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Dr Chaithanya
Dr Chaithanya, General Physician, Medical Researcher, All medical and health questions answered.
Category: Medical
Satisfied Customers: 798
Experience:  General Physician, Family medicine, Internal medicine, all age groups.
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I have a gh systolic (top number) when I take my blood

Customer Question

I have a high systolic (top number) when I take my blood pressure. The bottom number usually stays around 70 to 80 and my heart rate is between 55 and 60. I take blood pressure meds, but it doesn't seem to make a difference in the top number.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Chaithanya replied 1 year ago.


I'm Dr Chaithanya experienced General Physician attending you now.

What is the range of systolic number measurements you get?

What blood pressure medications you are taking?

Customer: replied 1 year ago.
I take Toprol 150 mg and lisinopril 20mg both 1 time a day.
I also take metphormin 500 mg and omeprazole 20mg. My blood sugar has been around 110 lately, last A1c was 6.6
Customer: replied 1 year ago.
This morning I took it around 4 am and it was 200/78, heart rate was 50
Expert:  Dr Chaithanya replied 1 year ago.

Ok, this is called isolated systolic hypertension when you Have more systolic NO

You need a dose change or you need to divide same dose into1/2 to be taken twice, and see the response.

Angiotensin-converting enzyme inhibitors or angiotensin II-receptor blockers should be considered in combination with diuretics or with a dihydropyridine calcium antagonist to trear isolated systolic hypertension.

Expert:  Dr Chaithanya replied 1 year ago.

Lisinopril is fine, you can replace topral with a diuretic, it will be effective. Talk to your doctor about it.

Lifestyle changes like weight loss, regular exercise, limited timely diet, restricted salt intake really help in controlling systolic hypertension.

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Expert:  Dr Chaithanya replied 1 year ago.

Any bonus appreciated. Wish you a speedy recovery