We launched a column on our blog to address questions and issues raised by our clients that seeks medical solution in the Keek’s Pharmacy. We hope you find solution through the questions and response we provide.
I have been a diagnosed hypertensive for one year now. I am on two blood pressure medications but still my blood pressure records up to 140/95 sometimes. I am confused, why is this happening?
When it comes to the management of chronic conditions, we also counsel the patient to remember that the management of these conditions are lifelong. This does not necessarily that you need to take medications for the rest of your life. But whatever it is that you do to control your condition, be it imbibing a strict balanced healthy lifestyle, using medication or a combination of the two, it must be done for the rest of your life.
There are so many reasons that a diagnosed hypertensive person on medication might still have uncontrolled hypertension. Some of them are:
- Failure to take your medication as prescribed (non-compliance). This could involve you missing doses, not following the recommended timing of the medication etc.
- Sustaining unhealthy lifestyle habits such as drinking, smoking, poor stress management, inadequate sleeping habits, poor diet, inadequate physical activity etc. These activities could put you at risk of elevated blood pressure.
- Becoming hopeless, frustrated and tensed with treatment. People with this attitude towards their treatment show less control with their blood pressure management. (ncbi.nlm.nih.gov/pubmed/12699136)
- You could be experience “white coat effect”. Some people show elevated blood pressure when in a clinical setting than when they take the values themselves at home. This could be due to the tension they feel being in such an environment.
- Drug related causes: Some drugs are known to elevate blood pressure leading to poor control. Some of those medications are NSAIDS (Diclofenac, Ibuprofen etc.), this class of drugs are also known to blunt the effect of certain antihypertensive medications over time.
- Secondary causes: The presence of other underlining medical conditions such as kidney problems, sleep apnoea, hormonal imbalance, diabetes etc. could lead to an elevated blood pressure.
- Improper practice in the measurement of your blood pressure. The medical personnel checking your blood pressure may not be adhering to the recommendations in checking blood pressure.
Here what you need to do:
- Ensure to follow your medication as prescribed
- Meet with a health and wellness counsellor to advice you on lifestyle changes to help manage your condition.
- Try checking your blood pressure at home and note if there is any difference.
- Discontinue medications that may elevate your blood pressure.
- Undergo further medical evaluation to detect any underlying medical condition that may elevate your pressure.