IMPORTANT POINTS: How to start Step 1 of Treatment Treatment: Patient age < 55 start ACE inhibitor Patient Age >55 or Afrocaribean Origin Start Calcium Channel Blocker Step 2 of Treatment If not controlled with the above drug Then give both CCB and ACEi together Step 3 If still not controlled Add thiazide Diuretic to the above acei and CCB combination Chlorthalidone 12.5 to 25mg once daily can be added or Indapamide 1.5mg modified release once daily or 2.5mg once daily Can be used At each step always try to find the cause why is patient not improving causes like non adherence and life style changes.
@MKAG2023 Жыл бұрын
How long to wait before adding another drug?
@rehanahmad7567 Жыл бұрын
❤❤
@Lifegoals4me3 жыл бұрын
Dear Dr. Fazal, Thank you for sharing your knowledge. Your videos are concise and easy to follow. I am a 64-year-old RN that has returned to school to realize the dream of becoming a Family Nurse Practitioner. I know I’m old but I am healthy and have many good years ahead of me. I supported my husband’s career and put my daughter through a PharmD program, now it’s my turn. Again, thank you and I look forward to more of your videos. Many blessings!
@MedNerdDrWaqasFazal3 жыл бұрын
Thank you Sandra... I am very glad to hear that. Wish you success in your efforts. Stay tuned for more videos.
@amandaannis96563 жыл бұрын
Very informative, I’m also going to use this opportunity to recommend Dr IGUDIA on KZbin who cured my type 2 Diabetes with his natural herbs medication
@Dr.Rahul.J.A3 ай бұрын
MAM what you have said is trully an inspiration for me to become an awesome doctor !!!! i was not using my medical school time well and didn't use my entrance exam preparation time well and im forced to earn for myself now by father, as im working in my wards sir's videos and one year internship from a govt. college are helpful for me to treat patients but there was always this regret that , why havent i started learning like this in med school and i would always be in an anxious state of thinking that "is it too late to learn all this", im 25 btw. but you at the age of 64 gave me an inspiration for me.
@sleepcats28962 ай бұрын
👏🏽👏🏽👏🏽
@minhajsahal44672 жыл бұрын
You're the best Doc. Surely your videos are worth dollars💵. But since you have a helping heart you've chosen to help us than doing a business. You're a true hero❤️❤️ Trust me only this video will save so many lives. I respect you Doc. May Allah bless you 🙏
@MedNerdDrWaqasFazal2 жыл бұрын
Ameen.. So kind of you Minhaj Sahal. I am humbled. My videos are and will always be free for everyone. Comments like these always boost up my morale to post more videos for people. With best wishes Dr. Waqas Fazal 😊
@Dr.I.S.Ansari2 жыл бұрын
Can't thank you enough for what u r doing for medical ug students like me ❤️
@salvadormartinezvargas5318 Жыл бұрын
I am a PA student going to clinical and this breakdown on how to treat the difference stages is so easy to understand! Thank you so much!!
@healthawarenessbydr.attiya15632 жыл бұрын
Thanku so much Dr.Waqas for eloborating to dustoff out brains
@majju992 жыл бұрын
U are doing a great job sir. Spreading knowledge and helping clinicians in better management of patients on daily basis
@MedNerdDrWaqasFazal2 жыл бұрын
You are very kind to say that. Keep supporting 😊
@eesaismail71672 жыл бұрын
I must say this is the best channel I have ever visited so far
@MedNerdDrWaqasFazal2 жыл бұрын
Eesa Ismail, I am glad to hear that. 😊
@melakuhailemichael4594Ай бұрын
Dr.Your lectures are very clear ,concise and very helpful,thank you in advance!!!
@tamilshortfilm6070 Жыл бұрын
Thanks for wonderful lectures about HTN
@pawanchourasia4663 Жыл бұрын
Sir sometimes I have seen that only diastolic pressure is elevated, then what type of hypertensive drug I can recommend to my patient, Your channel is really very much fruitful for us because every time it is not possible to go through the books, your video in short clarify all the issues , thank you for your valuable information sir
@handeercel69662 жыл бұрын
MashAllah Allah swt has blessed you with knowledge.Please keep making videos ❤
@MedNerdDrWaqasFazal2 жыл бұрын
So kind of you. 😊
@abdulkadirokeji48124 ай бұрын
How lucky I am to have come across this video, thanks Doc
@goodlife17312 жыл бұрын
Excellent explainer mashallah.
