| Subject | Date Asked | Expert |
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| Hypertension | 7/4/2009 | Charles Cusumano, FMP, PA-C |
Q: I am a diabetic,my age 65 years and worried about my blood pressure.My FBs is 108,PP is 126 and HB ...
A: Well, clearly your pressure is still not controlled. First you might try increasing the Amlodipine ...
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| hypertension & blood pressure | 6/29/2009 | Charles Cusumano, FMP, PA-C |
Q: I AM 47 YEAR OLD MALE (DIABETIC TYPE 2) IN NOV 2008 MY BLOOD PRESSURE ROSE TO 180/100 AND I WAS ...
A: Your blood pressure is still too high. The numbers should ideally be no more than 120/70. I would ...
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| radically different readings left and right | 6/27/2009 | William B. Jeffries, Ph.D. |
Q: I have never had high blood pressure, was at Dr.'s they took it in right arm was 189/94 told me to ...
A: A blood pressure reading that is higher in one arm vs. the other can sometimes indicate an ...
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| Amlodipine besylate side effects or anxiety? | 6/24/2009 | Charles Cusumano, FMP, PA-C |
Q: I am a newly diagnosed type 2 diabetic and hypertension patient. My doctor has set 135/75-80 as a ...
A: No question that your new diagnoses are unsettling. It is of course possible that your are having ...
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| my reports | 6/23/2009 | Dr. Shabbir Baldiwala |
Q: I am 54 years male and hypertensive I was taking Amlopress NB ( Nebiovolol 5 + Amlodepine 5 mg ) and ...
A: You have to stop smoking with immediate effect. You are at a very high risk for developing a cardiac ...
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| Blood Pressure | 6/20/2009 | Domenic Sica |
Q: In March 09 I had an aortic valve replaced and a double by-pass. since then my blood pressure varies ...
A: A couple of thoughts for you 1. Are the low blood pressure readings occurring in association with a ...
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| Question about benicar | 6/20/2009 | Domenic Sica |
Q: my doctor wants me to try benicar because I suffer from side effects of medication quite easily and ...
A: The intent here was not to insult you and I apologize as to how offended you were by my response. ...
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| Question about benicar | 6/18/2009 | Domenic Sica |
Q: my doctor wants me to try benicar because I suffer from side effects of medication quite easily and ...
A: The Marshall Protocol is not something I was aware of it. I would never recommend those kind of ...
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| Question about benicar | 6/15/2009 | Domenic Sica |
Q: my doctor wants me to try benicar because I suffer from side effects of medication quite easily and ...
A: There is no data that I know of where Benicar is used as a immunosuppressant. What "people" are ...
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| HbAic | 6/11/2009 | Dr. Shabbir Baldiwala |
Q: My friend is a male 53 years with hypertension on Tenochlor 100 once Losar-A twice He has a family ...
A: 1. There is a possibility of fluctuations in his sugar levels during the day. That would probably ...
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| Followup re: medication | 6/10/2009 | Domenic Sica |
Q: I apologize for not knowing how to followup on my recent question to you regarding Vascar. Allow me ...
A: Sounds like the Toprol is causing more trouble than its worth and at that you are currently on a ...
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| Hypertension - Anxiety | 6/9/2009 | Charles Cusumano, FMP, PA-C |
Q: I was just reading a thread on your site from 2004 in regards to Anxiety. My dad has this butterfly ...
A: I’m not clear on exactly what this“butterfly effect” is that you are speaking of. If it’s just a ...
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| Nebivolol | 6/9/2009 | Domenic Sica |
Q: I am 53 years hypertensive male on Atenolol 100 Lisinorpil and Amlodepine 5 mg. Yesterday my dr ...
A: The dose equivalence would be 10 to 15-mg of nebivolol for 100-mg of atenolol. You might try the ...
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| Nebivolol | 6/9/2009 | Domenic Sica |
Q: I am 53 years hypertensive male on Atenolol 100 Lisinorpil and Amlodepine 5 mg. Yesterday my dr ...
A: Has your blood pressure been well-controlled on the regimen prior to the switch to nebivolol ? If ...
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| WHITE COAT SYNDROME | 6/5/2009 | Charles Cusumano, FMP, PA-C |
Q: My wife, 69 yrs, is diagnosed as hypertensive patient for the past 2 years. First she was given the ...
A: So, she’s on a beta blocker, a calcium channel blocker and an combination drug of HCTZ and an ...
