Blood Pressure Management with Kankin: Is It Effective?

The issue with half a 5 mg Kanken tablet?

Hello Doctor, I accidentally discovered that I have high blood pressure, measuring between 140-90.
I initially intended to lower my blood pressure through exercise, but my bad cholesterol is at 160 and total cholesterol at 230.
After measuring my blood pressure continuously for a month, it has mostly been between 135-145, with the lowest readings between 88-99.
Therefore, two weeks ago, I started taking half a tablet of Candesartan (5 mg per tablet).
The doctor prescribed a month's supply, and after taking it for two weeks, I noticed that during the first week, there was only one day when my blood pressure decreased, and then it returned to the levels I had before taking the medication.
In the second week, my blood pressure dropped to between 128-135, with the lower readings ranging from 82-90.
My heart rate was around 78-85 before starting the medication, and after starting, it has decreased to between 70-85.
I would like to ask if this effect is considered poor? It has already been two weeks; should I see the doctor earlier? This past year, I have been feeling emotionally unstable and have bronchial dilation.
Additionally, with the passing of an elderly family member, I have become more anxious and fearful.
Every time I measure my blood pressure, I feel scared that it will be high.
Also, after taking Candesartan, I often feel tired and anxious during the day, but I feel a bit better in the afternoon and evening.
I wonder if this is related to the medication? Will this reaction improve over time? Thank you!

Mrs. Zhang, 50~59 year old female. Ask Date: 2019/10/05

Dr. He Dongjin reply Cardiology

Hello, you are likely experiencing fluctuations in blood pressure due to post-menopausal changes combined with emotional instability, anxiety, and fear.
It may not be necessary to rush into taking antihypertensive medication.
I recommend consulting a psychiatrist for emotional management before monitoring changes in blood pressure.
If you feel fatigued and anxious during the day but better in the afternoon and evening, this could be related to your medication.
You might consider taking it at bedtime.
Changhua Hospital cares about your well-being.

Reply Date: 2019/10/05

More Info

Managing high blood pressure can be a complex process, especially when considering the various factors that can influence blood pressure readings and the effectiveness of medications. In your case, you've been taking Kankin (a medication for hypertension) for two weeks, and while you experienced some initial improvement, your blood pressure has not consistently remained at lower levels.
First, it's important to understand that blood pressure can fluctuate due to a variety of reasons, including stress, anxiety, diet, and physical activity. Your reported blood pressure readings of 135-145 systolic and 88-99 diastolic indicate that you are still in the range of stage 1 hypertension, which is concerning. The fact that you experienced a drop in blood pressure only once during the first week suggests that the medication may not be effectively controlling your hypertension.

Given your emotional state, which has been affected by recent life events, such as the loss of a family member, it's understandable that anxiety could be contributing to your elevated blood pressure. This phenomenon, often referred to as "white coat syndrome," can lead to higher readings when you are anxious about measuring your blood pressure. It's crucial to address both the physical and emotional aspects of your health.
Regarding your question about whether you should see your doctor sooner than planned, it would be wise to consult with your healthcare provider. Two weeks is a reasonable time to evaluate the effectiveness of a new medication, but if you are experiencing side effects such as fatigue and anxiety, or if your blood pressure remains high, it is essential to discuss these issues with your doctor. They may consider adjusting your medication or exploring other treatment options, including lifestyle changes or additional therapies to manage your anxiety.

In terms of the side effects you mentioned—feeling tired and anxious during the day—it is possible that these symptoms could be related to Kankin or the stress you are experiencing. Medications can have different effects on individuals, and it may take some time for your body to adjust. However, if these feelings persist or worsen, it's important to bring them to your doctor's attention.

To enhance your blood pressure management, consider incorporating lifestyle modifications alongside your medication. Regular physical activity, a balanced diet low in sodium and saturated fats, and stress-reduction techniques such as mindfulness or yoga can be beneficial. Additionally, maintaining a healthy weight and avoiding excessive alcohol and tobacco use are crucial steps in managing hypertension.

In summary, while Kankin may be a part of your treatment plan, its effectiveness can vary based on individual circumstances. Given your current situation, it is advisable to reach out to your healthcare provider to discuss your blood pressure readings, medication effects, and emotional well-being. Your health is a priority, and timely communication with your doctor can help you achieve better management of your blood pressure and overall health.

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