•BP seems to be increasing daybyday from 130 to 140 to now 150 systolic and diastolic 70 to 90.
71 years female with early cirrhosis, on
diabetes and
thyroid medicine.
No symptoms, mild pedal edema.
*Earlier was on 1 tab TelmisartanH (ARB) and bp was well controlled.
Hepatologist changed it to Carvedilol 3.125 mg 1-0-1 (betablocker) to aid in cirrhosis. BP lowers after taking medicine but remains on higher side. Not as controlled as earlier medicine.
Used to take preventive Ecosprin AV but stopped due to cirrhosis.
Echo, ecg, lipids normal. Ddimer 800, NTprobnp 418.
1). Please suggest if dose needs to be increased or old medicine can be added with current one??
2) If anyday bp is 150/90 or more even after taking medicine, can she take 1 more tablet ??