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High Blood Pressure

Three medications for HBP

06/26/2006

Question:

I am taking an Calcium Channel Block and ACE Inhibitor for high blood pressure. Last time I went to the doctor to get it checked it was 140/96. My doctor said that if my blood pressure was up next time that he was going to give me a new medication. What is usualy added to CCB and ACE Inhibitors?

Answer:

The combination of ACE inhibitor and calcium channel blocker is effective and usually well tolerated.  In most cases, the best drug to add is a diuretic, like hydrochlorothiazide or chlorthalidone.

Even a low dose of hydrochlorothiazide (12.5 mg or 25 mg a day) or chlorthalidone (12.5 mg or 25 mg a day), can lower blood pressure very well, especially when added to other medications.  This combination is so useful that many pills are commercially available that contain both an ACE inhibitor and a low dose diuretic.

For more information:

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Response by:

University of Cincinnati Max C. Reif, MD
Director, Hypertension Section
Division of Nephrology & Hypertension
Department of Internal Medicine
College of Medicine
University of Cincinnati
Max C. Reif, MD