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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

Questions Answered By Expert  Domenic Sica 
In Category  Hypertension

SubjectDate Asked

expert advice11/18/2009
  Q: my hubby is 34 yr old.he is a very busy business man.for the past few days he was having ...
  A: It would probably be advisable to have his blood pressure checked on a couple of other occasions ...
Pre hypertension11/14/2009
  Q: I am a 60 year old male with pre hypertension for several years and I have been doing life style to ...
  A: This will require at least two drug therapy to bring you down to less than 120/80 mm Hg in that ...
Pilates and hypertension11/14/2009
  Q: My blood pressure varies alot throughout the day. I am currently taking atenolol 25 mg. daily. My ...
  A: Based on the information you just provided I would suggest the following approached (1) see if your ...
Pilates and hypertension11/14/2009
  Q: My blood pressure varies alot throughout the day. I am currently taking atenolol 25 mg. daily. My ...
  A: You might already know this but that is not a huge variation in blood pressure as you describe it. ...
fluctuating hypertension11/13/2009
  Q: I am an african american female age 40, 150 lbs. I have never been over weight and I have no family ...
  A: Blood pressure will vary based on environmental factors such as pain, intercurrent illness, sleep ...
Pre hypertension11/9/2009
  Q: I am a 60 year old male with pre hypertension for several years and I have been doing life style to ...
  A: You look to be in excellent shape. I can answer this question better if you give me your blood ...
Elevated BP,Very high HR in young pregnant woman11/6/2009
  Q: I'm 29, 36wks pregnant with 4th child, hx of MVP with Regurgitation and decreased efraction rate. I ...
  A: Country practices vary as to how to approach this issue. What country are you in ? Is there any way ...
Blood press medicine11/6/2009
  Q: My wife is 49 and currently taking hydrochlorothiazide 25 mg (i belive), but is not very effective. ...
  A: She is already on a diuretic so that is removed from the hierarchial order. If she has previously ...
hypertension11/3/2009
  Q: I am a 26yr old female and have had renal problems(mainly recurring uti's and reflux) since i was ...
  A: You have what is called reflux nephropathy, which is associated with hypertension and recurrent ...
High Blood pressure?10/29/2009
  Q: I have a blood pressure of around 155 over 85, i am told i may have hypertension-is this true? Is ...
  A: If you are in this range consistently then you do have hypertension and this probably should be ...
Switching from Lisinopril to Cozaar10/24/2009
  Q: Hey there, I'm a 34 yr old male with hbp. Don't know why I have it. I've been on meds for 15 years. ...
  A: The studies he is speaking to relate to the use of losartan in a mouse model of a genetic disease ...
Switching from Lisinopril to Cozaar10/23/2009
  Q: Hey there, I'm a 34 yr old male with hbp. Don't know why I have it. I've been on meds for 15 years. ...
  A: No, Cozaar is not a better drug and it would not reduce your blood pressure any better than ...
spikes in blood pressure10/23/2009
  Q: I am a 37 year old female, overweight but blood pressure is within normal range 116/78- 125/85. ...
  A: As you might have guessed this is an atypical pattern. The differential list is lengthy but at the ...
Hypertension and high altitude10/19/2009
  Q: My father suffers from chronic hypertension and had a minor heart attack last year. Would it be safe ...
  A: Generally yes. However, not knowing all of his illnesses means this should be a qualified yes. ...
High blood pressure10/12/2009
  Q: I,m 50 years old with HBP . All the meds we try wont keep it stable . Sometimes its 180/98 when its ...
  A: The medicines you mention also "remodel" the heart separately; thus, a possible reason why you are ...
High blood pressure10/10/2009
  Q: I,m 50 years old with HBP . All the meds we try wont keep it stable . Sometimes its 180/98 when its ...
  A: I would be looking carefully as to what medications I am on such that the right combination is in ...
weightloss and running10/10/2009
  Q: so if not just let me know, but I am an overweight adult (5"8 and 200 lbs) and I am trying to lose ...
  A: You should start off walking and from there begin a slow pace of running over several days within ...
med question10/9/2009
  Q: After a bout with hypertension and a 4 day stay in the hospital, all tests came back fine, minoxidil ...
