low diastolic under meds

[esteem]

Hello, I’ve had high blood pressure since I’ve been a teen quite stable at 160/80 I’m now 27 years old and have been on medication for 2 years now… I started with avopro 150mg I went down to about 145/70, then they changed my medication to avalide 300/12.5mg this changed nothing… now I have started to take norvasc 5mg on top of avalide my blood pressure has changed a little but mostly in my diastolic number on avg now 145-135/60-50… is this good that my diastolic keep going down with the medication however my top number doesn’t seem to go down very much? I also get the feeling that my doctor doesn’t seem 2 care much.. since its been two years now.. and its still not right??

[kenkeith]

QUOTE esteem: "is this good that my diastolic keep going down with the medication however my top number doesn’t seem to go down very much? I also get the feeling that my doctor doesn’t seem 2 care much.. since its been two years now.. and its still not right??"

What I see as possibly significant is pulse pressure and possibly a start to dx..  Pulse pressure is the difference between systole and diastole and normal is about 40 mg. If the usual resting pulse pressure is consistently greater than 40 mmHg, e.g. 60 or 80 mmHg, the most likely basis is stiffness of the major arteries (your age can probably rule that out), aortic regurgitation (a leak in the aortic valve), arteriovenous malformation (an extra path for blood to travel from a high pressure artery to a low pressure vein without the gradient of a capillary bed), hyperthyroidism (blood test can rule out) or some combination.

More likely for your high pulse pressure (75, 85, 80) is your medication. While some drugs for hypertension have the side effect of increasing resting pulse pressure irreversibly, other hypertension drugs, such as ACE Inhibitors, have been shown to lower pulse pressure....significant regardless of the cause is a high resting pulse pressure is harmful and tends to accelerate the normal aging of body organs, particularly the heart, the brain and kidneys.

A high pulse pressure combined with bradycardia (pulse below 60 bpm at rest) is associated with increased intracranial pressure and should be reported to a physician immediately.

[esteem]

they checked my kidneys with an echo machine said they looked very good... they also checked my blood.. quite a few electrocardiogram ...xrays.. they said everything was fine.. should i ask for more tests?
Thanks

[mammo]

Have they ruled out other issues that may be causing your high BP, like kidney function?  You're very young to have hypertension, I think they need to rule out any other health problems, before just putting a "band-aid" on your symptom.  BP is normally easily controlled on medication, when it isn't it's because there is something else going on.