Continuing the discussion from Efficacy of Drugs Used to Treat Hypertension: My BP medication was tritated up to 32 mg Candesartan plus 25 mg HCT and I still wasn't fully controlled. Then the meds were titrated down to 8 mg Candesartan and 12.5 mg HCT after a cardiac decompesation event when I was severely hypotensive, now however, I'm a bt of both.
Recently, my BP has been shooting up again in spikes but no one will increase or change my meds. A 24 h BP last week averages at 137/80 (daytime) HR: 81 and 102/61 (night-time) HR: 71, however, I dropped down to 84/52 during the night but spiked to 170/97 during the day. My local doctor is afraid to increase the meds or add another group because of my average recordings which he describes as "perfect".
I find the situation far from perfect. One minute I have a feeling of intense pressure in my head, the next minute I am dizzy.
Last week I was admitted to hospital for an endoscopy. My BP on admission was 100/50 so no white coat syndrome there:-) however, the following morning following a good sleep, it was 208/121 (right arm used due to canula in my left) and I was very breathless with a tremendous feeling of pressure behind my eyes. The nurse took the BP on my left which seemed more acceptable to her at 185/110. Nothing was done, doctors were afraid to give me anything because of my lower admission BP and so my BP was checked again in 2 hours ( the nurse forgot but I reminded her) and then I was discharged with a BP of 155/89 and a note for my local doctor to consider adding a calcium channel blocker. The local doctor refused this suggestion saying that my BP would drop severely, and as I aready experience periods of hypotention, adding a CCB could make things worse.
So where do I as a patient stand in this medical dilema where the efficacy of the drugs I am currently taking is questionable and doctors are not prepared to titrate up again or add a third medication?f