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Heart Disease (Expert Forum)
Increasing Lotrel strength
Answered by
Cleveland Clinic - Heart
Cleveland - OH
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Increasing Lotrel strength
by Ruthiejb, Nov 02, 2009 05:47PM
Hello, I've been taking Lotrel 5/20 for the past 5 years to control my hypertension. However, based on my latest blood pressure readings, I think I may need a stronger dose. My question is...how does the doctor determine which would be more effective for me: increasing my dose to 5/40 or increasing it to 10/20? Is there a rule of thumb to determine which of the meds in Lotrel should be increased? I thank you for your assistance.
Doctor's Answer
by Cleveland Clinic, Nov 04, 2009 02:06PM
, Nov 04, 2009 02:06PM
It depends mainly on the results of your laboratory studies, as one of the components can affect your kidney function. Also the other component can cause lower extremity edema, and so its dose may be limiting. his the problem with combination medications, as they cannot be independently titrated.
Member Comments (2)
by Ruthiejb, Nov 04, 2009 05:25PM
To: Cleveland Clinic
Thank you for your response. I am concerned about the possibity of ankle swelling with Norvasc, so I will discuss that with my doctor. Thank you again.
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