What is the best course of action for a patient with uncontrolled hypertension and hypothyroidism, currently on 112mg of levothyroxine with a TSH level of 39 and 10mg of Lisinopril, who has experienced a recent increase in blood pressure after an initial improvement?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: January 11, 2026View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

Can missing a dose of levothyroxine (thyroid hormone replacement medication) increase systolic blood pressure?
Can increasing Synthroid (levothyroxine) by 20 mcg cause tachycardia and hypertension in a patient with previously elevated T4 and normal TSH (thyroid-stimulating hormone) levels?
Will a patient with hypothyroidism (underactive thyroid) and a history of hypertension (high blood pressure) who is taking thyroxin (levothyroxine) replacement therapy develop hypertension if they omit their medication for 2 weeks?
What is the recommended treatment for an 11-year-old obese male with hypothyroidism, characterized by an elevated Thyroid-Stimulating Hormone (TSH) level and low Free Thyroxine (FT4) level?
Is 13 micrograms (MCG) of levothyroxine a suitable dose for hypothyroidism treatment?
What is the approach to managing a patient with Hypertrophic Obstructive Cardiomyopathy (HOCM)?
How to calculate the volume of pericardial effusion in a patient undergoing transesophageal echocardiography (TEE) with suspected cardiac tamponade?
What are the considerations for using ertapenem (a carbapenem antibiotic) in a female patient of childbearing age with a bacterial infection in early pregnancy?
Is Remeron (Mirtazapine) 15 mg every night (QHS) and Trazodone as needed (PRN) safe for an elderly patient?
What is pulmonary sequestration in a fetus?
What is the safest nonsteroidal anti-inflammatory drug (NSAID) for pain management in elderly patients with impaired renal function and a history of cardiovascular disease?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.