@hamadkhan4162 жыл бұрын
sir we are waiting for the history taking techniques series , good history presentation and sir kindly can you mention the dosage as it will help us to grasp much more..keep on coming such amazing lectures
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you Hamad. I am sorry for being late on that. I am having a very busy schedule these days. I am trying to post more videos.
@ehteshamkaunaine74172 жыл бұрын
@@MedNerdDrWaqasFazal Please do that sir, it will help us a lot.
@FamilyHealth684 ай бұрын
Very nice talk on Hypertension 👍
@chandansarkar69532 жыл бұрын
Sir you shouldn't stop making such wonderful videos.
@MedNerdDrWaqasFazal2 жыл бұрын
I will not, till people like you keep supporting me. 😊
@sabafatima67673 ай бұрын
Excellent most concise easily retainable videos❤
@Doctor_sahab_views Жыл бұрын
Your explanation is amazing sir thanks for this amazing work
@sehattaazgi4483 жыл бұрын
Amazing videos sir Thank you so much for all the time you have devoted to these lectures
@MedNerdDrWaqasFazal3 жыл бұрын
Thank you for your kind words. 😊
@DrBAK Жыл бұрын
Wow what a great lecture On HTN, watched you Vedio and realized this is what i was searching for so many times. Thank you sir keep making Vedios
@waqarhussain61492 жыл бұрын
Please keep doing this!!! Prayers with u sir..
@pashteen8348 Жыл бұрын
Hats off doc.... Beautifully explained.. Helpful for family medicine practitioner
@najibullahzahid800 Жыл бұрын
Sir my age is 50 year's I have behind sternum now I am what to do.
@najibullahzahid800 Жыл бұрын
Please give me reply thanks.
@drbhaveshpatil87672 жыл бұрын
Sir, very valuable information. Thank you so much. Sir, you didn't mention about ARBs...how and when they should be preferred? In which conditions?
@anilsaxena14212 жыл бұрын
We need more details about each medicine,say metoprolol ,max dose, when to give morn ev etc
@muddasirrashid37452 жыл бұрын
Impressive👍 Allah bless u.... Keep it up ... Gud job Dr.
@khalidzaman54352 жыл бұрын
Great sir..MASHALLAH 🥰🥰
@RxSavvy101 Жыл бұрын
thanks for fruitful information
@callenomwenga2850 Жыл бұрын
Thank you doctor, kindly manage this patient who defaulted for 2 yrs,she has pressure of 241mmhg/112mmhg, walking normally,but has bit of headache and dizziness.thanx
@mediina65273 жыл бұрын
U are so talented💗....love from Pakistan🌼🌼
@MedNerdDrWaqasFazal3 жыл бұрын
Thank you Zulekha for such kind words. 😊
@drprakashrao8899 Жыл бұрын
wonderful video
@maduraikalatta5698 Жыл бұрын
Thanks sir your valuable information
@Skyon-1514 күн бұрын
Sir kindly 1 lecture on. Opd based treatment on lipid management. And. Antibiotics in different condition
@Ashok-k6m5n Жыл бұрын
Simple and nice presentation sir
@MS-bk3hk3 жыл бұрын
Exellent Exellent lectures , Sir. More power to you❤
@MS-bk3hk3 жыл бұрын
Sir , whats the effect of age factor on BP values and their management methods ?
@davinderkbhangal62572 жыл бұрын
Excellent job
@kalyanofficial8636Ай бұрын
Nice video sir. Very useful for me. Thank you sir 🙏
@Sgtnathenhale3 жыл бұрын
Good review and up to date information
@MedNerdDrWaqasFazal3 жыл бұрын
Thank you Dr. Kamal! 😊
@maheshkhanna16002 жыл бұрын
Great 👌
@aqsakhan92743 жыл бұрын
finally you uploaded some content..keep it up bro
@pullaiahcreatechannelbcm5447 Жыл бұрын
Good , simple and useful
@hayelomgidey8161 Жыл бұрын
You are the best doc thank you
@rafiqurrahman63832 жыл бұрын
Sir please make a video on step-by-step management of hypothyroidism/hyperthyroidism
@MedNerdDrWaqasFazal2 жыл бұрын
Sure, Rafiqur Rahman. I will. 😊
@drdeepshikhagupta20882 жыл бұрын
Sir plz upload treatment guidlines for isolated systolic and diastolic hypertension
@fatimarezai5644 Жыл бұрын
sir thank you so much if you can give gyne lectures of pre eclampsia GDM and some more conditions would highly appreciate ❤❤
@kunalthaf7602 жыл бұрын
جزاك الله خيرا
@domnicebalu1342 жыл бұрын
Thanks so much Dr I have understood very well
@bharathnaren1714Ай бұрын
Optimal treatment for a ESRD patient with HTN??
