Concluded Case

Resistant Hypertension

70 yr old male known diabetic ,htn , hypothyroidism recently had stroke ... Now his BP is persistently high( 160/70,170/ 70) ,sugar under control.. Kindly advise me further treatment plan? I want to add tab arkamine next? CT abdomen showed mild perinephric fat stranding ,cyst in the liver ..rest ok.. Creatinine 1.6 .. Htn medication he is taking Tab Telma 40 mg once daily morning Tab Telma CT once daily evening Tab Cilacar 20 mg BD Tab Minipress XL 5 mg twice daily Tab metolar xr 12.5 mg afternoon once daily

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I have added chlorthalidone and replaced cilacar with nicardia..still not controlled.. have asked for renal Doppler.. waiting for the report.
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How about his electrolytes. If his serum k is high ARB may have to be stopped. He has systolic hypertension .u can hold chlorthalidone and start indepamide 5 mg..( NITRILAM 5).it helps in reducing systolic bp
Potassium is ok.. Yes he is having Isolated systolic hypertension..he is taking Telma CT since last 3 days only..I assume both chlorthalidone and indapamide good for systolic.
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I have added chlorthalidone and replaced cilacar with nicardia..still not controlled.. have asked for renal Doppler.. waiting for the report.
Any renal artery pathology causing resistant systolic hpt
No
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