r/hypertension

How often do you have appointments regarding your blood pressure?

I have high blood pressure and was seen by my dr every 6 months. My blood pressure has been under control and I have been taking my medication as directed. I moved out of state and my new pcp wants to see me every 3 months which seems excessive. I even had trouble refilling a medication a month after seeing him. At the appointment he said since the medication was working we wouldn't be making any changes. I am looking for a new Dr because having to schedule an appointment for each new refill is too much. The one I need refilled now was only called in without refills.refills.

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u/ReaderinRecovery — 8 hours ago
▲ 2 r/hypertension+2 crossposts

Telmisartan and back pain

31m 5’5 150lb

Hello, I was on lisinopril for the last 1.5 years. I developed some tinnitus during that time and wasn’t sure if it was medication induced or just environmental. My doctor agreed to try telmisartan as a replacement to see if it improved. I’ve been taking it for a week and a half now and since day one I’ve had this nagging lower back pain. I’m an active individual, strength train 5 times per week and walk frequently. I didn’t do anything around the time of the pain occurrence to explain this. I see back pain listed as a rare side effect. It’s not excruciating but is persistent and annoying. Has anyone else experienced this?

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u/SnooDoodles4147 — 11 hours ago

Doc said she didn't want to do anything about my BP

She seems to think it isn't an issue but its been elevated like this more lately.

u/SadThrowaway4914 — 16 hours ago

Coffee can be that bad or it’s just me

I do IF, with black coffee at 7:30-8 AM and first meal at 1-2 PM (18 hours fast). BP was 130’ish around 10-11 AM most days.

I dumped around 800+ readings, my food and coffee schedule into one of the GenAI tool. It pretty much flagged coffee as culprit.

I skipped coffee today and had a decaf at 10 AM and boom, everything under control.

I will monitor this for a few days/weeks. But keen to k ow if anyone seen something similar?

u/as0007 — 17 hours ago

Blood pressure spikes at night

I’ve recently been diagnosed with high blood pressure, I’m a 24 year old female, to be diagnosed I was unknowingly having a hypertensive crisis for maybe a couple of days was unable to sleep for 3 days because of the feeling of my heart in my chest(at that time not knowing what it was) finally went to the hospital and was at 189/90 in hospital, I’ve had bloods done everything from them came back fine, I’ve had a heart monitor but the results not back yet. I’ve been prescribed bp medication 2.5mg, been eating perfectly changed my diet overnight because of how horrible the high bp felt and going for at least 20-40 minutes of walking everyday. I’ve been keeping a bp diary and generally my bp has been good for me 130-140 range which I think Is good within the first 2 weeks, however every few days between 10pm-12pm my blood pressure has spiked to 150-160 and resting heart rate 120 while sat down and I can feel it that’s why I check it, but I have no idea why it’s doing this it’s happened 3 times now, the first 2 I thought it was because I was taking ibuprofen for pain relief and for inflammation (I have spinal disc problems) and saw that it not advised to take both medications so I stopped but it’s happened a third time now the bp spike but I’ve not taken anything or done pretty much anything different. I’ve not got an appointment with the doctors till the end of the month so was just seeing if anyone on here could give me any insight on this or if it’s normal with only been on the bp medication for a couple weeks.

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u/AdComplex7020 — 23 hours ago

How much should resting heart rate be taken into consideration with BP?

For the past 10 years doctors have been telling me that I have elevated blood pressure/stage 1 hypertension.

This has always been very surprising to me, because I am in the gym 2-3 times a week. And average 15k to 20k steps a day, my low days are 10k steps (on the weekend). My diet is clean, so it just did not make sense to me. I have tried several methods of lowering my BP , with the exception of prescriptions, because I just don't think I am at that point yet.

