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BP Med Stopped Working
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An_192002 posted:
I'm a 58-year-old female who has had hypertension for 33 years. Normally well controlled by meds with some spiking over the years, but brought back to normal by med change. Latest med has been Diovan HCT 320/12/5 mg. for about 5 years. A month ago my BP suddenly shot up for no reason. Readings of 160's systolic over 102 to 105 diastolic. Ended up in the ER one night with 207/103. My doctor has added Norvasc, 5 mg. to the Diovan. Also Clonodine, .1 mg. as needed when the pressure spikes. The Clonodine keeps the pressure down for 3 days, then spikes back up.

My family is concerned that my doc (a family physician) isn't the right person to see. Is there a specialist for hypertension? My doc is talking about testing to see if there is a renal artery block..?? I'm at my wits end and don't know what to do. My BP has never gone out of control for so long before. I know it takes a while to test different meds, but I'm concerned about the continued hypertension. I don't know why it suddenly spiked. I thought I may have become desensitized to the Diovan but my doc says that wouldn't happen. Suggestions/advice please? I'm desperate and getting scared.
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DUKE MEDICINE
Christopher O'Connor, MD responded:
A referral to a cardiologist might be necessary for patients with uncontrolled BP.
Whether or not this is the right approach for you should be determined by your physician.



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