AboutDomenic Sica 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.
Question I'm male, 63 years old. Runner-40 miles a week. Resting hr of 44bpm, high hdl, low LDL. Dr says Am in great shape. Do take benicar 20mg for bp. Also take niravam when needed - kind of an anxious person. I still notice my bp still spikes some once in awhile. When anxious it might go to 180/78. It later goes back to normal. Doesn't happen every day.. Just once in awhile. Of course when it gets high I tend to focus on it-makes it worse. Dr say spikes are normal and not to worry unless it stays high for days at a time. Do you agree? And should I use my niravam more often when worried? Thanks
Answer Yes, I agree that the spikes themselves are not necessarily dangerous. It is likely that the spikes would respond to Nirvam if taken at the time of the spike. Whether you need to take it more regularly even without blood pressure spikes probably relates to how anxious you are throughout the day.
