Unstable blood pressure what to do?

Question
Hi doctor,
I have a history of high blood pressure. 4 months ago, my blood pressure was at 20-21, had to be monitored for acute myocardial infarction, stayed at the hospital for treatment for 2 weeks, and returned home, I have been following oral medication until now, having low blood pressure in the morning, glomerulonephritis. high pressure. I have medication adjustments. Currently, my blood pressure is low, about 108/60, sometimes down to 97/55 without taking the medicine. People are often dizzy, tired. So the doctor asked me if my blood pressure is not stable, what should I do? When my blood pressure is low, should I stop taking the medicine or reduce the dose? I thank the doctor.
Anonymous customer
Answer
Answered by resident doctor, Specialist I Le Duc Hiep - Cardiology Center, Vinmec Times City International Hospital.
Hello,
With the question “Unstable blood pressure, what to do? ", the doctor would like to answer as follows:
With symptoms of dizziness, fatigue accompanied by blood pressure recorded 97/55mmHg is completely abnormal. Your doctor will review your symptoms and blood pressure based on your medical history and the blood pressure medication you're taking.
First, the doctor wants to know: What is your current blood pressure prescription (drug name, dose). Besides, the doctor wants to know the exact diagnosis of his disease (in addition to the diagnosis of hypertension, there are other comorbidities: For example: Chronic coronary artery disease, lipid metabolism disorders, diabetes, etc.). ...).
Problem
2, the doctor wants to know if you have had dizziness or treated for vestibular disease before. 4 months ago (before the time of detecting and treating hypertension), did you ever have symptoms of dizziness, vertigo,...
In short, the doctor needs more specific information, thereby giving solutions to adjust the dose of blood pressure medication being used, whether or not to add drugs to treat symptoms of dizziness and fatigue. An important issue is to advise the doctor to monitor and control blood pressure to achieve target blood pressure and improve accompanying symptoms. Therefore, you need to see a doctor as soon as possible for proper advice and treatment.
During the COVID-19 epidemic, doctors have a solution for many patients: Set up a Vinmec call center schedule and book a remote examination. The doctor will contact, examine and consult online, thereby offering the optimal solution during the online consultation.
If you still have questions about unstable blood pressure, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!