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Hypertension/Questions
| Subject | Date Asked | Expert |
| What medication meets my criteria? | 2/1/2012 | Domenic Sica |
| Q: I live in Southern California in USA. I'm looking for an anti-hypertensive medication whose direct ... A: Two medications fit these criteria - verapamil and diltiazem. Each of these two compounds are in the ... | ||
| report | 1/23/2012 | Domenic Sica |
| Q: I furnish below my blood report values. Kindly guide me Hb 14 F.B.S 124.70 P.P.B.S 140 CHOLESTEROL ... A: I do not see any reason why a switch is warranted from what I know about both drugs. I would ... | ||
| spiking blood pressure | 1/19/2012 | Domenic Sica |
| Q: Previous good blood pressure. Not taking any medications. Weight is 133 and am moderately ... A: This is a very complicated question in that if I was seeing you a first visit would be one to one ... | ||
| Blood pressure of 190/80 | 1/17/2012 | Domenic Sica |
| Q: I have had a physical recently and have not been diagnosed with hypertension. However, due to an ... A: Sress can easily increase blood pressure. This is a version of so-called white-coat hypertnesion. It ... | ||
| Hypertension | 1/6/2012 | Domenic Sica |
| Q: Does blood pressure medicine stop working after you have been on it for a long time? I had been on ... A: Blood pressure medications do not necessarily stop working if taken for a long time; however, the ... | ||
| carotid artery disease | 1/5/2012 | Domenic Sica |
| Q: I am not elderly, I'm only 55, however, I am concerned that I may have a problem with my carotids. ... A: It is highly unlikely that you have developed aneurysms in both carotid arteries particularly in the ... | ||
| hypertension | 1/2/2012 | Domenic Sica |
| Q: dr sica,im 78 years old have. i have hypertension and kidney impairment.my last serum creatinine ... A: I am having a little difficulty in following your 2nd question. If you are asking me if your level ... | ||
| White Coat Syndrome | 12/28/2011 | Domenic Sica |
| Q: I'm male, age 52 and have had hypertension for 20 years. I'm taking Toprol XL 50 mg. I can get a ... A: If you have white coat hypertension as severe as your then you might ask your physician if it okay ... | ||
| Bp and cold weather | 12/27/2011 | Domenic Sica |
| Q: I'm 65 and normally in excellent health. I'm a daily runner and have completed 15 marathons in the ... A: It is not easy to say what medication is best for you without seeing you in person. That being ... | ||
| high blood pressure | 12/22/2011 | Domenic Sica |
| Q: "Hi i need some advice as I've been to my doctors and he says i have high blood pressure so he sent ... A: If your blood pressure readings are in the 139/69 range then there should be anything that restricts ... | ||
| Blood Pressure 130 60 | 12/18/2011 | Domenic Sica |
| Q: My blood pressure is constant 130 60 with Medicine, is that bad, I heard the difference between ... A: This is a perfectly acceptable blood pressure. Generally, as we age the difference between systolic ... | ||
| Pre-Hypertention or Hypertention | 12/16/2011 | Domenic Sica |
| Q: Back Ground: Age 49, 5'6", 153lbs, no drugs, alcohol, or smoking, usually don't go crazy with food ... A: The good news is that your blood pressure is not dangerously high. As you are planning to do you ... | ||
| hypotension | 12/16/2011 | Domenic Sica |
| Q: Is there such a thing as blood pressure that is too low? For example, a reading of 107/72 (a recent ... A: Yes, there can be a too low blood pressure; however, each person has their usual value and a fall ... | ||
| high blood pressure | 12/12/2011 | Domenic Sica |
| Q: Greetings! How are you? I wanted to discuss problem concerning my father.He is 61 years of age and ... A: Hypertension is very common in patients with diabetes. He needs medication to treat his ... | ||
| High BP question | 12/11/2011 | Domenic Sica |
| Q: I had some issues with high blood pressure while I was pregnant, though my blood pressure has since ... A: I cannot tell exactly what your doctor's were thinking based on these readings. Typically, if there ... | ||
| Metoprolo | 12/6/2011 | Domenic Sica |
| Q: I just started taking Metoprolo about a month ago and I started having very loose bowel ... A: Loose bowel movements are not a common side-effect with metoprolol but can occur. You might try ... | ||
| Stress Test | 11/15/2011 | Domenic Sica |
| Q: I am a male 54 years weight 103 kg with Hypertensin and Tachycardia with normal lipids No thyroid, ... A: I really don't know what advantages he/she is talking about. If the cost is about the same then the ... | ||
| Stress Test | 11/15/2011 | Domenic Sica |
| Q: I am a male 54 years weight 103 kg with Hypertensin and Tachycardia with normal lipids No thyroid, ... A: There is no clear indication for angiography based on the history you have provided. This becomes a ... | ||
| diagnosis of high bp causing chest pain | 11/12/2011 | Domenic Sica |
| Q: Female, 61 a week ago, severe chast pain (heart pounding, very heavy feeling in center of my chest ... A: Ufortunately, this is not the best of forums to diagnose a patient. That being said, if I was ... | ||
| Hypertension - Beta Blocker | 11/4/2011 | Domenic Sica |
| Q: Is it better to take a beta blocker in the morning or afternoon? My husband thinks it's afternoon, ... A: I am not aware of there being any difference in beta blocker effect based on time of day that it is ... | ||
