Blood pressure increases suddenly - #10227
I am hypertension patient for many years.I take medicine losakind50 at 5 pm and nifedepine 10 mg on s.o.s.basis.Recently I notice that my bp increases suddenly in some days.when bp crosses 130/80 vertigo starting simultaneously This happens mostly in the evening.sometimes pulse rate also increased together with bp and reach upto 125 to 150 How can I solve this problem
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Doctors’ responses
Hello sir Please be aware Sir as per my clinical experience,it seems medications needed to be increased. I suggest you to please consult your physician Probably beta blocker or a at antagonist like ramipril may be added
Hello shafi ji Sudden increase in Bp and vertigo are sign of uncontrolled hypertension or stress that had induced sudden symptoms and needs medicine change I would suggest you to visit your general physician to change the medication or dosages
Investigation advised
Ecg Echo Rft Lft Audiometry
To solve this problem you need to consult your treating doctor
It’s possible that your current blood pressure medication is not providing adequate control, especially during the evenings. Sudden spikes in BP with vertigo and high pulse rate may indicate the need for adjusting your treatment plan or investigating other triggers like stress or diet. Please consult a cardiologist or physician for a detailed evaluation and medication review.
Ok I can understand your problem.
Your symptoms suggest inadequate BP control in the evening, likely due to timing or lack of long-acting antihypertensives. Adjusting your medication timing and coverage will likely help stabilize BP, reduce vertigo, and control heart rate. Consult your physician to implement the new regimen safely.
Are you taking medicines of your own or doctor advised. Do you get sweating and palpitations?
INVESTIGATION: CBC VIT B12 URINE METANEPHRINES RFT THYROID PROFILE
A sudden increase in blood pressure (BP), particularly in the evening with associated symptoms like vertigo and elevated pulse rate, can be concerning. It’s important to identify potential triggers or underlying causes contributing to these fluctuations. First, reevaluate your current medication regimen with your healthcare provider. Losartan (Losakind) is typically used for hypertension management, but the timing and dosage may need adjustment, especially if it coincides with the time when your BP spikes are happening. Additionally, consider the role of nifedipine, which is used on an SOS basis. Frequent use may indicate the need for routine medication adjustments. Lifestyle factors like diet, stress, and physical activity usually play an important role in BP control. Keep a detailed log of your BP readings, symptoms, and any contextual triggers like stress or dietary choices. Pay attention to sodium intake, and aim to minimize processed foods which can escalate BP levels. Eating regular, balanced meals and staying hydrated are crucial. If vertigo and increased pulse are persistent, they could point to another underlying condition like arrhythmia or issues with inner ear function. Seeing a healthcare professional for further diagnostic testing like an EKG or lab tests may be necessary. Furthermore, employing relaxation techniques such as deep breathing exercises or meditation in the evenings may help manage stress-induced BP spikes. If sudden changes in BP are associated with severe symptoms like chest pain or difficulty breathing, seek medical attention without delay since this could indicate a more serious condition.
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