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My DH has been diagnosed with very bad hypertension. His blood pressure is 157/85. But the doctor said he can't take hypertension pills as they are contraindicated for his other medication, Tegratol Retard for epilepsy.
Does anybody know anything about this please? I would really appreciate some advice.
That's not actually very bad, unless you have typed the number wrong? The top number is a little bit high, but the bottom number is in the normal range and they don't usually medicate until it's over 90. Remember the top number tends to go up and down throughout the course of a day and should have a greater range than the bottom number.
I'm surprised he can't take ANY meds at all. There are a huge range of meds for hypertension.
Is this a one off reading? Doctors wouldn't usually offer medication on the basis of one episode of a higher reading. I think the Nice guidelines suggest that new cases are monitored with a 24 hour machine at home before commencing treatment.
You can buy a good but inexpensive BP machine for doing a few home checks. Even though I am hypertensive and medicated it is reassuring that my home readings are generally much better than surgery ones. That is not to recommend being obsessive and doing it all the time.
Is your dh at risk in other ways? Smoker, drinker or overweight? Family history? Some of these can be self helped and can make a big difference.
Thanks for your answers. The reading came from a machine that he has at work for measuring blood pressure. He is going back to the doctors on Thursday. When I told him what you guys said, he admitted the doctor said he can't take meds for his high cholesterol, not his hypertension.
He is 40, quite a bit overweight (5 ft 9 in and weighs 82 kg), mostly easts shit food and probably drinks too much. Oh, and doesn't exercise.
And no, not all that high as a one off especially. Mine was easily that high consistently before I was put on meds - now been normal range for 5 years on lowest dose of meds possible, though creeping up again. And as I'm the right weight, don't smoke or drink, all I can do is attempt more exercise
Lol mine was 160/91 last week. The doc shrugged and said they'd check it again next month at my annual medical. She did say if I could get a couple if readings at the pharmacy in the interim that would be helpful she definitely didn't reach for the prescription pad. It's a bit high, but nowhere near stroke level! (Although if he us going to stress about it, that might make it worse lol)
Why can't he take meds if it gets worse, anyway?
But as others have said, exercising, losing weight and losing stress will all help.
Not rocket science. And not verging on a heart attack. Just a little reminder that he needs to make some lifestyle changes
We bought a Omron wrist blood pressure monitor thingy from the local chemist (not recommending that particular brand - just happens to be what we bought), and we check family blood pressure regularly with it. V easy to use. Mine was around 170/110 when I was having treatment for cancer, so they bunged me on bp tablets, and told me to do plenty of walking, eat lots of fish, fruit, veg, salad, etc, and stay off as much salt or salty food as possible. Lost a stone. It's now about 130/85. Not perfect but a lot better than it was. So the advice from docs works.
Yes he's exaggerating. Am I right in thinking it was a reading done by him not a HCP? If so that is not diagnostic, the electronic machines are notorious for inaccuracy, the position you have your arm in and how tense your muscles are can all make a difference to the result.