  A: The minoxidil is likely to be kicking in. Ypu should be able to reduce the dose of the minoxidil by ...
Spikes in bp while on meds10/5/2009
  Q: I'm male, 63 years old. Runner-40 miles a week. Resting hr of 44bpm, high hdl, low LDL. Dr says Am ...
  A: Benicar is a good drug for general hypertension but does not have any specific attributes that make ...
Spikes in bp while on meds10/4/2009
  Q: I'm male, 63 years old. Runner-40 miles a week. Resting hr of 44bpm, high hdl, low LDL. Dr says Am ...
  A: Yes, I agree that the spikes themselves are not necessarily dangerous. It is likely that the spikes ...
Blood Pressure10/1/2009
  Q: I had a blood pressure question, though it is having to do with low blood pressure instead of ...
  A: This is a very low blood pressure for a person your size; however, it can be in a normal range for ...
Dietary Fat9/29/2009
  Q: I am currently being treated for hypertension. The only recomendation my doctor made was to reduce ...
  A: Dietary fat reduction would help from a coronary artery disease viewpoint over the long-term. As to ...
Sauna & Hypertension9/29/2009
  Q: I'm confused on the different opinions about HTN and saunas. Some say to avoid them if you are ...
  A: Heat typically lowers blood pressure. Those who are saying to avoid it if you are hypertensive say ...
Blood pressure9/28/2009
  Q: I am 28 years old, and I am not feeling well. Its difficult to define my condition, but I dont have ...
  A: If you have not had your doctor check you out yet you might consider this as a first step. Your ...
tia9/21/2009
  Q: My husband is 42 yrs old with hypertension. Hes always been active and healthy with the exception of ...
  A: This is a confusing picture that is difficult to make sense of in this type forum. My best advice is ...
high blood pressure9/21/2009
  Q: Has there ever been medical research that has proved a cause-effect relationship between high blood ...
  A: There are vast amounts of literature that speak to long-standing blood pressure being associated ...
medication?9/19/2009
  Q: I'm a 58 yr. old male, not over weight and don't smoke. I do take medication to lower cholesterol. I ...
  A: Your question is a complex one and not easily answered by the Internet but I will try. Currently ...
medication?9/19/2009
  Q: I'm a 58 yr. old male, not over weight and don't smoke. I do take medication to lower cholesterol. I ...
  A: I am not aware of any guidelines that state that morning blood pressure should be less than 120/80 ...
Impedance cardiography (ICG)9/17/2009
  Q: I have had Hypertension since my early 20's. I am now 64. The first 30 years, I would go to the ...
  A: Your thoughts on impedance cardiography are reasonable. As to your blood pressure I wish I could ...
Hypertension specialist in San Diego, CA9/17/2009
  Q: Sica, I have resistent hypertension and have been prescribed various medications which haven't ...
  A: Both of these individuals are personal acquaintances and excellent with complicated hypertension. If ...
New HBP treatment9/15/2009
  Q: In the August issue of Hypertension, it was reported that the Klotho gene which is known to extend ...
  A: 1. If a drug is unproven then it may not have much use for someone with terminal cancer. The ...
New HBP treatment9/13/2009
  Q: In the August issue of Hypertension, it was reported that the Klotho gene which is known to extend ...
  A: Unfortunately, this has not been studied in man in such a way to state what the effect of such a ...
Impedance cardiography (ICG)9/12/2009
  Q: I have had Hypertension since my early 20's. I am now 64. The first 30 years, I would go to the ...
  A: Impedance cardiography has yet to take hold in the treatment of hypertension. Interpreting the ...
high blood pressure9/11/2009
  Q: I am 20 years old and have been consistently getting high blood pressure readings for the past 2 ...
  A: This does not sound like white-coat hypertension. You probably should have this formally evaluated ...
Management of Hypertension in Patients with Type 2 DM9/6/2009
  Q: Sir, As everybody knows presence of Type 2 DM and Hypertension both increases risk complications. My ...
  A: The addition of a beta-blocker to lisinopril typically would not offer that much incremental benefit ...
calcium channel blockers9/2/2009
  Q: I am an obese, 66 year old female with high blood pressure, and atrial fibulation. I am on 240mg. ...