This weekend I took my readings, and for the first time it clicked, what if my BP is high because I have a low RHR? Mechanistically this would seem to make sense, if my heart pumps less often, it would make sense for each pump to be more forceful in order to pump blood to all me extremities. Is my thinking flawed? If so how? I can't seem to find anything online about this anywhere, and plan to ask my doctor on my next visit, but wanted to check here as well. Thanks.

u/qna1 — 1 day ago

High blood pressure increase with no explanation

Hi, I am not a good writer but I’ll try my best.
I am 40 year old male that has hereditary high blood pressure. I was off meds for the longest time and went back to the dr in January, they put me on metoprolol and hydrochlorothiazide(?). My reading at the dr was 138/84
Since then I’ve lost 29 lbs, quit vaping, and drastically changed my diet.

I just got out of the hospital bc my home reading was 198/134 at the hospital the highest reading was 180/110 and I just went to the dr again today and the best reading was 161/95. Bloodwork completely normal.

What the hell is going on? The doctor just added larsotan and said come back in two weeks. I’m having panic attacks daily.

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u/Moist_Grapefruit187 — 1 day ago

Home readings - as a result of white coat syndrome

Hello everyone,

26M, in good overall health (except my diet, it's a mess of junk food).

Lately (not really, explain a bit later in the post), my doctor ordered me to measure my bp at home. Why? Cause it was 167/92 at office.

I'm very aware of hypertension and its consequences, so I took the machine and started measuring.

They only had wrist machines, so I took one. I know they're not the most accurate and require the wrist to be in a specific height, but I respect the requirements.

For a month or 2, I checked my Bp on a regular basis (ok, 3-4 days per week), and it's all around 115-130/80-70.

Now, I wonder if it might be caused by a trauma that was caused by my family doctor when I was like 14 (my bp was "over the normal" so she sent me to like 5 or 6 big, stressful medical exams).

So, what do you guys think,

  1. Can I be reassured that I don't have hypertension?

  2. Can such numbers be caused by white coat syndrome?

It's important to note that I can be very anxious, and I feel my heart beat once I see the doctor preparing the machine..

Thanks a lot!

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u/lejaunepoisson — 24 hours ago

How many medications did it take til you found the right one for you?

So i am on my 3rd medication and I feel so defeated. I feel like something is wrong with me. Nothing is working. Losartan 25 and then 50mgs didn't work. Gave me horrible headaches. Amlodipine 5mgs didn't work. Horrible side effects. Both of them made no difference at all on my blood pressure. I feel like I'm broken. Now my doctor raised my beta blocker. He was so confident that would be it. I knew in my head it wouldn't be but now its been over a week and no change except in my heart rate. How many tries did it take you to find the correct one or combo? I need reassurance that I'm not broken and will be stuck with high blood pressure forever.

My mom assured me herself and my dad went through this but still. This is so stressful. And not helping my health anxiety at all.

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u/veggiebutterfly — 2 days ago

I have better readings after I changed the time I take my drugs.

I started using Amlodipine 10mg. It was working for a bit—my reading was decent but after a while, my readings started to get off. Usually, it would fall between 124 and 135 but I started getting reading from 145 - 150. For some random reason, I switched from taking my pills every morning to late in the evening, and my readings have been lower.

Has this happened to anyone else? I haven’t done any research to find out whether time is a factor for drug efficacy.

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u/Brilliant_Knee6510 — 1 day ago

Seeking Advice: Blood Pressure Spikes After Increasing Losartan Dose

Hi everyone,

I am seeking some insight into my husband’s blood pressure management. About two months ago, we discovered by chance that he has hypertension (readings in the 140s/90s).

He was initially prescribed 25 mg of Losartan, which provided some improvement. After one month, his doctor increased the dosage to 50 mg because his readings were still consistently above 120/80. Interestingly, his numbers are now higher than they were on the 25 mg dose.

A few factors that may be relevant:

  • Consistency: He unfortunately missed three days of medication during the transition between the two doses.
  • Lifestyle & Diet: He is a non-smoker, does not drink, exercises a few times a week (maybe not enough), and maintains a very healthy diet. We have actively lowered his sodium intake and have trialed both beetroot juice and beetroot powder to support his heart health. He is slightly overweight, but his habits are otherwise excellent.
  • Family History: Both of his parents have high blood pressure.
  • Recent Changes: We moved to the UK at the same time he started the 50 mg dose, so there has been significant environmental stress.

