It is not hypertension until it reaches 140. But 133 is considered per-hypertensive.
It is certain something that needs to be looked at, specially at his age.
First of all I don't know where that reading came from. To officially to diagnose hypertension it has to be high at 3 different office visits. There are a number of things that can cause short term high blood pressure.
But he should get a checkup at the doctors to see if there is some condition causing high blood pressure.
And if not a discussion on lifestyle changes such diet, exercise, weight loss if needed, and stress reduction.View Thread
Ramipril is just one of the several ACEinhibitor class of BP meds.
For those that can't tolerate ACEinhibitors there are ADR class of meds.
And then there are other classes of BP meds such as Calcium Channel Blockers and Diuretics. And several others.
First of all take at least one of your BP meds (except diuretics) at bedtime. For most people that give better BP control. And if you have comfortable side effects after taking the meds they will be when you sleep.
Talk with your pharmacist about the side effects. They are the specialist. And see what they recommend.
If you are still having a problem talk to your doctor about switching BP meds.View Thread
First it is best to get your own BP machine and you will have a better idea of what affects your BP.
Many people are not that sensitive to salt if you have simple high blood pressure. People with CHF, kidney disease, and others do need to religiously watch their sodium intake.
And studies have indicated that rather than important than absolute amount of sodium ratio to potassium intake.
Most sodium comes from prepared and processed foods. If you replace those with fresh fruits and veggies in most cases you will reduce your sodium intake and increase your potassium enough that even salt sensitive people can often use moderate amounts of salt in home cooking.
That said there two different kinds of "salt substitutes".
The first type does is not a salt substitute, but rather than a flavor booster. There are a number of different Mrs Dash blends. And there are a number of other spices and blends that can be used.
For things like cooked veggies and stews I like curry power and chile powder. If you use a little amount it you can boost the flavor so that it is not too spicy.
The other is a salty taste replacement. Those usually contain a potassium salt. While this might be different from store to store then are typically in the supplements/health food area and not with the table salt and spices.
Depending on which BP meds that you are on or other medical condition that you have the concentrated potassium can be harmful. Talk to your pharmacist before using them.View Thread