  A: Calcium channel blockers do not cause heart disease. Instead they are extremely effective therapies ...
Can I go off or reduce my medication?9/2/2009
  Q: Several months ago my doctor put me on Avalide to reduce my B.P. Along with this I made some ...
  A: It would be quite reasonable to halve the dose and see what your blood pressure does. At that time ...
AHA diets9/2/2009
  Q: I am trying to learn more about AHA diets. What is the difference between low salt and low sodium ...
  A: A 1-gram sodium diet equates with a 2.5-gm salt diet; otherwise, there is no difference between low ...
Management of Hypertension in Patients with Type 2 DM8/31/2009
  Q: Sir, As everybody knows presence of Type 2 DM and Hypertension both increases risk complications. My ...
  A: Amlodipine can cause peripheral edema but not by a mechanism that involves fluid retention; thus, ...
Lopressor8/30/2009
  Q: I am a 27 yo female. I am scheduled to undergo a coronary cat scan this comming Thursday morning. ...
  A: You might ask the cardiologist to either allow you to take 50-mg at bedtime or if your heart rate ...
Hypertension8/29/2009
  Q: I am 39 year old male. Wgt. 80 kgs, ht. - 5'9", waist - 37". Indian vegetarian. Suffering from high ...
  A: These would be unlikely to be symptoms related to your medications or your level of blood pressure. ...
hypertension medication...?8/27/2009
  Q: I just recently was put on and perscribed Metoprolol Succ ER 25. I am to take one pill at day at ...
  A: Were you told why this medication was started in the first place ? 25-mg is a very small dose and ...
heart palpitations8/25/2009
  Q: I was just in the hospital for heart palpitations. I was sitting at home watching a movie and all of ...
  A: It sounds as if anxiety is playing a major role in your sensing of your heart rate. It is not normal ...
hypertension control8/19/2009
  Q: This may be an overly rudimentary question but I thought I'd ask. If a patient is taking meds for ...
  A: Yes, you would be considered controlled. Blood pressure might be considered uncontrolled if you are ...
HTN and beta blocker weaning8/18/2009
  Q: Last year I had a false positve reading of pulmonary HTN on an echo. It kept showing up so they ...
  A: This is an interesting yet complicated set of questions. First off, the awakening at 5:00 am more ...
should medication be considered?8/18/2009
  Q: I am 43-year-old man who is overweight, a non-smoker, a non-consumer of caffeine and someone who ...
  A: At this blood pressure level it is unlikely that anything other than dramatic weight loss would ...
will CT scan reveal a recent massive ischemic stroke8/17/2009
  Q: My wife suffered a stroke while in the hospital. She was not seen by a doctor but nurses took her to ...
  A: The CT scan could conceivably not shown anything if the process was evolving. As I suggested before ...
will CT scan reveal a recent massive ischemic stroke8/16/2009
  Q: My wife suffered a stroke while in the hospital. She was not seen by a doctor but nurses took her to ...
  A: This is not quite my area of expertise but I would offer the following thoughts. If there is a ...
sudden H.T.N8/5/2009
  Q: diasystolic 90 sys.130-150 6mths. now sys 173-192 dia-110 map120-132 51yr woman hashimotos 100mcg ...
  A: I agree that a test for Addison's would be in the opposite direction as to blood pressure. The urine ...
BP med question8/4/2009
  Q: I am a 24-year-old female who is 4'11 and 88lbs and was recently given a prescription for 80mg of ...
  A: I would approach this by taking 1/2 of the 80-mg pill every other day and see how the blood pressure ...
legal dosage ofr atenolol8/2/2009
  Q: On 7/02/09 my wife's primary care giver doubled her prescription of atenolol. She had been taking ...
  A: 200-mg is on the high end for atenolol but it a dose that can be used. The Diltia-XT is not a beta ...
sudden H.T.N8/2/2009
  Q: diasystolic 90 sys.130-150 6mths. now sys 173-192 dia-110 map120-132 51yr woman hashimotos 100mcg ...
  A: This pattern is one that is mainly seen with one of two conditions (1) pheochromcytoma - you may ...
