can micardis take longer than advised (4 week) to take fuul effect

[miaomiao138]

I'm a small-sized 72-year old female. I have been on Micardis 20mg for 2 1/2 months. for the 1st 3-4 week it elevated my BP instead of lowering it. Fortunately, in the 5th week I saw the results (mean day reading:115/75). And the morning surges were gone! But in 2 weeks,i experienced
a sudden spike of 148/89. It took a couple of days to return to normal. However, in another 2 weeks there was another spike. And another couple of days to return to normal.

Please explain why this happened. As my night readings are really low (around 95/66), dose increase shouldn't be the solution. Besides, I don't have other chronic diseases. I'm anxious for a clarification of my situation.

Many thanks beforehand!

[miaomiao138]

I am keeping close track of my BP while on the drug. If the pattern persists, I will have my adrenal glands checked.

Thanks so much for the advice!.

[kenkeith]

Have you had malfunctioning of the adrenal glands ruled out?  I am providing a link to a thread that relates specifically to bp spikes, anxiety, etc. http://***.************.com/eve/forums/a/tpc/f/640105472/m/9631017423/p/3

[miaomiao138]

Thanks a lot for your prompt reply to my question. Yes, I suspect anxiety might be the chief reason behind my spikes. So one can still have anxiety related spikes even if he is on regular medication. I hope I've got the gist of the issue. As for hyperthyriodism, I had a test which ruled it out.

[kenkeith]

If you go from a sitting position to standing, the blood pressure will increase, and physical exertion as well.  Anxiety can cause a spike in blood pressure.  Sometimes an increase in blood pressure is not known...and I assume you have excluded smoking, drinking alcohol, etc.

There could be hyperthyriodism.