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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 35 to 59 of 59. Go back in thread:
Posted by jono_in_adelaide on February 3, 2013, at 16:50:59
In reply to Re: Dizzy / weak » schleprock, posted by Phil on February 3, 2013, at 16:22:09
The readings you're getting arnt high enough to give you any symptoms such as headache of diziness, if you are getting symptoms like these, I'd get them checked out, because there mustbe another cause besides your BP
Posted by ChicagoKat on February 3, 2013, at 19:19:46
In reply to Re: Dizzy / weak » ChicagoKat, posted by Phil on February 3, 2013, at 12:05:53
> 148/87 was the last at 5. I feel better today but not great. First thing this morning it was 145/88.
> Pulse was 70 and 73.
> I think it's nap time.OK good. Your BP still needs to come down some, but those readings are not scary. Did you say you were seeing a doc tomorrow? That's good. They'll put you on something to help, and like I said there are lots of very cheap antinypertensives out there; just let them know you need something not too expensive. Also, if you suffer from depression, make sure, if they want to put you on a beta blocker, that they give you Atenolol. It's the least likely of all the beta blockers to worsen depression. Some of them, like propranolol for example, can really make depression worse. But Atenolol has virtually no effect. Good luck!
Kat
Posted by ChicagoKat on February 3, 2013, at 19:22:00
In reply to Re: Dizzy / weak, posted by jono_in_adelaide on February 3, 2013, at 16:50:59
> The readings you're getting arnt high enough to give you any symptoms such as headache of diziness, if you are getting symptoms like these, I'd get them checked out, because there mustbe another cause besides your BP
Phil, Jono makes a very good point. When you see the doc, tell them about the dizziness and headaches you've been having.
Kat
Posted by jono_in_adelaide on February 3, 2013, at 19:48:57
In reply to Re: Dizzy / weak, posted by ChicagoKat on February 3, 2013, at 19:22:00
Kat, for the range of HBP Phil is having, i think that an ace inhibitor + low dose hydrochlorothiazide would be appropriate, they have a good record so far as reducing mortality and improving endpoints and they are $4 prescriptions. Side effects are minor excpet 1 in 10 gets that dry "Capoten Cough" and will need to change to another drug.
What do you think?
Posted by jono_in_adelaide on February 3, 2013, at 20:06:00
In reply to Re: Dizzy / weak, posted by jono_in_adelaide on February 3, 2013, at 19:48:57
Also, before starting a lifetime of antihypertensive drugs, it would be worth considering a 24 hour halter monitor, a machine that you wear for 24 hours that measures your BP every 30 minutes day and night, to make sure you realy are in need of drugs before starting them
if you dont have insurance, cost might be an issue, in that case, I'd atleast buy a new blood pressure monitor and measure it your self every day for 4 weeks before committing to meds.
Posted by ChicagoKat on February 3, 2013, at 20:10:40
In reply to Re: Dizzy / weak, posted by jono_in_adelaide on February 3, 2013, at 19:48:57
> Kat, for the range of HBP Phil is having, i think that an ace inhibitor + low dose hydrochlorothiazide would be appropriate, they have a good record so far as reducing mortality and improving endpoints and they are $4 prescriptions. Side effects are minor excpet 1 in 10 gets that dry "Capoten Cough" and will need to change to another drug.
>
> What do you think?Personally, I think an ACE inhibitor on its own would be the best choice. I think it's safer to start with one agent, then add a second only if necessary. I don't think Phil's latest readings warrant using 2 agents. But I do think starting with an ACE inhibitor would be the best option. I'm on one myself, and I get that captopril cough occasionally myself. It's annoying, but I keep Tic Tacs with me everywhere I go, and they always help.
Kat
Posted by jono_in_adelaide on February 3, 2013, at 20:43:55
In reply to Re: Dizzy / weak » jono_in_adelaide, posted by ChicagoKat on February 3, 2013, at 20:10:40
Good point!
Posted by Phillipa on February 3, 2013, at 20:59:12
In reply to Re: Dizzy / weak, posted by jono_in_adelaide on February 3, 2013, at 20:43:55
Phil needs to speak up as I think he said in this or another thread that he's on lithium and if on lithium you can't take a HTN med that is also a diuretic. Phillipa
Posted by Phil on February 3, 2013, at 21:02:54
In reply to Re: Dizzy / weak, posted by jono_in_adelaide on February 3, 2013, at 20:06:00
OK. I had no idea that BP meds were as convoluted, confusing and screwed up as psych meds.
Posted by Phil on February 3, 2013, at 21:09:54
In reply to Re: Dizzy / weak » jono_in_adelaide, posted by Phillipa on February 3, 2013, at 20:59:12
Yeah I've been reading as much as I can understand on these classes of meds. There's one diuretic that sounds like it wouldn't mess with Li levels called Lasix.
Some other meds mentioned move one towards diabetes and I have that monkey with Seroquel.
I'm not reading any more but will try to have questions that lead us in the right direction.
I'd love to have that 24 hour monitor thing.
