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About Domenic Sica
(Top Expert on this page)

Expertise
All aspects of hypertension as well as any consideration in drug therapy for the management of hypertension.

Experience
Heavily published in the area of drug therapy in hypertension and renal disease. Primary management physician for a large multi-state referral practice for diagnosis and management of complex hypertension

Organizations
Multiple including the American Society of Hypertension, International Society of Hypertension, American Society of Nephrology, American Heart Association, American College of Clinical Pharmacology amongst others.

Publications
Over 250 publications (see PubMed)

Education/Credentials
Board certified in internal medicine, nephrology, clinical pharmacology, and hypertension

Awards and Honors
Multiple awards as clinical and/or teacher of the year.

Past/Present Clients
Not pertinent

   

You are here:  Experts > Health/Fitness > Diabetes > Hypertension

SubjectDate AskedExpert

Hypertension7/4/2009Charles Cusumano, FMP, PA-C
  Q: I am a diabetic,my age 65 years and worried about my blood pressure.My FBs is 108,PP is 126 and HB ...
  A: Well, clearly your pressure is still not controlled. First you might try increasing the Amlodipine ...
hypertension & blood pressure6/29/2009Charles Cusumano, FMP, PA-C
  Q: I AM 47 YEAR OLD MALE (DIABETIC TYPE 2) IN NOV 2008 MY BLOOD PRESSURE ROSE TO 180/100 AND I WAS ...
  A: Your blood pressure is still too high. The numbers should ideally be no more than 120/70. I would ...
radically different readings left and right6/27/2009William B. Jeffries, Ph.D.
  Q: I have never had high blood pressure, was at Dr.'s they took it in right arm was 189/94 told me to ...
  A: A blood pressure reading that is higher in one arm vs. the other can sometimes indicate an ...
Amlodipine besylate side effects or anxiety?6/24/2009Charles Cusumano, FMP, PA-C
  Q: I am a newly diagnosed type 2 diabetic and hypertension patient. My doctor has set 135/75-80 as a ...
  A: No question that your new diagnoses are unsettling. It is of course possible that your are having ...
my reports6/23/2009Dr. Shabbir Baldiwala
  Q: I am 54 years male and hypertensive I was taking Amlopress NB ( Nebiovolol 5 + Amlodepine 5 mg ) and ...
  A: You have to stop smoking with immediate effect. You are at a very high risk for developing a cardiac ...
Blood Pressure6/20/2009Domenic Sica
  Q: In March 09 I had an aortic valve replaced and a double by-pass. since then my blood pressure varies ...
  A: A couple of thoughts for you 1. Are the low blood pressure readings occurring in association with a ...
Question about benicar6/20/2009Domenic Sica
  Q: my doctor wants me to try benicar because I suffer from side effects of medication quite easily and ...
  A: The intent here was not to insult you and I apologize as to how offended you were by my response. ...
Question about benicar6/18/2009Domenic Sica
  Q: my doctor wants me to try benicar because I suffer from side effects of medication quite easily and ...
  A: The Marshall Protocol is not something I was aware of it. I would never recommend those kind of ...
Question about benicar6/15/2009Domenic Sica
  Q: my doctor wants me to try benicar because I suffer from side effects of medication quite easily and ...
  A: There is no data that I know of where Benicar is used as a immunosuppressant. What "people" are ...
HbAic6/11/2009Dr. Shabbir Baldiwala
  Q: My friend is a male 53 years with hypertension on Tenochlor 100 once Losar-A twice He has a family ...
  A: 1. There is a possibility of fluctuations in his sugar levels during the day. That would probably ...
Followup re: medication6/10/2009Domenic Sica
  Q: I apologize for not knowing how to followup on my recent question to you regarding Vascar. Allow me ...
  A: Sounds like the Toprol is causing more trouble than its worth and at that you are currently on a ...
Hypertension - Anxiety6/9/2009Charles Cusumano, FMP, PA-C
