90, 88 and 80? What should I do as I have been told that the doctor will advise me whether to go on pills. I don't want to as I feel fine and bp has come right. I was told by the nurse that it is the diastolic which I should keep down??? Thanks. Doctor: firstly blood pressure is catagorised in these catagoriesnormal bp is less then 120/80pre hypertensive stage is 120 to 139/80 to 89 grade 1 hypertension (mild ) is 140 to 159/90to 99grade 2 hypertension (moderate) is 160 to 179/100 to 109grade 3 hypertension (severe) is 180 and above/110 and aboveyour daisyolic bp whether it is 90 or 88 or 82 falls under prehypertensive stage so right now for treatment of prehypertensive stage  life style modification is advocateddo strenous exercise daily for atleast 45min a daytake low salt dietdrink plenty of wateradd fibres in your diet if not controlled in 3months then medication will be added but if your diastolic bp is more then 90mm of hg then you should add tab amlodipine 5mg once dailyand monitor bp every third day and keep a record