Posted by Phillipa on February 3, 2013, at 21:53:38
In reply to Re: Dizzy / weak, posted by Phil on February 3, 2013, at 21:09:54
Lasix you will pee forever on used in congestive heart failure when a patient fills up with fluid in lungs and starts foaming literally at the mouth. An old one. But some take it daily at lower doses for keeping fluid away. Phillipa
Posted by jono_in_adelaide on February 3, 2013, at 22:11:03
In reply to Re: Dizzy / weak » Phil, posted by Phillipa on February 3, 2013, at 21:53:38
Kat was right, in your case an ACE inhibitor by it self wouldbe the go
Posted by Phil on February 4, 2013, at 7:38:47
In reply to Re: Dizzy / weak, posted by jono_in_adelaide on February 3, 2013, at 22:11:03
Posted by jane d on February 4, 2013, at 11:01:29
In reply to Re: Dizzy / weak » schleprock, posted by Phil on February 3, 2013, at 16:22:09
> Plus I think I've been freaked out over the mere thought of HBP. It wasn't in my play book.
>
> I feel better though. Last night it was all I could do to not get more and more anxious making everything worse. Old age is creeping up and I'm just not as bulletproof as I used to be.
>I sympathize. I just got a first hand introduction to blood pressure medications. For some reason that makes me feel old in a way that psych meds never did. Good luck with the doctor.
Posted by Phil on February 4, 2013, at 12:09:13
In reply to Re: Dizzy / weak » Phil, posted by jane d on February 4, 2013, at 11:01:29
BP at docs office, 128/78. I've had a few borderline readings over the years but my physical in Sept was normal. I forgot to take my bp things to measure against theirs but can do that Wed.
She said take your bp ONCE a day, don't drive yourself crazy taking it 4 times a day. She said they have had luck bringing down bp 5-10 points with http://www.amazon.com/gp/product/B005P0LB0I/ref=oh_details_o00_s00_i00 which I just ordered.She also dropped my price from $125 to $80. There's a reason I like my doc. He's rated one of the best in Texas and teaches meditation classes to stressed patients at night. I've seen him for 20 years and would be lost without his practice. So, who knows??? Maybe my friend gave me this POS cuff for a reason. :)
Went to CVS after doc and bp was 129/79.
Posted by gadchik on February 4, 2013, at 12:22:43
In reply to Results, posted by Phil on February 4, 2013, at 12:09:13
Sounds like all is well. Im happy for you!:)
Posted by ChicagoKat on February 4, 2013, at 15:45:26
In reply to Re: Dizzy / weak, posted by Phil on February 3, 2013, at 21:09:54
Yeah I've been reading as much as I can understand on these classes of meds. There's one diuretic that sounds like it wouldn't mess with Li levels called Lasix.
> Some other meds mentioned move one towards diabetes and I have that monkey with Seroquel.
> I'm not reading any more but will try to have questions that lead us in the right direction.
> I'd love to have that 24 hour monitor thing.No way Phil...lasix is way too strong a diuretic to even begin thinking about now. And Phillipa had a very good point about not mixing antihypertensives with Lithium.
You need a simple ACE inhibitor or ARB.
Kat
Posted by ChicagoKat on February 4, 2013, at 15:50:09
In reply to not so sure, posted by Phil on February 4, 2013, at 7:38:47
>
>
>
> http://www.ncbi.nlm.nih.gov/pubmed/8834421whoops! that's not good. I was wrong! Thanks for helping me learn something new. Good luck with the doc.
Posted by ChicagoKat on February 4, 2013, at 15:51:18
In reply to Results, posted by Phil on February 4, 2013, at 12:09:13
That's great that your BP readings are down to normal. But do you have any idea what made them go up?
kat
Posted by Phil on February 4, 2013, at 18:01:22
In reply to Re: Results » Phil, posted by ChicagoKat on February 4, 2013, at 15:51:18
Honestly I don't know nothing yet. The only thing I brought up to her(she was wasting no time) was that I read that diuretics were first line treatment but because I take Lithium that those were probably out. She shot back, we could go with abc at 12.5 mg blah blah blah. I just kept my mouth shut till we know what's going on. She's smart as sh*t and in typical Austin style was wearing beat up cowboy boots with her scrubs. She's also a pretty well known singer. It's Austin.
Posted by Phil on February 4, 2013, at 18:03:24
In reply to Re: Dizzy / weak » Phil, posted by jane d on February 4, 2013, at 11:01:29
Weird how that works. Cancer. Aw damn.
HBP. Me???
Posted by ChicagoKat on February 4, 2013, at 20:32:29
In reply to Re: Results » ChicagoKat, posted by Phil on February 4, 2013, at 18:01:22
Cowboy boots with scrubs???? I've never been to Texas, but I get the feeling it's a whole different country in a way.
Hope it all gets figured out soon, and hope your BP readings stay as good as the last ones you reported.
Kat
Posted by Phillipa on February 4, 2013, at 20:58:56
In reply to Results, posted by Phil on February 4, 2013, at 12:09:13
Did she listen with stetescope and blow up BP cuff? I know CVS sometimes works and sometimes is off. If in there I usually take it three times and if the same or close to figure it's right. So stop taking you BP!!!! Phillipa
Posted by Phil on February 4, 2013, at 21:06:42
In reply to Re: Results » Phil, posted by Phillipa on February 4, 2013, at 20:58:56
Yeah she did.
Posted by Phillipa on February 4, 2013, at 21:44:15
In reply to Re: Results » Phillipa, posted by Phil on February 4, 2013, at 21:06:42
Cause it's not a generalization as the most accurate are with above. Phillipa
This is the end of the thread.
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