Hello,
Thank you for your query at DoctorSpring.com
I have gone through your moms case file, i would like to know whether she has done EKG, ECHO-CARDIOGRAM , because the symptoms you have described suggest me of decreased cardiac function and at the age of 80 ,i would be comfortable to maintain with systolic blood pressure of 140 to 150 mm of Hg.
Unless the blood pressure suddenly shoots up , i wouldn't prefer tab clonidine .In your discussion you have mentioned that you giving tab lisinopril 20 mg at 2 pm and again at 8 pm, as a result you causing the blood pressure to fall more at night and increase at morning.Instead i would suggest to give 20 mg of lisinopril at 7 am and 7 pm respectively.
I would like to review her with EKG, ECHO-CARDIOGRAM and renal function tests which consists of B.Urea ,S.Creatinine and S.Electrolytes.
Regards
Dr Satish