instruction: hello doctor my father is 65 years old he had a stroke left thalamic ich a few months back but now his blood pressure remains very high which is 10 180 200 presently he is taking prazopress 5 olmesan 40 0 and cardobis 0 please advise
output: hi if there is any acute stressful condition tackle it be will be fine measures to control be blood pressure avoid smoking and other addictions reduce salt intake in diet reduce fatty foods junk foods and saturated fats avoid stress and anxiety do regular moderate intensity exercise such as brisk walk for 30 minutes have proper night sleep at least eight hours a day including at least six hours in the night uninterrupted sleep reduce weight even if weight is within the normal range drink plenty of water do deep breathing exercises and meditation measure be while you are totally relaxed sit for five minutes in a quiet room without talking to anyone empty bowel and bladder before checking be avoid tea coffee 30 minutes before checking be sit on the chair with feet on the ground back supported hand supported on a table cuff at the position of heart check the be and repeat it after five minutes again then check the be in the other arm and repeat it after minutes during the entire period remain relax and quiet arm with higher be readings is your exact blood pressure you may take at least two or more readings and the average of readings is your actual be if these measures do not help then switch medicines but before switching have renal function tests and electrolytes done if the tests are normal and you are not allergic to components of the following medicines then take tablet amlodipine or valsartan 10 160 my in the morning or evening time measure be daily as described above for two to three weeks if it normalizes continue the medicine if not reconsult