How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Sohaib Your Own Question

Dr. Sohaib
Dr. Sohaib, Doctor
Category: Health
Satisfied Customers: 4708
Experience:  M.B;B.S ; FCPS Experienced in all Medical Specialties
28277873
Type Your Health Question Here...
Dr. Sohaib is online now
A new question is answered every 9 seconds

My BP readings are as follows:0902 LEFT AC: 157/107 HR

Customer Question

My BP readings are as follows:

0902 LEFT AC: 157/107 HR 111
0905 RIGHT AC: 149/92 HR 98
1031 LEFT AC: 154/108 HR 96
1033 RIGHT AC 159/108 HR 95

I HAVE A HX OF HTN AND HYPOKALEMIA. I WAS IN THE ED ON 8/1/13 WITH BP READING AVERAGING 187/108 THEY GAVE ME A RX OF NORVASC TO TAKE ALONG WITH MY CURRENT RX OF TOPROL XL AND ALDACTONE. AT 0830 THIS MORNING I TOOK 2 OF MY TOPROL WHICH WAS ADVISED BY ED DOCTOR. AT HS LAST NIGHT I TOOK TOPROL AND NORVASC. MY CURRENT S/S ARE "HAZY VISION", "TINGLY LIPS", "MY FACE FEELS LIKE ITS ON FIRE AT TIMES", AND JUST FEEL "WEIRD". I WORK IN EMS AND FEEL STUPID FOR GOING TO ED. NOT SO SURE WHAT TO DO? CAN SOME GIVE ME SOME ADVISE ON WHAT I SHOULD DO?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Sohaib replied 1 year ago.

Hello and thank you for the question. Answers given are for informational purposes only and are not meant to replace an exam by an in-person.

I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.

You need to answer a few questions first which will help me assist you in a better way.

What dose of aldactone, toprol xl and norvac are you taking?

And at what timings?

Customer: replied 1 year ago.

Toprol XL 25MG TOOK 2 AT 0830 TODAY


ALDACTONE 25MG 1 TAB QD LAST DOSE WAS YESTERDAY AT 1600


NORVASC 5MG TOOK AT 0830 TODAY


 

Expert:  Dr. Sohaib replied 1 year ago.

Thank you very much for the useful information Sherri.

The current symptoms you have are a result of persistently high blood pressure readings you have, and if not controlled, such levels of persistently high blood pressure will greatly increase your risks for heart attack, stroke and kidney failure.

You clearly need escalation of dose of your blood pressure medications.

Either toprol be increased to 100mg daily,

or

Norvasc increased to 10 mg daily.

Norvasc has a more strong anti-hypertensive effect compared to Toprol, so my first choice would be to increase the dose of norvasc to 10mg once daily while monitoring your blood pressure.

If this gets under control---good.

If still it doesn't, toprol can be increased gradually.

But honestly, it is up to your treating physician to decide which specific drug's dose he need to increase first.

If at any time the blood pressure readings go above 180/110 ----- go to ER.

My goal is to provide you with Excellent Service - if satisfied with the response, Please do not forget to Rate my service as this is the only way i get credit for my time and expertise on your question.

If you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.

Kindest Regards.

Dr. Sohaib, Doctor
Category: Health
Satisfied Customers: 4708
Experience: M.B;B.S ; FCPS Experienced in all Medical Specialties
Dr. Sohaib and other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Sohaib
Dr. Sohaib
Senior Registrar Internal Medicine
689 Satisfied Customers
M.B;B.S ; FCPS Experienced in all Medical Specialties