High Blood Pressure7/23/2009
  Q: My father has found out today that he has high blood pressure. He is 47 years old and I was ...
  A: A pressure of 160/110 mm Hg would never be a normal development. Cutting salt out of the diet ...
High Blood Pressure7/23/2009
  Q: My father has found out today that he has high blood pressure. He is 47 years old and I was ...
  A: If his blood pressure is truly that high then it would be highly unlikely that he could go without ...
30 year old female with new onset HTN7/21/2009
  Q: I am a 30 yr old RN, manager at a stable home health care office near my home. I do yoga and ...
  A: Beth - I probably need to talk to you directly about this. If you send me your call back # I will ...
blood pressure7/16/2009
  Q: I know your normal blood pressure is under 120/80, but with excersise it goes up. Is there a normal ...
  A: As you may already know heart rate recovery times are type of exercise, age, and prior level of ...
blood pressure7/10/2009
  Q: I know your normal blood pressure is under 120/80, but with excersise it goes up. Is there a normal ...
  A: It depends on your exercise. Weight lifting differs from running/swimming. With running/swimming we ...
Blood Pressure6/20/2009
  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 benicar6/20/2009
  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 benicar6/18/2009
  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 benicar6/15/2009
  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 ...
Followup re: medication6/10/2009
  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 ...
Nebivolol6/9/2009
  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 ...
Nebivolol6/9/2009
  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 ...
pre diabetic? BG and HbA1c disagree6/4/2009
  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 disagree6/4/2009
  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 Vitamins6/4/2009
  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. ...
Followup re: medication5/30/2009
  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?5/30/2009
  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: medication5/29/2009
  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 ...
Lisinopril5/27/2009
  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?5/24/2009
  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 BP5/24/2009
  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?5/23/2009
  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 pressure5/23/2009
  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 BP5/23/2009
  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 pressure5/22/2009
  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 10MG5/21/2009
  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 ...
studies on hypertension5/19/2009
  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 ...
Can walking improve prognosis of diabetes ?5/12/2009
  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 ...
lisinopril5/3/2009
  Q: i'm a 22 year old male who was just recently diagnosed with hypertension. i was put on ...
  A: You can probably go to an every other day regimen for the blood pressure medication and assess your ...
Can digitalis be used to treat hypertension?4/15/2009
  Q: Decreasing the heart rate will decrease blood pressure if other affecting factors [e.g. extent to ...
  A: Beta-blockade would be much safer and more predictable in its effect on heart rate and blood ...
Hypertension Medication4/11/2009
  Q: I have been prescribed with Losartan 100 mg, Norvasc 5 mg and Lipitor 20 mg for my hypertension ...
  A: These symptoms are not the result of hyperacidity. These symptoms sound more cardiac in origin. I do ...
Blood pressure around the house, at work, etc.4/9/2009
  Q: What I want to know is, if my "normal average" blood pressure at rest is 117/68, what would be a ...
  A: Blood pressure normally goes up with activity. Whoever told you that it does not might need to share ...
Is Candesartan linked to a dry cough?4/6/2009
  Q: I recently retired from work having been diagnosed with hypertension and having suffered from stress ...
  A: Candesartan is not really associated with cough. I can't make a firm diagnosis by e-mail but I ...
Are medications really the best option?4/3/2009
  Q: I would like to ask a question about a topic that hits very close to home and where i am really ...
  A: A thiazide-type diuretic is one choice amongst several drug classes for the initial treatment of ...
Are medications really the best option?4/1/2009
  Q: I would like to ask a question about a topic that hits very close to home and where i am really ...
  A: Unfortunately, I (and recent literature) do not agree with your analysis. The studies you cite have ...
clonidine3/30/2009
  Q: I should say ahead of time that I am fully aware that my complaint may sound strange. I am 35, ...
  A: Your case is complicated as you have nicely outlined. The issue with clonidine that you are ...
blood pressure pill3/30/2009
  Q: Could you please give me the name of a prescription high-blood-pressure pill that does not make the ...