@DrRoton-ln5br2 жыл бұрын
Nice presentation obviously! Your all presentations are precious. Please more videos about important all diseases of all subbranch of Medicine.
@josephmartin82933 жыл бұрын
Nice sir
@prinkakumari44963 жыл бұрын
Sir Excellent,on cardiac lecture,pul.Embolism and pul.hypertention need to give us.
@MedNerdDrWaqasFazal3 жыл бұрын
Thank you Dr. Kumar. I already have made videos on many topics that you just mentioned you can check them out on my channel. 😊
@naziaumar31692 жыл бұрын
Good👍👍👍
@Dr.ArslanMannzoor2 жыл бұрын
Love you sir ,hatts off 💯
@drsaranyaashok85462 жыл бұрын
Could you please explain the use of lasix in hypertensive emergency and urgency ? And is this right practice to use in all emergencies?
@amoghavarshanrupatunga19142 жыл бұрын
Which do you think is better? ACEi or ARBs ? Why Calcium Channel Blockers are preffered over ACEi/ ARB in ELDERLY ?
@dr.shaukatali55622 жыл бұрын
All are Very nice videos We need a one lecture series of more details and that should be more than one hour.. It should be more practical and self assessment
@MedNerdDrWaqasFazal2 жыл бұрын
Sure Dr. Shaukat Ali. I will post a detailed video. 😊
@rmu1486 Жыл бұрын
When to use sympatholytics like atenolol 2.5mg for treatment??
@t.m55212 жыл бұрын
Sr.. the discussion is great . But I needs to know what is your sources?!.
@bilalmushtaq38103 жыл бұрын
Great teacher
@MedNerdDrWaqasFazal3 жыл бұрын
Thank you Bilal Mushtaq for your kind words. 😊
@catherinecarter76009 ай бұрын
Thank you so much. Very very helpful.
@phbidyarani540117 күн бұрын
But sir ace inh not easily available in market . Mostly found is ARB. Can we give arb in co morbid pt
@m_degozaruhouse1735 Жыл бұрын
Thank you. Your videos are great.
@JawairiaGul-s1vАй бұрын
Plz make video on hypernatremia correction
@mdhasankhan44882 жыл бұрын
Sir please make a video about AMS(acute mountain sickness) and briefing the HAPE and HACE and how to treat it?
@MedNerdDrWaqasFazal2 жыл бұрын
Sure MD hasan Khan... Keep supporting 😊
@badaavsk Жыл бұрын
Sir, my mother is taking atenelol 50mg since 5 years and present she is doing fine. She was given beta blockers because she complained of palpitations. Now is there necessity to change into other first line drugs or continue medication for rest of her life?
@arsenaldream21562 жыл бұрын
Hi Dr Waqas, I hope you are doing well. In regarding of deciding to starting patient on antihypertensive medication Should the patient be started on monotherapy or dual therapy? And for example patient blood pressure been noted to be 170/100 And last visit was 159/87
@assadollahsiam3483 Жыл бұрын
Excellent
@drpoojabharadwaj11 ай бұрын
Great video
@drintikhabkhan9266 Жыл бұрын
Make a lecture on hypotension and emergency treatment
@manusharma90933 жыл бұрын
Very nice sir.Thanks
@MedNerdDrWaqasFazal3 жыл бұрын
Thanks Manu Sharma 😊
@sanimishra4016 Жыл бұрын
Sir plz made a video on throxine dosage dosage according to tsh
@salindadissanayake5828 Жыл бұрын
Great explaination sir...!
@communityhealth50032 жыл бұрын
Nicely explained...
@philliphelmbright4833 Жыл бұрын
Strong work, Doctor!
@prinkakumari44963 жыл бұрын
Also give us on others topics
@a1234-r4m2 жыл бұрын
hello can you make a video about neurotoxin management or drug overdose.Your videos are extremely helpful!
