Ask Dr. Rowena

Photo Dr. Rowena Your questions about high blood pressure answered by a board certified doctor. Browse the categories in the left menu.

Niacin dosage to lower cholesterol

Q: How much niacin should be taken to help lower high cholesterol?

A: You should discuss niacin use with your doctor. How much to use, if any, is usually based on cholesterol levels and co-existing medical problems. For more information about niacin and dosing ranges, click here.

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Vegetarian sources of fish oil

Q: I’m a vegetarian. Is there a vegetarian substitute for fish oil?

A: Vegetarian sources provide ALA (Alpha-Linolenic Acid) which is a different omega 3 fatty acid than the DHA (Docosahexaenoic Acid) and EPA (Eicosapentaenoic Acid) found in fish oil. An easy to find oil that...

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Cod liver oil pills

Q: Are cod liver oil pills the equivalent of the Omega 3 fish oil supplements?

A: Cod liver oil pills are a type of an Omega 3 fish oil supplement. Cod liver oil pills are made from the liver of cod fish. The pills contain a...

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Positive health benefits of fruit, cinnamon

Q: Have you heard of any research that has been done of any benefits of cinnamon (or cinnamon pills), Vitamin E, or certain citrus fruits like oranges and bananas that may help in lowering blood pressure?

A: Current studies are looking at the positive health benefits...

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How to lower pulse pressure

Q: I’m 71 years old and have a high pulse pressure (in the 60s and sometime 70s) which I understand indicates that my arteries are getting stiff. Is there any way to achieve lower pulse pressure?

A: Getting your blood pressure into good control will help...

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Benefits and risks of low dose aspirin

Q: Quite lately, I heard a doctor on Fox news extra indicate that the continued use of low dose aspirin to mitigate cardiovascular risks, has been researched and found to be pose some complications. He advised that the use be discontinued. I had to stop...

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Is high cholesterol really a problem?

Q: All kinds of Cholesterol Pills give me side effects — muscle ache, bone ache, stomach ache, head ache, and my mind gets blurry. I have tried all and cooperate with the doctor, until I can no longer tolerate. From last year to August I...

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The need for multiple meds

Q: Is it normal to be prescribed more than 1 drug for high blood pressure? Here is a list of meds I’m on: bystolic 5 MG, zetia 10 MG, tekturma 150 MG, diovan 320 MG, crestor 20 MG, and nifedicall 60 MG.

A: It can often...

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Best way to manage high blood pressure

Q: When there is no known reason for high blood pressure other than genetic causes, what is the best way to manage high blood pressure?

A: Hypertension for which a cause has not been found is known as primary hypertension or essential hypertension. The best treatment...

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Fluctuating nighttime blood pressure

Q: My BP is around 170/80 at night time (11pm) but reduces to 149/70 in the day-time. I take regular medication including 2x Atenalol 50mg per day. Why does the BP go up at night and not in the day-time?

A: You need to talk to...

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