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Elderly Adult BP Fluctuations
70+ old female took Cilacar 10 , but 10 days before BP was 150/82 , doctor change the previous medicine and Prescribe Cilacar T . After 3-4 day BP was 135/70 . But after 11 days BP is 150/80. Is it normal , Please Suggest
Answers (19)
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✓Cilacar alone may not be enough for all elderly patients; sometimes two medicines are needed to keep BP steady.
✓If BP consistently remains around 150/80, add a second antihypertensive drug after reviewing kidney function.
Next Steps
✓CBC, kidney function tests (creatinine, eGFR), electrolytes , to rule out secondary causes or complications of BP.
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Continue tab cilacar T in morning and start tab Cilacar 10mg at night if BP>140/90mmHg
Next Steps
Do ECG, Fasting lipid profile, TFT, RFT, Urine routine
Health Tips
Follow up with BP monitoring thrice times a day and above advised investigations
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Blood pressure should be checked atleast 2 times a day for 3 to 4 days, time it when she is relaxed.
150/82 is not very high for her age.
Decrease salt intake to less than 5 mg/day.
Daily exercise for atleast 20 to 25 mins a day.
For now continue Cilacar T and monitor the BP.
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Hello. Mild fluctuations in BP are acceptable. Also frequent change of medicines is not advisable. Please continue with Cilacar T and keep BP record. We can decide for further course of action after a month or so
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As such no.problem but reconsult treating doctor
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Pls have physical examination with nearby doctor and change medications
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The new medicine prescribed by the doctor is good, should be able to bring the BP to optimal level.Monitor his bp for a few days
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Keep a record of the blood pressure readings and ideally it is not a good idea to keep switching tablets. Please ask the patient to continue with Cilacar T.
All the best.
J G S R clinic
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150/80 is not so high in 70 yrs age. B.p. can fluctuate in 24 hours. If she has no other problem, let her continue same treatment.
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Check if the patient on medication regularly. Need to know on what other medications she is on. For detailed evaluation kindly consult at nine seven zero three nine four four one four four
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion*
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BP increase with age...you need to take medicine regularly...the way dr suggests
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Abeed Ahmed
Diabetologist
11 yrs exp
Hyderabad
For 70 year old person 140 to 150 systolic can be acceptable .. strict controls may cause falls due to hypotension
Next Steps
Monitoring regularly .if increase more need to change tablet .for more detailed explanation take . consultation
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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