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My father has uncontrolled BP (day time is high night time…

My father has uncontrolled BP...
My father has uncontrolled BP (day time is high night time is normal). His pills included Diovan 320, Carvedilol 25 mg at twice a day, low dose diuretic. This was not doing the trick during his day time readings. I recently found an expert (Director of Cardiology) in Rochester that runs a BP clinic for people like him. Today he switched his BP meds to amlodipine-benezepril (Lotrel) 5-40 mg per capsule once a day, indapamide (lozol) 2.5 mg once a day, and 25 Carvedilol twice day. He feels this combo will work better and removed his Diovan. Does this look like a good change? My father had a heard attack in his LAD just over a year ago received two stents and does not have heart damage (EF is 55%). I did read that the Lotrel can cause heart problems among others. Can you tell me your thoughts?
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Answered in 14 minutes by:
4/19/2018
Dr. Gehring
Dr. Gehring, Doctor
Category: Medical
Satisfied Customers: 27,243
Experience: Doctor of internal and general medicine self employed
Verified

Hi there,

I am Dr. Gehring and pleased to help you with your question.

Firyst: Any change with keeps the BP of your father down with nearly no side effects is a good one!

His new combination seems a good choice to me. He still has Carvedilol whcih helps to lower the heart rate. Amlodipine is known to widen the coronary arteries. Indapamide is a diuretic which better impact on the blood pressure than others like Hydrochlorothiacide show.

Benezepril is very much related to Valsartan (a part of Diovan). The only disadvantage may be the development of a dry cough. If this happens the medication should be changed again.

All the medications ha had before and has now can have adverse side effects, but they do not "damage the heart". You can trust this medication and I would give it a try!

I wish your father the very best and thank you for a friendly rating of my help!

Dr. Gehring
Dr. Gehring, Doctor
Category: Medical
Satisfied Customers: 27,243
Experience: Doctor of internal and general medicine self employed
Verified
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Customer reply replied 4 months ago
Thank you so much!

You are very welcome!

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