| Subject | Date Asked | Expert |
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| Blood press medicine | 11/6/2009 | Domenic Sica |
Q: My wife is 49 and currently taking hydrochlorothiazide 25 mg (i belive), but is not very effective. ...
A: She is already on a diuretic so that is removed from the hierarchial order. If she has previously ...
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| hypertension medication | 11/6/2009 | Dr. Shabbir Baldiwala |
Q: Baldiwala, My wife is currently taking hydrochlorothiazide 25 mg (i belive), but is not very ...
A: All the antihypertensives have their advantages and disadvantages. Selection of the group is of ...
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| Switching from Lisinopril to Cozaar | 10/24/2009 | Domenic Sica |
Q: Hey there, I'm a 34 yr old male with hbp. Don't know why I have it. I've been on meds for 15 years. ...
A: The studies he is speaking to relate to the use of losartan in a mouse model of a genetic disease ...
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| Switching from Lisinopril to Cozaar | 10/23/2009 | Domenic Sica |
Q: Hey there, I'm a 34 yr old male with hbp. Don't know why I have it. I've been on meds for 15 years. ...
A: No, Cozaar is not a better drug and it would not reduce your blood pressure any better than ...
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| spikes in blood pressure | 10/23/2009 | Domenic Sica |
Q: I am a 37 year old female, overweight but blood pressure is within normal range 116/78- 125/85. ...
A: As you might have guessed this is an atypical pattern. The differential list is lengthy but at the ...
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| Hypertension and high altitude | 10/19/2009 | Domenic Sica |
Q: My father suffers from chronic hypertension and had a minor heart attack last year. Would it be safe ...
A: Generally yes. However, not knowing all of his illnesses means this should be a qualified yes. ...
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| High blood pressure | 10/10/2009 | Domenic Sica |
Q: I,m 50 years old with HBP . All the meds we try wont keep it stable . Sometimes its 180/98 when its ...
A: I would be looking carefully as to what medications I am on such that the right combination is in ...
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| weightloss and running | 10/10/2009 | Domenic Sica |
Q: so if not just let me know, but I am an overweight adult (5"8 and 200 lbs) and I am trying to lose ...
A: You should start off walking and from there begin a slow pace of running over several days within ...
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| med question | 10/9/2009 | Domenic Sica |
Q: After a bout with hypertension and a 4 day stay in the hospital, all tests came back fine, minoxidil ...
A: The minoxidil is likely to be kicking in. Ypu should be able to reduce the dose of the minoxidil by ...
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| Spikes in bp while on meds | 10/5/2009 | Domenic Sica |
Q: I'm male, 63 years old. Runner-40 miles a week. Resting hr of 44bpm, high hdl, low LDL. Dr says Am ...
A: Benicar is a good drug for general hypertension but does not have any specific attributes that make ...
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| Spikes in bp while on meds | 10/4/2009 | Domenic Sica |
Q: I'm male, 63 years old. Runner-40 miles a week. Resting hr of 44bpm, high hdl, low LDL. Dr says Am ...
A: Yes, I agree that the spikes themselves are not necessarily dangerous. It is likely that the spikes ...
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| Blood Pressure | 10/1/2009 | Domenic Sica |
Q: I had a blood pressure question, though it is having to do with low blood pressure instead of ...
A: This is a very low blood pressure for a person your size; however, it can be in a normal range for ...
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| Dietary Fat | 9/29/2009 | Domenic Sica |
Q: I am currently being treated for hypertension. The only recomendation my doctor made was to reduce ...
A: Dietary fat reduction would help from a coronary artery disease viewpoint over the long-term. As to ...
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| Sauna & Hypertension | 9/29/2009 | Domenic Sica |
Q: I'm confused on the different opinions about HTN and saunas. Some say to avoid them if you are ...
A: Heat typically lowers blood pressure. Those who are saying to avoid it if you are hypertensive say ...
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| Blood pressure | 9/28/2009 | Domenic Sica |
Q: I am 28 years old, and I am not feeling well. Its difficult to define my condition, but I dont have ...
A: If you have not had your doctor check you out yet you might consider this as a first step. Your ...
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| tia | 9/21/2009 | Domenic Sica |
Q: My husband is 42 yrs old with hypertension. Hes always been active and healthy with the exception of ...
A: This is a confusing picture that is difficult to make sense of in this type forum. My best advice is ...
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| high blood pressure | 9/21/2009 | Domenic Sica |
Q: Has there ever been medical research that has proved a cause-effect relationship between high blood ...
A: There are vast amounts of literature that speak to long-standing blood pressure being associated ...
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| medication? | 9/19/2009 | Domenic Sica |
Q: I'm a 58 yr. old male, not over weight and don't smoke. I do take medication to lower cholesterol. I ...
A: Your question is a complex one and not easily answered by the Internet but I will try. Currently ...
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| medication? | 9/19/2009 | Domenic Sica |
Q: I'm a 58 yr. old male, not over weight and don't smoke. I do take medication to lower cholesterol. I ...
A: I am not aware of any guidelines that state that morning blood pressure should be less than 120/80 ...
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| Impedance cardiography (ICG) | 9/17/2009 | Domenic Sica |
Q: I have had Hypertension since my early 20's. I am now 64. The first 30 years, I would go to the ...
A: Your thoughts on impedance cardiography are reasonable. As to your blood pressure I wish I could ...
