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 After a bout with hypertension and a 4 day stay in the hospital, all tests came back fine, minoxidil was added to my mix of dialy meds. Benicar 20 mg in the AM, metoprol 75 in the AM, and minoxidil 10 mg in the AM and then minoxidil 10 mg at supper and then verapamil 240 at bedtime. I had one day with a bp spike of 153/100, and since then, pressure has been dropping daily. This AM it was 116/70, at noon, 109/60. Should I be concerned or did the minoxidil just finally 'kick in'? I do not feel dizzy, weak, etc.
Answer The minoxidil is likely to be kicking in. Ypu should be able to reduce the dose of the minoxidil by 50% if your blood pressure remains this low. I presume your physician is following your blood pressure closely with you ?