  A: There are several such compounds in a class called angiotensin receptor blockers including: Cozaar, ...
problems3/27/2009
  Q: my mom is 50,ijn past 4-5years she always coplained for like temperature only on her face,or on her ...
  A: I am having a little trouble trying to figure out what you are saying. Are you describing flushing ...
Avalide?3/21/2009
  Q: I have just started Avalide. I cant find much info on it,I am hoping you can help? 1.How long do I ...
  A: You should see a response within a week if you are going to get a response from this combination ...
High BP and Pulse3/20/2009
  Q: I am a 25 year old male and have high blood pressure, i have been in for loads of tests and my BP ...
  A: You probably need to see a hypertension specialist since there are several possible causes for this ...
B/P and Rx interactions3/18/2009
  Q: Dx:small blood vessels-resulting in uncontrolled hypertension. Taking Tropol XL 50 mg. one X day, ...
  A: Probably the safest way to treat your blood pressure is to establish good control of your angina and ...
B/P and Rx interactions3/18/2009
  Q: Dx:small blood vessels-resulting in uncontrolled hypertension. Taking Tropol XL 50 mg. one X day, ...
  A: Absolutely; however, the question is why would it be taken together with the beta blocker. If it is ...
medication3/15/2009
  Q: I have been tested, including a 24 hour ambulatory monitor,and my next step is to see my doctor ...
  A: Your question is a little confusing but I will take a shot at answering it. If you have been ...
Hypertension and Alzheimers3/14/2009
  Q: To what degree is hypertension implicated as a cause of Alzheimers? I came across a tv interview ...
  A: There is increasing evidence to suggest that when a patient with hypertension is suitably medicated ...
hypertension3/12/2009
  Q: Im 32yrs old 72' 183lbs. My question is about high blood pressure. Everytime I go to the dr they ...
  A: Some people have an "alerting" reaction to blood pressure measurement when it is obtained in an ...
Lisinopril3/1/2009
  Q: I have a Bicuspid Aorta valve, and a 4.5 ascending Aorta aneurysm. Blood pressure has been rising ...
  A: Goal blood pressure for you should be below 130 mm Hg systolic (top #). If the Cozaar is being added ...
stress related hypertension2/16/2009
  Q: I'm 22, 132 lbs, and I suffer from stress and anxiety with occasional panic attacks. I take xanax ...
  A: Panic can trigger significant rises in blood pressure; however, it is transient in nature. The best ...
Low blood pressure2/15/2009
  Q: I know the general guidelines for high pressure. What constitutes low blood pressure and what are ...
  A: This is a question that is fairly broad and I cannot answer it briefly. If a person's blood pressure ...
medication and herbs2/14/2009
  Q: Can Hawthorn Extract (leaf)300 mg and Coleus Forskohlii Extract (root) 156 mg safely be taken with ...
  A: There is no problem with either Hawthorne Extract or Coleus Forskohlii being taken together with ...
guidance2/11/2009
  Q: Respected Sir, I am taking Tenormin 100 Natrilix SR 1.5 Losartan 100 Amlodepine.Indian brands I am ...
  A: That approach is not unreasonable particularly if you can verify that it is working by way of your ...
Low Blood Pressure2/3/2009
  Q: Recently I've had my blood pressure taken and it is around 94/64 or 90/60. The nurse sort of gives ...
  A: This blood pressure range is not at all unusual for someone with a small frame. One thought is ...
cilnidepine1/29/2009
  Q: Respected Sir, My brother's wife aged 64 has hbp and was on losartan 100 with HCTZ 12.5 Due to bp ...
  A: A suitable alternative to cilnidipine (or amlodipine) would be the drug diltiazem (180 to 240-mg) ...
Hypertension (White coat)1/27/2009
  Q: I live in the UK, 39 yr old , male, on Irbesartan 300mg/od + Lercanidipine 20mg/od,on medication for ...
  A: Oliver - this is one of the more difficult clinical circumstances to deal with. A trial of a low ...
ramipril +losartan1/17/2009
  Q: Respected Sir, I appreciate your response to my early query on 6th Jan To reecapitulate, I repeat ...
  A: The most important aspect of your care is that of effective management of your blood pressure. If ...
