Pre-existing BP will not go down

[eva]

I am 36 and would like to try for our first baby. I was on Enalapril from the age of about 24 without problems but a year ago i changed to medication that would be safe to take in pregnancy. I was on Nifedipine for a few months(did not work and bad side effects), and am now on Methyldopa 3,000mg and Lebtetalol 400mg. My BP was 138/92 yesterday which is the best yet since coming of Enalapril. My GP said she thinks that I can try to get pregnant but I am worried that if my BP is already high, it is unsafe. I will be increasing to 600mg today and will go back to the GP in 6 weeks. We have been increasing my drugs/doses every 6 weeks or so I am wondering what we can try if it does not work? I would really appreciate your advice as I don't know what to do. My BMI is 24 but used to be 22 18 months ago.

[expert on call]

I would be very concerned about your becoming pregnant given that your blood pressure remains borderline high and you require fairly high doses of two medications. You might want a thorough evaluation by someone specializing in hypertension and then to have these results reviewed by a specialist in Maternal-Fetal medicine. In your favor is an excellent BMI, but your current blood pressure status has me concerned.

Good luck.

Expert on Call

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