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How to maintain normal diastolic blood pressure?

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Patient's Query

Hello doctor,

My blood pressure runs at about 135/70 mm of Hg and drops to about 125/60 mm of Hg when I wake from sleep at night. I am on Candesartan 32 mg and Reaptan (Arginine plus Amlodipine) for blood pressure. I also take Duodart for prostate issues which contains the alpha-blocker Tamsulosin. I am concerned that my diastolic pressure gets too low, particularly when sleeping. This has been going on for few months. My blood tests are normal including the thyroid tests. If I had to drop one of my blood pressure tablets which one will increase my diastolic reading to maintain the good systolic blood pressure?

Answered by Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Thanks for your query.

You take Reaptan (Perindopril Arginine and Amlodipine). It is completely contraindicated to take both Perindopril and Candesartan at the same time. I strongly suggest that you stop Candesartan. Tamsulosin is good for both your prostate and blood pressure. Also, it is advisable to take Reaptan in the morning and Tamsulosin in the evening.

Medically reviewed by Dr. K. Shobana
Published At March 14, 2018
Reviewed At August 25, 2025

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

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