Posted by Jedi on December 24, 2005, at 5:55:26
In reply to Re: My first Hypertensive Crisis-I'm and Idiot! » Tom Twilight, posted by gardenergirl on December 19, 2005, at 17:56:39
> I'm sorry you went through that. I know the mild hypertensive episode I had was very painful indeed.
>
> My pdoc and GP both have never mentioned nifidipine. I should ask next time.
>
> ggHi gg,
When I first took Nardil years ago, the PDOC prescribed nifedipine too carry. Most doctors now don't prescribe it because of the dangers of hypotension. The effects of the nifedipine are longer lasting than the hypertension and can be very dangerous to the heart and other organs. I once spent a night in the hospital on IV fluids after nifedipine lowered my BP to quickly and caused dangerous hypotension.
Jedihttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15157059&query_hl=4&itool=pubmed_DocSum
Rev Med Brux. 2004 Apr;25(2):73-8.
[Hypertensive crisis: when and how to treat?]
[Article in French]
Leeman M.
Hopital Erasme, Service de Medecine Interne et Clinique d'Hypertension Arterielle, ULB, Bruxelles.A hypertensive emergency is a situation in which uncontrolled hypertension is associated with acute end-organ damage, such as aortic dissection, pulmonary edema, acute coronary syndromes, cerebral infarction or hemorrhage, hypertensive encephalopathy, acute renal failure and eclampsia. With the exception of stroke, blood pressure must be reduced quickly, usually by using intravenous antihypertensive agents. Blood pressure reduction should be gradual while maintaining organ perfusion, which may be easily compromised in elderly and chronically hypertensive patients. In the absence of new or worsening end-organ injury, the indication of immediate therapy should be carefully evaluated. If indicated, the use of an orally long-acting antihypertensive agent is preferred to avoid an acute and unpredictable fall in blood pressure. In particular, the use of short-acting nifedipine should be condemned.
poster:Jedi
thread:590421
URL: http://www.dr-bob.org/babble/20051221/msgs/591815.html