Every morning at about 4 am I wake up feeling dizzy, I proceed to take my digital
blood pressure reading which is usually 180/110, previous before I fall asleep my
pressure is 96/60 hr 52. I take blood pressure medicine. lisinopril 20 gm and coreg
6.25 twice daily. The doctor cant explain the early morning spke I feel like I might
get a stroke.Its very scary. The Doctor says I should take cllonidine 0.1mg to
drop pressure. This works. what Is happening. Simon says
I think you should talkto your doctor about a 24-hour ambulatory blood pressure cuff to see what is happening with your BP, which is supposed to drop 10 % at night. One possiblity is sleep apnea.You may also ask him about the Coreg CR medication, long acting version, to provide smoother control; or, alternatively, timing the dose of the immediate release by taking one before you retire.
Currently titrating down from clonidine which I had been using for BP spiking during waking hours, with highs of 210/105. I would not recommend it. Clonidine is a tough med to use and may only worsen the wide swings in SBP that you already have (100 mmHg systolic). From personal experience, I know such swings are hard on your body.
I think you should talkto your doctor about a 24-hour ambulatory blood pressure cuff to see what is happening with your BP, which is supposed to drop 10 % at night. One possiblity is sleep apnea.You may also ask him about the Coreg CR medication, long acting version, to provide smoother control; or, alternatively, timing the dose of the immediate release by taking one before you retire.
Currently titrating down from clonidine which I had been using for BP spiking during waking hours, with highs of 210/105. I would not recommend it: Clonidine is a tough med to use and may only worsen the wide swings in SBP that you already have (100 mmHg systolic). From personal experience, I know such swings are hard on your body.
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Simon I suggest your spikes may be due to sleep apnia. It's interesting that your earlier BP is so very low, yet something triggers this rise and a breathing fright is the most likely.
In passing, I have recently removed regular Micardis for blood pressure treatment and regularized a 12.5mg dose of Hydrochlorothiazide for its obviously better results.