I am very concerned about his health and want to ensure we address this effectively. Has anyone experienced a paradoxical increase in blood pressure when increasing a dosage, or does the period of missed doses typically impact stability this significantly? Any insights or suggestions on what we should discuss with his doctor would be greatly appreciated.

Thank you for your help.

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u/CakeOk362 — 2 days ago
▲ 4 r/hypertension+1 crossposts

What was this feeling after eating?

So I've been on a raised dose of metoprolol for one week now. Was on 25mg er now on 50mg er. Woke up this morning feeling alright. Have to go to work so I made myself breakfast and ate. After eating I just got hit with this wave of lightheaded dizziness. My stomach and my chest felt weird. This lasted for about 40mins. I'm slowly starting to feel better now but that was scary. Checked my BP before and after and it remained the same. I was thinking something with my blood sugar. Anyone have any insight of what could have caused this? Last week when I started the increased dose I was on vacation so I did not eat for hours after waking up. Now that I'm back to work I have to.

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u/veggiebutterfly — 2 days ago

Just changed some things for 1 week.

My BP was never really high. When it was high it was because of stress and anxiety(it can still get high) and I might have been eating a lot of junk food so heavy on sodium. I just started drinking more hibiscus tea, more potassium loaded foods and add psyllium husk and chia seeds to my diet twice a day(I soak them in water and drink them).

u/Electronic_Driver_78 — 2 days ago

When to go to the emergency room?

Ok I am a hyperchondriac. So please keep that in mind.

I saw my Dr last week with some stats on my bp. About a months worth. She said let's stop the combo birth control pill, I'll see her in 2 weeks to see if that helps with my bp at all. If not I go on a medication. My bp readings have been like 140s-160s/90s-100s. I'm 25 (101lbs).

Anyways I tend to get headaches sometimes. And now especially bc I quit the combo birth control pill cold turkey.

I'm just wondering when do you go to the er for high BP? Like if my reading is 160/100, and I have a slight headache am I suppose to go in or does it have to be the worst headache of my life?

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u/jellybeanbandit1 — 3 days ago

Hypertension postpartum 13 months

I was diagnosed with hypertension 5 days after giving birth. I’m now 13 months postpartum. I had no history of high blood pressure before pregnancy.

At first, I was on a higher dose of medication, but for the past 6 months I’ve only been taking 30 mg of nifedipine. The problem is that checking my blood pressure makes me extremely anxious. Every time I use the BP machine, I get nervous and start shaking, so I avoid checking it often.

Today I finally checked it while literally shaking from anxiety, and it was still 141/95.

My doctor said that for now I still need medication and that it might become maintenance long-term, but I don’t know if that means forever. I’m just so tired of dealing with blood pressure being high sometimes and low other times. I really want to get better and feel normal again.

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u/Opening_Ad2689 — 2 days ago

Primary Aldosterone or Low Renin High BP

I've had super salt sensitive BP for decades (age 60's now). Normally 1500mg is considered low sodium diet. 1000mg is very low diet. For me, daily 1000mg will put me at 160+ systolic despite taking metoprolol 100mg, losartan 100mg, hczt 25mg. On other hand, if I limit myself to 300mg or less daily, subsistence level, my bp is 118/60. I read about primary aldosterone bp and tested myself with Aldosterone to Renin Ratio test while heavily salt loading for three days 3500-3500-7000mg sodium while staying on my bp drugs. The result was aldosterone 8.5 and Renin <.167 undetectable, ratio >50. This looks like positive test, even with interference from bp meds. Going to take 6 months plus to get doc appt. Anybody else been through testing for this. Did you see big improvement when switched to the right type of drugs for this type of hypertension? What further testing did doc do?

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u/qrs312 — 2 days ago