High Blood Pressure Medication

[wolf63]

I had a check up at the doctor's surgery today. I saw the health care assistant to get my blood pressure checked. Today it was 175/92.

I am 59 and have taken bp medication for the best part of forty years. It was controlled by Amlodipine & ramipril

Since my kidneys failure began they halved the dose of Ramipril and also my metformin.

Given that I am already on HBP medication is 175/92 okay? High? or Too high?

I am to get a hone call from my doctor tomorrow but I want to be prepared.

Whilst I'm here ... The renal consultant wants to put me on Dapagliflozin but the health authority is not able to allow this. Am I not able to pursue this option?

[Buenchico]

175/92 is well into the red area here, so I suspect that your GP will want to consider further intervention:
https://www.bloodpressureuk.org/media/bpuk/docs/Blood-pressure-chart-for-adults-(1).pdf

[Sqad]

Much...Much....to high, if that figure is representative.
I would take your BP three times a day to get a true recording of your cardiovascular status .

Ramipril and metformin can damage your kidneys and increase your BP.
I do not know your renal status, but one needs to be very sure that your high BP is due to your kidneys.

This is one to leave to your nephrologist and GP and I cannot answer your last question.

[Peter Pedant]

This is one to leave to your nephrologist and GP and I cannot answer your last question.

yeah I agree - I wdnt ask the milling crowd of well-intentioned Abers to put their oars in. It is clear you have and involved GP and two consultants so stick with them - at least they will have your notes!

[wolf63]

Good answers guys.

I am going to see the renal lady consultant in a week or so. Maybe I will get some answers then.

[NYAD]

I too have been treated for high blood pressure for forty plus years. Over the years, I've learned to minimize my salt and sugar intake. In the last ten years or so my BP has come down to near "normal".

Last year I was also diagnosed with renal failure. In addition to my nephrologist adjusting my high blood pressure meds, he also told me to stop taking my diuretic and drink only as much water as necessary. In less than a year, my kidney function went from stage 4 to stage 3. He has since prescribed the diuretic at half the dose that it was. I was told to take it only when needed, which I haven't had swelling bad enough to take it.

My point is, follow your doctors instructions and take the meds as prescribed, but you need to put in the effort to improve your health also!

[wolf63]

NYAD
Thanks for your answer. The main culprit in my kidney failure diagnosis was Lithium. It is nasty, toxic stuff.

I have cut down on salt and sugar, but I still use both. I was told not to restrict my fluid input and I do drink lots f nice, clear, River Tay tap water. I am also drink too much Pepsi Max even though this is not a great idea.

I take it from you username that you are not on this side of the pond. Greetings from Scotland.

[NYAD]

Greetings to you, also. I wish you luck with your future treatment.