### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I started taking lisinopril 10 mg in dec in jan  my bp was 190 /110 we switched to 20 mg and i began dash diet, lost weight [15 ibs so far]   it went down to 150/100 my pcp seems to think all is okay. the walkin clinic md who I saw for another ailment wants to be more agressive-switched me to 50 mg losartran on feb 25 bp not going down any further. what now?

### output:

Hello, No worries, 25 mg is a low dose and usual dose of Losartan is 50 to 100 mg. So you try on 50 mg and if not responding it can be increased to 75 and then to 100. There are number of medicine which are available for this can be added if needed in the future.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then your medicine needs to be hiked up. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.  Hope this helps you and get back if you have any doubts.