| mystery hypertension | 10/20/2011 | Domenic Sica |
| Q: I'm an athletic 21yo male. 24 hr BP consistently 160/67, RHR 62, since it was ever measured (3yrs ... A: Having a blood pressure of 160/67 mm Hg is distinctly uncommon in that this represents what is ... | ||
| BP | 10/16/2011 | Domenic Sica |
| Q: Is the blood pressure 80/120 is normal for all people. Does it vary with type of body condition. I ... A: 120/80 is a normal blood pressure and 140/90 would be considered high normal. If your blood ... | ||
| What would be the drawbacks of this treatment? | 10/14/2011 | Domenic Sica |
| Q: A theoretical pill to permanently cure hypertension is developed. This pill decreases blood ... A: This is an impossible set of circumstances making this question unanswerable. Also, the the heart ... | ||
| B.P | 10/7/2011 | Domenic Sica |
| Q: I am Gandhi a 31 years old man living India. I am basically sleep less due to my research in ... A: In the short term this blood pressure may not need to be treated; however, you should increase the ... | ||
| hypertension | 10/4/2011 | Domenic Sica |
| Q: I have a long-standing hypertension which occasionally rises (seemingly randomly) to dangerous ... A: 40-mg is about the most lisinopril I would recommend taking; however, it is not likely to be of any ... | ||
| atenolol | 9/28/2011 | Domenic Sica |
| Q: Does prolonged use of atenolol 100 ( for HBP+Tachycardia)cause any changes in lungs. In other words, ... A: There would be no long term damage to the lungs from atenolol use. Why were you getting routine ... | ||
| asthama with diabetes and hypertension | 9/21/2011 | Domenic Sica |
| Q: sir I have asthama mild and hypertension palpitation irregular beat and diabetes.. pl guide me which ... A: ACE inhibitors do not cause asthma or worsen preexisting asthma. A good drug for you would be ... | ||
| losatan | 9/10/2011 | Domenic Sica |
| Q: my doctor switched me from enanalpril 30 mg to losartan(coozar)100mg.she told mme coozar is more ... A: Losartan, as is the case for enalapril, can increase potassium in blood but rarely does this in ... | ||
| Pounding pulse in head | 9/10/2011 | Domenic Sica |
| Q: When I lay down, I can hear and feel my pulse so loud in my head that I can't hear anything else. It ... A: This is not generally a blood pressure issue; however, it certainly is reasonable to have your blood ... | ||
| enanalpril | 9/7/2011 | Domenic Sica |
| Q: need the expert.i am tt years old with hypertension and aged kidneys.i was taking enanalpril for ... A: My original response can be relooked at. If the creatinine is 1.8 your kidney function would be at ... | ||
| enanalpril | 9/6/2011 | Domenic Sica |
| Q: need the expert.i am tt years old with hypertension and aged kidneys.i was taking enanalpril for ... A: Your baseline level of kidney function looks about right for your age. Enalapril or losartan each ... | ||
| high blood pressure | 8/28/2011 | Domenic Sica |
| Q: I HAVE BEEN TAKING AMLODIPINE 5MG FOR 14 DAYS TO TRY AND REDUCE MY BLOOD PRESUURE. I KEEP GETTINGS ... A: Is this medication lowering your blood pressure ? Also, it would not at all be unreasonable to stop ... | ||
| Side effects of using androgel | 8/20/2011 | Domenic Sica |
| Q: I didn't see a category for low testosterone, but maybe you can help. My Husbands dr. put him on ... A: The side-effects described can occur with Androgel but only occur in 3-5% of patients receiving this ... | ||
| refractory systolic hypertension | 8/19/2011 | Domenic Sica |
| Q: Sica, I am a 34 year old registered nurse with mildly elevated blood pressure. On my current ... A: Your blood pressure pattern is a difficult one to decipher. You should not under any circumstances ... | ||
| Mother's Hypertension Medication | 8/12/2011 | Domenic Sica |
| Q: Sir, My mother's physician recently (as of 7-6-11) switched her medication from Lipitrol to ... A: It would appear that the only change that was made was your mother receiving HCTZ in addition to the ... | ||
| Coreg | 8/6/2011 | Domenic Sica |
| Q: After two days of taking 6 mg. of Coreg twice a day, my BP readings have gone UP instead of down. ... A: This is an extremely low dose of Coreg and it is not a compound that would be expected to increase ... | ||
| BP and pottasium levels | 8/6/2011 | Domenic Sica |
| Q: PT pottasium level is elevated. Prev lab 6/30/11 5.3. Now 5.7 as of 8/2/11. PT now has edema in ... A: This is a tough situation for me to answer all of the questions being posed her particularly in ... | ||
| metoprolol or nebivolol | 8/3/2011 | Domenic Sica |
| Q: My father aged 50 years has been taking Tenormin 100 since last 22 years for HBP and Sinus ... A: All three of these medications would have a similar effect on heart rate, which appers to be the ... | ||
| Hypertension | 7/26/2011 | Domenic Sica |
| Q: My wife has swelling on her feet and on checking the BP it reads 130/90 But she has no medicine been ... A: It sounds like she should speak with her physician and not necessarily listen to the stories coming ... | ||
| Hypertension or Anxiety | 7/22/2011 | Domenic Sica |
| Q: A month ago I felt dizzy and checked my b/p - it was 190 over something so I went to my doctor. It ... A: These are difficult questions to answer in this forum as to telling you whether you have ... | ||
Hypertension
Answers by Expert:
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
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