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| Hypertension specialist in San Diego, CA | 9/17/2009 | Domenic Sica |
Q: Sica, I have resistent hypertension and have been prescribed various medications which haven't ...
A: Both of these individuals are personal acquaintances and excellent with complicated hypertension. If ...
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| New HBP treatment | 9/15/2009 | Domenic Sica |
Q: In the August issue of Hypertension, it was reported that the Klotho gene which is known to extend ...
A: 1. If a drug is unproven then it may not have much use for someone with terminal cancer. The ...
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| New HBP treatment | 9/13/2009 | Domenic Sica |
Q: In the August issue of Hypertension, it was reported that the Klotho gene which is known to extend ...
A: Unfortunately, this has not been studied in man in such a way to state what the effect of such a ...
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| Impedance cardiography (ICG) | 9/12/2009 | Domenic Sica |
Q: I have had Hypertension since my early 20's. I am now 64. The first 30 years, I would go to the ...
A: Impedance cardiography has yet to take hold in the treatment of hypertension. Interpreting the ...
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| high blood pressure | 9/11/2009 | Domenic Sica |
Q: I am 20 years old and have been consistently getting high blood pressure readings for the past 2 ...
A: This does not sound like white-coat hypertension. You probably should have this formally evaluated ...
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| Management of Hypertension in Patients with Type 2 DM | 9/6/2009 | Domenic Sica |
Q: Sir, As everybody knows presence of Type 2 DM and Hypertension both increases risk complications. My ...
A: The addition of a beta-blocker to lisinopril typically would not offer that much incremental benefit ...
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| calcium channel blockers | 9/2/2009 | Domenic Sica |
Q: I am an obese, 66 year old female with high blood pressure, and atrial fibulation. I am on 240mg. ...
A: Calcium channel blockers do not cause heart disease. Instead they are extremely effective therapies ...
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| Can I go off or reduce my medication? | 9/2/2009 | Domenic Sica |
Q: Several months ago my doctor put me on Avalide to reduce my B.P. Along with this I made some ...
A: It would be quite reasonable to halve the dose and see what your blood pressure does. At that time ...
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| AHA diets | 9/2/2009 | Domenic Sica |
Q: I am trying to learn more about AHA diets. What is the difference between low salt and low sodium ...
A: A 1-gram sodium diet equates with a 2.5-gm salt diet; otherwise, there is no difference between low ...
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| Management of Hypertension in Patients with Type 2 DM | 8/31/2009 | Domenic Sica |
Q: Sir, As everybody knows presence of Type 2 DM and Hypertension both increases risk complications. My ...
A: Amlodipine can cause peripheral edema but not by a mechanism that involves fluid retention; thus, ...
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| Lopressor | 8/30/2009 | Domenic Sica |
Q: I am a 27 yo female. I am scheduled to undergo a coronary cat scan this comming Thursday morning. ...
A: You might ask the cardiologist to either allow you to take 50-mg at bedtime or if your heart rate ...
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| Hypertension | 8/29/2009 | Domenic Sica |
Q: I am 39 year old male. Wgt. 80 kgs, ht. - 5'9", waist - 37". Indian vegetarian. Suffering from high ...
A: These would be unlikely to be symptoms related to your medications or your level of blood pressure. ...
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| hypertension medication...? | 8/27/2009 | Domenic Sica |
Q: I just recently was put on and perscribed Metoprolol Succ ER 25. I am to take one pill at day at ...
A: Were you told why this medication was started in the first place ? 25-mg is a very small dose and ...
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| heart palpitations | 8/25/2009 | Domenic Sica |
Q: I was just in the hospital for heart palpitations. I was sitting at home watching a movie and all of ...
A: It sounds as if anxiety is playing a major role in your sensing of your heart rate. It is not normal ...
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| hypertension control | 8/19/2009 | Domenic Sica |
Q: This may be an overly rudimentary question but I thought I'd ask. If a patient is taking meds for ...
A: Yes, you would be considered controlled. Blood pressure might be considered uncontrolled if you are ...
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| HTN and beta blocker weaning | 8/18/2009 | Domenic Sica |
Q: Last year I had a false positve reading of pulmonary HTN on an echo. It kept showing up so they ...
A: This is an interesting yet complicated set of questions. First off, the awakening at 5:00 am more ...
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| should medication be considered? | 8/18/2009 | Domenic Sica |
Q: I am 43-year-old man who is overweight, a non-smoker, a non-consumer of caffeine and someone who ...
A: At this blood pressure level it is unlikely that anything other than dramatic weight loss would ...
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| will CT scan reveal a recent massive ischemic stroke | 8/17/2009 | Domenic Sica |
Q: My wife suffered a stroke while in the hospital. She was not seen by a doctor but nurses took her to ...
A: The CT scan could conceivably not shown anything if the process was evolving. As I suggested before ...
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| will CT scan reveal a recent massive ischemic stroke | 8/16/2009 | Domenic Sica |
Q: My wife suffered a stroke while in the hospital. She was not seen by a doctor but nurses took her to ...
A: This is not quite my area of expertise but I would offer the following thoughts. If there is a ...
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| sudden H.T.N | 8/5/2009 | Domenic Sica |
Q: diasystolic 90 sys.130-150 6mths. now sys 173-192 dia-110 map120-132 51yr woman hashimotos 100mcg ...
A: I agree that a test for Addison's would be in the opposite direction as to blood pressure. The urine ...
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