@hamzasiraj47643 жыл бұрын
Ads on video.... First time👌
@muhammadnaushad395511 ай бұрын
Sir plz murmurs per detail vadio bnaw plzzzzzzzzz sir g....u best explaining so plz detail vedios bnaw js trah ECG per bnaya hein.... Mechanism Cause Actual voice and so on.....
@prabhanshumudgal58973 жыл бұрын
Thanks you so much sir )) keep making videos like this
@MedNerdDrWaqasFazal3 жыл бұрын
Thank you Prabhanshu Mudgal. Stay tuned for more videos on hypertension series. 😊
@rafiabilal29832 жыл бұрын
sir, if patient has hypothyroidism and is taking levothyroxine 100 microgram OD , and is hypertensive , what should be drug of choice ?
@shamimahmed49519 ай бұрын
Sir in which patient we can use ARBs
@rayhanalam6605 Жыл бұрын
Awesome
@starkstouch4 ай бұрын
Thank you Doc!!
@irfand43 жыл бұрын
Thank you for the enlightening tutorial. Why have you left out the ARB's ?
@MedNerdDrWaqasFazal3 жыл бұрын
Thank you Irfand4. I have talked about ARB'S in my video on "Drugs for hypertension"
@irfand43 жыл бұрын
@@MedNerdDrWaqasFazal @5:56 I meant to ask vis a vis Starting Medications of HTN since you have not mentioned ARBs. Aren’t ARBs considered superior to ACE Inhibitors? Any particular reason ARBs are not mentioned.
@MedNerdDrWaqasFazal3 жыл бұрын
ARB'S are preferred in cases where patients get chronic dry cough due to ACEi use. In practice, you are very right, ARB'S are preferred drugs.
@irfand43 жыл бұрын
@@MedNerdDrWaqasFazal thank you for your prompt and enlightening reply Dr Waqas. Best wishes.
@maryannmd83312 жыл бұрын
@@MedNerdDrWaqasFazal you are an amazing doctor. You really care about what people are asking here. Thank you for all your videos and work.
@RAKESHGUPTA-bp9ed2 жыл бұрын
Sir please tell me management of epistaxis due to malignent hypertension
@bilalmushtaq38103 жыл бұрын
Pulmonary hypertension please?
@lorainmaryjose64943 жыл бұрын
Thank u so much sir 🙏🏻
@munoabdikarin252 Жыл бұрын
thanks you How you help me Emergency medicine
@aquibpatel35372 жыл бұрын
This is soo much helpful ❤️
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you Aquib Patel. 😊
@aquibpatel35372 жыл бұрын
@@MedNerdDrWaqasFazal can u make more such videos on different diseases??
@muhammadsajjad-xd9ff Жыл бұрын
Love you cute smilesh doctor❤
@bdulsalamshaikh97312 жыл бұрын
Sir how to calculate dosage of drugs in patients??
@izaaa872 Жыл бұрын
Does anyone know how long Bp meditation is giving side effects. I’m taking medication last 7 weeks and I have side effects.
@gflbgjnvdh37663 жыл бұрын
thank you sir.
@berkinishalemu8122 жыл бұрын
Best, but very short
@balasudhakar80552 жыл бұрын
Sir plz done burns video
@MedWayDrAsimAbbas3 жыл бұрын
Thank you so much dr
@narravullavamsikrishna4959 Жыл бұрын
Sir, I am 32 years old and have a persistent headache, ear pain, and left hand shoulder pain. My blood pressure is 140/90. Which doctor should I see?
@MKAG2023 Жыл бұрын
First see any general practitioner, based on history nd physical examination he/she ll refer you to appropriate department(s). Hope this may help.
@ambinicole5159 Жыл бұрын
My BF is 31. Has htn. Good shape eats healthy. He went to the ER three times during a weekend bp 183/114. They said oh yeah African Americans tend to get hypertension, here’s 5mg of amlodipine. That’ll do it… no prescription nothing. He was dizzy, severe headache the whole nine that was on Saturday morning, Saturday afternoon back in the ER gave 5 mg of amlodipine, this time gave 6 pills to take home. Sunday afternoon back in the ER only a few hours after taking amlodipine. I asked if they can give him an ace inhibitor. The doc said it takes a week or so for the amlodipine to work but stop taking your bp for a few days I think you’re just getting working up. I hate it here!
@46erbfume9 ай бұрын
Hope everything worked out. Fod you go to regular family doctor for check up. Cut down on smoking drinking if he does
@muddasirrashid37452 жыл бұрын
At which range of bp we can take injection Furesimide