  Q: I was just reading a thread on your site from 2004 in regards to Anxiety. My dad has this butterfly ...
  A: I’m not clear on exactly what this“butterfly effect” is that you are speaking of. If it’s just a ...
Nebivolol6/9/2009Domenic Sica
  Q: I am 53 years hypertensive male on Atenolol 100 Lisinorpil and Amlodepine 5 mg. Yesterday my dr ...
  A: The dose equivalence would be 10 to 15-mg of nebivolol for 100-mg of atenolol. You might try the ...
Nebivolol6/9/2009Domenic Sica
  Q: I am 53 years hypertensive male on Atenolol 100 Lisinorpil and Amlodepine 5 mg. Yesterday my dr ...
  A: Has your blood pressure been well-controlled on the regimen prior to the switch to nebivolol ? If ...
WHITE COAT SYNDROME6/5/2009Charles Cusumano, FMP, PA-C
  Q: My wife, 69 yrs, is diagnosed as hypertensive patient for the past 2 years. First she was given the ...
  A: So, she’s on a beta blocker, a calcium channel blocker and an combination drug of HCTZ and an ...
pre diabetic? BG and HbA1c disagree6/4/2009Domenic Sica
  Q: I am male 53 years from India and suffering from hypertension since 1990 and currently on Norvasc ...
  A: Metformin does delay the progression of diabetes. Brisk walking, particularly if it leads to weight ...
pre diabetic? BG and HbA1c disagree6/4/2009Domenic Sica
  Q: I am male 53 years from India and suffering from hypertension since 1990 and currently on Norvasc ...
  A: The simplest step would be to have your physician take you off of the beta-blocker Toprol and to ...
Combination of Vitamins6/4/2009Domenic Sica
  Q: My daughter aged 18 used to have bouts of palpitation, shortness of breath, tingling sensation in ...
  A: It is a mix of vitamins that is put together in no particular way so as to treat a specific disease. ...
WHITE COAT SYNDROME6/2/2009Charles Cusumano, FMP, PA-C
  Q: My wife, 69 yrs, is diagnosed as hypertensive patient for the past 2 years. First she was given the ...
  A: Unfortunately, the names of these drugs you mention are not fmiliar to me. They are not any we use ...
prescription drug side effects5/30/2009Charles Cusumano, FMP, PA-C
  Q: I am a 68 year old woman with high blood pressure and take Cozaar,Triamterene/hctz.I was taking ...
  A: I am surprised the cough was caused by the metoprolol unless ofcourse you have chronic lung disease. ...
Followup re: medication5/30/2009Domenic Sica
  Q: I apologize for not knowing how to followup on my recent question to you regarding Vascar. Allow me ...
  A: All ACE inhibitors (including the three you list) are for the most part safe and effective. There ...
medication?5/30/2009Domenic Sica
  Q: I'm a male in my late 50's, not overweight and don't smoke. When I take my blood pressure in the mid ...
  A: This kind of pattern is a little unusual. I would think the best thing is to ask your doctor if he ...
Followup re: medication5/29/2009Domenic Sica
  Q: I apologize for not knowing how to followup on my recent question to you regarding Vascar. Allow me ...
  A: It is hard to predict ahead of time how well a new blood pressure medication class will affect your ...
High Blood pressure medication5/28/2009Charles Cusumano, FMP, PA-C
  Q: I don't know where to start....I've been crying on and off all day and so upset. Over Easter weekend ...
  A: Sounds like you have an allergy to ARB drugs and should not be on them in the future. If your BP was ...
Lisinopril5/27/2009Domenic Sica
  Q: I have recently started taking Lisinopril 20/HCL25 during the daytime and Lisinopril 20 at bedtime. ...
  A: The cough can occur with lisinopril in a dose-independent manner. The other symptoms are either a ...
Blood Pressure Medication, is it dangerous?5/24/2009Domenic Sica
  Q: I'm a young 62 female and (except for elevated BP) in perfect health; I jog 2 miles a day five days ...
  A: The problems with calcium-channel blockers are grossly overplayed. Much of the concern with these ...
I am a 21 year old male and have problem with BP5/24/2009Domenic Sica
