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Talk to Gynecologist on High Blood Pressure

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Asking for Self Female 27 , Islamabad

I had pregnancy induced hypertension, was taking aldomet for it on Dr's advice. It's been 3 weeks since I have delivered now but my blood pressure is still high. My gynecologist asked me to take labetalol for a week and see if the issue resolves but it didn't. BP was 150/110 on the last reading.

Gynecologist in Lahore - Dr. Romana Amir

Dr. Romana Amir - Gynecologist

MBBS, FCPS | Lahore

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286 Positive Reviews

salaam. first increase methyldopa 500mg 4times and labetalol 5mg twice a day. have urinary protien.


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Dietitian / Nutritionist in Islamabad - S. Mahnoor Zahra
S. Mahnoor Zahra - Dietitian / Nutritionist

BS (Environmental Sciences) | Islamabad | Book Appointment


Thank you but I have a history of PPD so I was advised not to take methyldopa after delivery as it poses an increased risk.

2 years ago

Internal Medicine Specialist in Karachi - Dr. Ayesha Khalil

Ok
so pregnancy realted high BP can last till 6 weeks after delivery.
if it continues high after 6 weeks, it is then high blood pressure, regardless of pregnancy.
aldomet is preferred during pregnancy, but AFTER DELIVERY, without pregnancy, IT IS NOT GIVEN as it has more side effects.
As you have now delivered, your choices are no longer restricted to only aldomet or labetalol.
I suggest you should start Tab. Norvasc (amlodipine) 10mg every day after breakfast and Tab. Nebil (nebivolol) 5mg .
please if you ask for advice via msg, FOLLOW ONLY one doctor's advice: DO NOT MIX advice from different docs as then you could be taking dangerous combinations of medicines.
Your BP needs to be checked once a day and follow up advice taken after 1 week with you past reports of urine DR, serum creatinine and serum potassium.
for that you should take online appointment by clicking
https://www.marham.pk/doctors/karachi/internal-medicine/dr-ayesha-khalil


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Dietitian / Nutritionist in Islamabad - S. Mahnoor Zahra
S. Mahnoor Zahra - Dietitian / Nutritionist

BS (Environmental Sciences) | Islamabad | Book Appointment


Thank you for such a detailed response. I will follow your advice and book a consultation after a week. JazakaAllah

2 years ago

Dietitian / Nutritionist in Islamabad - S. Mahnoor Zahra
S. Mahnoor Zahra - Dietitian / Nutritionist

BS (Environmental Sciences) | Islamabad | Book Appointment


Can you please let me know if these medicines are safe while breastfeeding?

2 years ago

Internal Medicine Specialist in Karachi - Dr. Ayesha Khalil

you're welcome.
and you are right, methyldopa SHOULD NEVER be taken EXCEPT DURING PREGNANCY , as it can cause severe liver damage.


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Internal Medicine Specialist in Karachi - Dr. Ayesha Khalil

yes
NORVASC(amlodipine)
& NEBIL (nebivolol)
can be taken by breast feeding mother


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