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Confused about Hypertension

by roni_b, May 06, 2008 10:56AM
At my recent physical, my doctor took my blood pressure while I was crying and deemed it high and prescribed me medication for it. This was surprising to me as it normally is around 115/75 to 125/85 except that day when we took my pressure while I was crying it was 161-92. I've been monitoring it since that time (I haven't started the pills yet) and my blood pressure still remains around 115/75 to 125/85 with the a slight increase immediately after exertion (up to 143/85). Is it accurate to read a person's blood pressure when they are obviously emotionally upset and base your medical opinion on that reading? Will taking the pills (hydrochlorothiazide 25mg) cause my bp to drop too much?
Member Comments

by kenkeith, May 06, 2008 12:31PM
To: roni
One bp reading should not be the basis for bp treatment.  Blood pressure varies throughout the day and night, and emotions can cause a higher bp as the blood vessels constrict as part of the body's defensive mechanism in reaction to fright, apprehension, stress, etc.  From your post your bp is usually normal and to take a bp lowering medication can reduce pressure to the extent you pass out.  The best time to take bp measurement is the first thing in the morning.

by maggiemag, May 06, 2008 03:22PM
The pill that was prescribed is the first line treatment and not a strong drug.  I doubt it would drop your pressure too much.  Nevertheless, you should call your physician and tell them your concerns.  They may still want you to take it.
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