Conversation: The conversation between human and AI assistant.
[|Human|] I HAD HIGH BLOOD PRESSURE FOR YEARS. I AM CURRENTLY TAKING 50 MG LOSARTAN 1 PILL IN THE AM AND ONE IN THE PM CARVEDLOL 1 PILL IN THE AM AND ONE PILL IN THE PM ELEQUIS 5MG 2 X A DAY, SYNTHROID 1 75 GG IN THE AM AND 6 WELCHOL PILLS A DAY MY BLOOD PRESSURE IS CURRENTLY 188 OVER 113. MY PULSE IS 87. IS IT OK TO TAKE AN EXTRA LOSARTAN? I AM 77 YEARS OLD
[|AI|]  Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. This is a poorly controlled high blood pressure, if it constantly remains in the figures you provided. I would first recommend you to be put on a 24-hour blood pressure monitor, to determine if these figures are constant. More than increasing the dosage of Losartan, I would recommend you to take it 25 mg x 2 tb/d, to have a greater span of effect throughout the day. My opinion is that this is not enough, however. Therefore, I would suggest adding a hi Chat Doctor.  If the blood pressure continues to be unacceptably high, i.e. more than 140/90 mmHg, then we can try to add amlodipine 5 mg x 1 tb/d to your therapy. I would recommend you make these additions by monitoring your blood pressure. I hope I was helpful with my answer. Take care.