Am I diabetic ?1/16/2009
  Q: Respecred Sir, I am 48 years male with IGT Since last three months I notice that mr fasting blood ...
  A: This is an early diabetic pattern, which probably relates to your family history as well as your ...
selective betablocker1/14/2009
  Q: Sir, I am a aptient of high blood pressure with tachycardia and missing heart beats. I am ...
  A: Tenormin (atenolol) is in point-of-fact falling out of favor in the hypertension community. ...
severe concentric LVH & Dystolic Dusfunction1/13/2009
  Q: Respected Sir, I have read your answers and highly impressed by the quality responses. I am 50 ...
  A: The major issues in the regimen, such as the one, that limit its effectiveness are (1) unrecognized ...
severe concentric LVH & Dystolic Dusfunction1/12/2009
  Q: Respected Sir, I have read your answers and highly impressed by the quality responses. I am 50 ...
  A: It would seem from these values that you need better blood pressure control as well as to be ...
Tenormin1/9/2009
  Q: Sir, I am male/50/Indian hypertensive on Tenormin 100 Amlodepine 10 Losartan 100 Lozol 1.5 While I ...
  A: You are correct that Tenormin can lead to a rise in blood sugar. It may be less so if you can safely ...
diuritic1/9/2009
  Q: am hypertensive male 48 years and on Atenolol 100 with Losartan 100. I have been taking Atenolol ...
  A: If you are prone to fluid retention and/or have any symptoms of heart failure the torsamide is ...
strong heartbeat and feeling of heart skipping beats1/6/2009
  Q: I work out with weights 3 times a week. I am 57 years old and take a beta blocker for high blood ...
  A: Skipped beats are generally not a problem under the circumstances that you describe. A stress test ...
Blood shot eyes12/15/2008
  Q: I am male, 60 years old, 5'6, 160lbs. I have had high blood pressure for over 7 years. On certain ...
  A: The "high" number for your blood pressure is actually not that high from a blood pressure ...
igt12/11/2008
  Q: Sir, I am male/51 years and hypertnsive on Tenormin 100 Losartan 100 Amlodepine 10 and Indapamide ...
  A: These readings look like you are "pre" diabetic. Glycomet is not an unreasonable choice of a ...
hypertension due to cholestrol (TRIGLYCERIDE)12/3/2008
  Q: Respected sir, I am a male of 26 years. Last year My Triglyceride level get elevated to 218 and i ...
  A: It is unusual that your blood pressure would drop as much as it did with these two blood pressure ...
Hypertension11/29/2008
  Q: I would like to thank you in advance for taking your time to hopefully answer my question. I am a 36 ...
  A: This most certainly is a complex situation. First, there appears to be a significant response to an ...
hdl levels11/22/2008
  Q: about 12 yrs ago I went through treatment for genotype 1 hepatitis c. my viral load was 9 million.I ...
  A: I presume that you have talked to your physician on this. If you have not already tried aspirin then ...
heart arrhythmia's11/22/2008
  Q: I have severe high blood pressure,i'm 37yrs old.I was sent to Vanderbilt Hypertension clinic,i don't ...
  A: The Nifedical has no effect on potassium. A 30-mg dose of Nifedical-XL is not a high dose (top dose ...
heart arrhythmia's11/22/2008
  Q: I have severe high blood pressure,i'm 37yrs old.I was sent to Vanderbilt Hypertension clinic,i don't ...
  A: Both are known side-effects from the Nifedical XL. By heart arrhythmia's do you mean fast heart ...
hdl levels11/18/2008
  Q: about 12 yrs ago I went through treatment for genotype 1 hepatitis c. my viral load was 9 million.I ...
  A: More likely than not the Niaspan ER is causing you to feel the worst. Is flushing the major symptom ...
hypertension11/16/2008
  Q: I checked my blood pressure a few days back and it read 95/140. What is the normal blood pressure?? ...
  A: You probably meant that the blood pressure reading was 140/95 mm Hg rather than 95/140. This is a ...
high and low blood pressure11/16/2008
  Q: Until recently I have had high blood pressure and have been treated for such. Recentlly though, my ...
  A: This is something called orthostatic hypotension and requires very specific treatment. The high ...

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