  Q: I took my BP and the results were 153/76 and I asked a pharmacist and said my BP was high that I ...
  A: You probably should obtain some additional blood pressure readings before you consider yourself as ...
Blood Pressure Medication, is it dangerous?5/23/2009Domenic Sica
  Q: I'm a young 62 female and (except for elevated BP) in perfect health; I jog 2 miles a day five days ...
  A: By no means are you sounding neurotic. Taking your blood pressure at home (if you are not already ...
Epinepherine, catecholamines, high blood pressure5/23/2009Domenic Sica
  Q: Over a year ago I was seeing an endocrinologist who was performing testing to look for a ...
  A: There are certain patients in whom there is an inappropriate release of the flight-or-fright ...
changed drugs for High BP5/23/2009Domenic Sica
  Q: Many regards from Harsvadan from India. Sir, as you have responded my queries in the past, I am ...
  A: It more closely equates with 10-mg of bisoprolol. If the degree of left ventricular hypertrophy is ...
Epinepherine, catecholamines, high blood pressure5/22/2009Domenic Sica
  Q: Over a year ago I was seeing an endocrinologist who was performing testing to look for a ...
  A: It is hard to say without additional information about you. If you let me know where you live I ...
Linsinopril HCTZ 10MG5/21/2009Domenic Sica
  Q: Can I stop taking this suddenly or do I have to step down like with a beta blocker? Been on it ...
  A: Certainly seems reasonable to go off the medication and see what happens. Having written extensively ...
Hypertension5/20/2009Charles Cusumano, FMP, PA-C
  Q: I'm 32yrs old 190 excersise 3x weekly about 45 mins . When I go to the doctor my blood pressure ...
  A: There has been an ongoing debate as to whether “white coat syndrome” is a serious problem or just an ...
studies on hypertension5/19/2009Domenic Sica
  Q: Could you please tell me whether there is any medical literature that could tell me the percentage ...
  A: This is a tough question to give an answer to since there are many factors that increase the risk of ...
hypertension5/14/2009Charles Cusumano, FMP, PA-C
  Q: I have taken 20mg Enapril twice a day for 5 years to control my blood pressure to 120/75. Recently, ...
  A: Well, 200/90 is way too high. Salt intake can raise blood pressure for sure. I would limit the salt ...
Can walking improve prognosis of diabetes ?5/12/2009Domenic Sica
  Q: Respected Sir, I am from India having BP taking Atenolol 100 Losartan 100 Indapamide 1.5 Amlodepine ...
  A: It is probably advisable to start the metformin and continue with the exercise as well. The exercise ...
atenolol and calcium5/9/2009Charles Cusumano, FMP, PA-C
  Q: I currently take atenolol 25 mg daily. I am interested in taking calcium as well as magnesium too. ...
  A: Calcium blocks the absorbtion of atenolol. I wouldn’t take either calcium or magnesium unless you ...
Fluctuating BP and arrhythmia5/8/2009Charles Cusumano, FMP, PA-C
  Q: About a month ago I had a single episode of arrhythmia and after a day in hospital I have been put ...
  A: Given the SLOW pulse, Sotolol is not a good drug as it slows pulse even more. Sounds like you might ...
Blood Pressure5/8/2009Charles Cusumano, FMP, PA-C
  Q: At age 22 I became pregnant with my first child. My blood pressure was 135/85 which my Dr said was ...
  A: Back then (when you were 22) we had different standards for what was “normal” and what wasn’t. Truth ...
Fluctuating BP and arrhythmia5/7/2009Charles Cusumano, FMP, PA-C
  Q: About a month ago I had a single episode of arrhythmia and after a day in hospital I have been put ...
  A: Sotalol should not be causing these BP fluctuations. In addition, if you are still having these ...

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Questions by
Active Experts:
Domenic SicaDr. Shabbir BaldiwalaWilliam B. Jeffries, Ph.D.
Charles Cusumano, FMP, PA-CNewell R. Falkinburg, M.D. FACP 

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