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What is an effective treatment for hypertension in a 60-year-old active male not improving on Losartan?
General Medicine
Question #54066
60 days ago
448

What is an effective treatment for hypertension in a 60-year-old active male not improving on Losartan? - #54066

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Is there an effective treatment for hypertension? I am 60 years old physically active male. For the last 4 years I have been taking Losartan potassium for pre-hypertension per my PCPs advice. I am not getting any better.

How long have you been experiencing high blood pressure?:

- More than 4 years

What is your current blood pressure reading?:

- Hypertension Stage 1 (130-139/80-89)

Have you made any lifestyle changes since starting treatment?:

- Yes, improved diet and exercise

How often do you check your blood pressure?:

- Weekly

Do you experience any symptoms related to your hypertension?:

- No symptoms

What is your typical diet like?:

- Low sodium, balanced diet

Have you discussed your current treatment with your doctor recently?:

- Yes, but no changes were made
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Doctors' responses

●Yes, there are good medicines in Ayurveda for high blood pressure. According to your age, your BP is normal up to 130-135, but if you still want better results, I suggest you some medicines. Take medicines daily for 4 to 5 months without fail. Avoid foods like excessive oil, milk, mutton, chicken, fish. Adopt good habits like regular exercise, yoga, pranayama, and walking for a while. ●Normact tablet 1 tab 3 times a day after food. ●Arjunaarisha- 20 ml with warm water 2 times a day after food. ●Parthadyarishta 20 ml with warm water 2 times a day after food. ●Liposem tablet 2 tab 2 times a day after food. ●For any other issue do personal chat. Thank you.


0 replies

High blood pressure in Ayurveda is seen as an imbalance in Vata-Pitta caused by stress, improper diet, lack of rest, or lifestyle factors. Management focuses on calming the mind and nervous system through daily routine, stress control (yoga, pranayama, meditation), a light and low-salt diet, and supportive herbal formulations. It works best alongside your regular medical treatment, not as a replacement. ----Diagnosis: Essential Hypertension (Vata–Pitta imbalance / Raktavaha srotas dushti) ----Rx 1) Arjuna Tablets 1 tablet BD after food with lukewarm water 2) tab carditab 1 tablet BD after food 3) Mentat Tablets 1 tablet BD after food 4) tab trifla 1 at night —Anupana Lukewarm water after meals —Pathya (Lifestyle Advice) Low salt, easily digestible vegetarian diet Avoid tea/coffee excess, alcohol, smoking Daily walking / light exercise 30–40 min —Pranayama: Anulom Vilom, Bhramari (10–15 min daily) Adequate sleep (6–8 hours) Stress management practices (meditation) —Follow-up BP charting weekly Review after 3–4 weeks or earlier if symptoms change


0 replies

Daily 30–45 min exercise practice pranayama, yoga proper sleep (7–8 hours) Avoid: Oily, fried, fast foods red meat, sugar, bakery items Excess salt Medicine: 1. Punarnavadi kwath tab. - 2-0-2 b/f 2. Normact tab. - 2-0-2 a/f


0 replies

hypertension is understood as a disturbance of Vata and Pitta dosha affecting Raktavaha srotas (circulation system). If not improving on current medicine, it indicates root imbalance is not fully corrected. Focus on Hridaya (heart) and mind calming therapy Rx 1.Arjunarishta– strengthens heart 2. Sarpagandha vati – helps control BP (under supervision) 3.Brahmi vati – reduces stress, calms mind Lifestyle Daily Abhyanga (oil massage) with warm sesame oil Practice Pranayama (Anulom Vilom, Bhramari) Maintain sound sleep and stress control Avoid excess salt, caffeine, anger, and overexertion Important advice: Do not stop Losartan suddenly Combine Ayurveda with regular monitoring


0 replies

Hello, Managing hypertension effectively often requires a multi-pronged approach, especially when a single medication like Losartan isn’t yielding the desired results. Since you are physically active, you already have a strong foundation, but “not getting better” suggests your current regimen needs adjustment. ​ ​In Ayurveda, hypertension is often viewed as Rakta Vata or Siragatha Vata. It involves an imbalance of the Vata and Pitta doshas affecting the blood circulation (Rakta Dhatu). Treatment focuses on calming the nervous system, detoxifying the blood, and strengthening the heart muscles. ​Recommended Ayurveda Medicines ​For a 60-year-old active male, the focus is on maintaining arterial elasticity and reducing stress-induced pressure. 1. ​Cardaspa (Capsule): This is a specialized formulation containing Sarpagandha, which is highly effective for regulating high blood pressure. ​Dose: 1 capsule twice daily after food. 2. ​Arjunarishtam: A fermented tonic that acts as a cardiac tonic, strengthening the heart and improving blood flow. ​Dose: 15 ml to 20 ml mixed with an equal amount of lukewarm water, twice daily after food. 3. ​Ksheerabala 101 (Capsule): Useful if there is a significant Vata element or if you experience associated symptoms like poor sleep or anxiety. ​Dose: 1 capsule once daily, preferably at night with warm milk. ​Hypertension is a serious condition. Do not stop or alter your Losartan dosage without consulting your primary care physician (PCP). Ayurvedic medicines can often be used alongside conventional treatment, but doctor must monitor your blood pressure to prevent it from dropping too low (hypotension) and to check for drug-herb interactions.


0 replies

Hello, If Losartan isn’t improving Bp after 4 years, the issue is usually -Not just salt or exercise -but vascular stiffness stress response+ metabolic factors Your Bp (130-139/80-89)= early stage hypertension (reversible stage) Good news= this stage responds very well to Ayurveda + lifestyle fine tuning Ayurvedic view condition= vata + pitta imbalance in circulation system -vata= vessel stiffness -pitta= pressure, heat -stress= major hidden trigger Treatment goals -relax blood vessels -reduce vascular resistance -calm nervous system -support heart function Internal management 1) Main Bp control -Sarpagandha gulika= 1 tab at night =natural bp regulator very effective 2) Heart + circulation support -Arjunarishtam= 15ml + equal water after meals twice daily =strenthens heart and arteries 3) Stress + nervous system (KEY) -saraswatarishtam= 15ml with warm water at dinner =reduces hidden stress major Bp factor 4) Mild detox + metabolism -Triphala tablets= 2 tabs at night with warm water Diet you are already good= refine it -garlic daily -beetroot juices 3-4 times/week -amla daily if possible Avoid completely -alcohol or strict limit -excess caffeine -packaged foods Lifestyle this is the missing link You are active, but likely missing nervous system relaxation ADD -10-15 min deep breathing dailyy -slow walking not just intense exercise Pranayam very effective -anulom vilom daily 10 min -bhramari= calms B instantly Timeline -2-3 weeks= noticeable Bp stability -6-8 weeks= consistent control Do not stop losartan suddenly Graduall adjustment only with docotr suervision Monitor Bp= 2-3 times/week Why losartan alone didn’t work because Bp is influenced by -stress hormones -vessel stiffness -sleep quality Medicine alone is not complete solution You are in best stage for reversal without heavy medication Add -herbal support + stress control= real improvement Do follow Hope this might be helpful Thank you


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