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Hyper tension
My blood pressure usually remains 140/90 at resting condition. But I feel somewhat my pressure spikes while getting tensed and anxiety , on that time pressure measured 180/110 with palpitations and heart bit also reached upto 130 bpm. While I went doctor chamber last pressure was 160/110 mm hg and doctor advised to start for medicine as follows :
Bitacap Tr 40 mg at after breakfast and Olmesar 20 mg at evening or night .
What I feel pressure abnormalities noted while getting more anxious not always. My current age is 39. What should I do need to be start medicine or monitor alternative way . Because heared that medicine can't be stopped once started.
Answers (16)
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Consult superspecialist like md physician as such fluctuating bp.
Till you can try
Telmisertan40 one before breakfast.
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you will definitely need medication
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Your BP readings at 140/90 and >180/100 indicates that you have stage 2 hypertension.At this stage you have to take the antihypertensive medicines, your doctor has prescribed along with the life style management,to prevent the complications .
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At 39 years, with:
• Resting BP ~140/90 mmHg
• Spikes to 160–180 / 100–110 during anxiety
• Palpitations up to 130 bpm
• Normal cardiac evaluation
You are not dealing with “only anxiety” anymore.
This pattern fits early (Stage 1–2) hypertension with anxiety-triggered sympathetic surges.
Important points you must understand:
• Repeated readings ≥140/90 at rest = true hypertension, not just stress
• Anxiety does not create hypertension, but it exposes it
• BP of 180/110 is dangerous, even if episodic
• White-coat hypertension usually normalizes outside clinic — yours does not
So your doctor’s concern is valid and appropriate.
Next Steps
1. Yes — start the medication (for now)
Your prescription is reasonable:
• Bitacap-TR 40 mg (beta-blocker + extended release)
• Controls heart rate, palpitations, anxiety-related BP spikes
• Olmesartan 20 mg
• Protects heart, brain, kidneys
• Long-acting, safe, first-line drug
Health Tips
• ❌ Do NOT stop medicines abruptly once started
• ❌ Do NOT chase BP numbers during panic
• ❌ Do NOT rely only on lifestyle when BP already reaches 180/110
• ✔ Reduce salt to
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Better start BP medicine before u go for stroke
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Hypertension or increased blood pressure is multi-faceted and is usually due to a variety of causes, of which anxiety can also be one.
A thorough evaluation of your symptoms along with a detailed medical history can definitely help in the long run to establish a baseline of your symptoms.
Next Steps
Please book for a consultation for a much comprehensive and detailed discussion regarding your health.
Health Tips
If in case of BP > 200/110 mmHg, any chest pains, or severe headaches, please contact your nearest emergency ward or casualty ward hospital.
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Consult for medical treatment
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You need salt restrictions
And need more details
Kindly consult
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It's not like that, first you need to control and manage your anxiety first.about medicine you need to take ,that's right but you need to improve via more with lifestyle modifications and dietary habits change, these plays a big role.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Few more details needed for further evaluation. Kindly consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Start BP medicine
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Dr. Kuldip
Internal Medicine
9 yrs exp
Gandhinagar
Hello
Thanks for query
First managment of BP and anxiety both required
Control your BP ith medication
And Anxiety with proper concelling and if requred then support of pshycotherapy or with mediction
BP medication need to monitor blood pressure then according increase the dose and decrease dose (Dont do your self)
Next Steps
Blood investigation
cardiac profile
Health Tips
Continue medication
Control BP
Do consult doctor for further managment
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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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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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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