My father is 65 years old. When he was 45, his heart valve was inflamed and he had thoracotomy. After that, he took warfarin every day. When I was 55 years old, I checked out high blood pressure. After taking the antihypertensive drug enalapril maleate tablets for ten years, he took one tablet every day, but he didn't measure his blood pressure for ten years because he was afraid of checking out problems. Recently, I took a blood pressure measurement because I wanted to get the new coronavirus vaccine. I found that the high pressure was 180 and the low pressure was 110. He used to take enalapril maleate tablets, one tablet a day, once a day. Two days ago, I took my father to the hospital. The doctor added a drug called nifedipine sustained-release tablets. Since yesterday, one enalapril maleate tablet and one nifedipine sustained-release tablet have been taken every day. The blood pressure this afternoon is 130 high and 70 low. I think my blood pressure has suddenly dropped and it's a little fast. Just want to ask the doctor if I need to change this medicine.
Hello, nifedipine sustained-release tablets generally need to be taken twice a day. If they are taken once a day, it is also recommended to pay attention to measuring blood pressure for many times and recording the changes of blood pressure, so as to facilitate drug adjustment. If the elderly currently take these two antihypertensive drugs and the blood pressure is controlled at about 130 / 70mmhg, it is ideal to continue to take them. It is recommended to pay attention to dynamic monitoring of blood pressure and timely adjust drugs to avoid hypotension.
Hello! Have hypertension. It is suggested to do a good job in diet treatment, low salt and low-fat diet, quit smoking and alcohol, avoid overwork and tension, stay up late, test blood glucose, blood lipid and blood homocysteine, and prevent the occurrence of three highs from affecting blood pressure. At the same time, monitor blood pressure. Especially during medication, we must understand the fluctuation of blood pressure. If the high pressure is controlled in the invitation business, it is still OK, but the low pressure 70 is a little lower than the previous blood pressure, and it is best to control it at about 80. It is recommended to do 24-hour ambulatory blood pressure measurement to understand the level of blood pressure fluctuation throughout the day, and then adjust the treatment plan with the results under the guidance of a cardiologist.
If the blood pressure is high, you can take oral antihypertensive drugs, but the current blood pressure is 13070, which is OK. It is recommended to continue medication and continue to monitor the blood pressure records. Relying on the blood pressure records only once, it is not necessary to measure. Take a look for a week or so. If the blood pressure is low, you can continue to adjust the traditional Chinese medicine
It is recommended to continue to monitor blood pressure. If there is no discomfort, it is not a big problem. If there are discomfort symptoms, the medication needs to be further adjusted to avoid physical discomfort caused by excessive drop of blood pressure. At ordinary times, pay attention to low salt and low-fat diet and avoid greasy fried fatty food.