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| pre diabetic? BG and HbA1c disagree | 6/4/2009 | Domenic Sica |
Q: I am male 53 years from India and suffering from hypertension since 1990 and currently on Norvasc ...
A: Metformin does delay the progression of diabetes. Brisk walking, particularly if it leads to weight ...
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| pre diabetic? BG and HbA1c disagree | 6/4/2009 | Domenic Sica |
Q: I am male 53 years from India and suffering from hypertension since 1990 and currently on Norvasc ...
A: The simplest step would be to have your physician take you off of the beta-blocker Toprol and to ...
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| Combination of Vitamins | 6/4/2009 | Domenic Sica |
Q: My daughter aged 18 used to have bouts of palpitation, shortness of breath, tingling sensation in ...
A: It is a mix of vitamins that is put together in no particular way so as to treat a specific disease. ...
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| WHITE COAT SYNDROME | 6/2/2009 | Charles Cusumano, FMP, PA-C |
Q: My wife, 69 yrs, is diagnosed as hypertensive patient for the past 2 years. First she was given the ...
A: Unfortunately, the names of these drugs you mention are not fmiliar to me. They are not any we use ...
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| prescription drug side effects | 5/30/2009 | Charles Cusumano, FMP, PA-C |
Q: I am a 68 year old woman with high blood pressure and take Cozaar,Triamterene/hctz.I was taking ...
A: I am surprised the cough was caused by the metoprolol unless ofcourse you have chronic lung disease. ...
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| Followup re: medication | 5/30/2009 | Domenic Sica |
Q: I apologize for not knowing how to followup on my recent question to you regarding Vascar. Allow me ...
A: All ACE inhibitors (including the three you list) are for the most part safe and effective. There ...
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| medication? | 5/30/2009 | Domenic Sica |
Q: I'm a male in my late 50's, not overweight and don't smoke. When I take my blood pressure in the mid ...
A: This kind of pattern is a little unusual. I would think the best thing is to ask your doctor if he ...
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| Followup re: medication | 5/29/2009 | Domenic Sica |
Q: I apologize for not knowing how to followup on my recent question to you regarding Vascar. Allow me ...
A: It is hard to predict ahead of time how well a new blood pressure medication class will affect your ...
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| High Blood pressure medication | 5/28/2009 | Charles Cusumano, FMP, PA-C |
Q: I don't know where to start....I've been crying on and off all day and so upset. Over Easter weekend ...
A: Sounds like you have an allergy to ARB drugs and should not be on them in the future. If your BP was ...
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| Lisinopril | 5/27/2009 | Domenic Sica |
Q: I have recently started taking Lisinopril 20/HCL25 during the daytime and Lisinopril 20 at bedtime. ...
A: The cough can occur with lisinopril in a dose-independent manner. The other symptoms are either a ...
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| Blood Pressure Medication, is it dangerous? | 5/24/2009 | Domenic Sica |
Q: I'm a young 62 female and (except for elevated BP) in perfect health; I jog 2 miles a day five days ...
A: The problems with calcium-channel blockers are grossly overplayed. Much of the concern with these ...
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| I am a 21 year old male and have problem with BP | 5/24/2009 | Domenic Sica |
Q: I took my BP and the results were 153/76 and I asked a pharmacist and said my BP was high that I ...
A: You probably should obtain some additional blood pressure readings before you consider yourself as ...
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| Blood Pressure Medication, is it dangerous? | 5/23/2009 | Domenic Sica |
Q: I'm a young 62 female and (except for elevated BP) in perfect health; I jog 2 miles a day five days ...
A: By no means are you sounding neurotic. Taking your blood pressure at home (if you are not already ...
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| Epinepherine, catecholamines, high blood pressure | 5/23/2009 | Domenic Sica |
Q: Over a year ago I was seeing an endocrinologist who was performing testing to look for a ...
A: There are certain patients in whom there is an inappropriate release of the flight-or-fright ...
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| changed drugs for High BP | 5/23/2009 | Domenic Sica |
Q: Many regards from Harsvadan from India. Sir, as you have responded my queries in the past, I am ...
A: It more closely equates with 10-mg of bisoprolol. If the degree of left ventricular hypertrophy is ...
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| Epinepherine, catecholamines, high blood pressure | 5/22/2009 | Domenic Sica |
Q: Over a year ago I was seeing an endocrinologist who was performing testing to look for a ...
A: It is hard to say without additional information about you. If you let me know where you live I ...
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| Linsinopril HCTZ 10MG | 5/21/2009 | Domenic Sica |
Q: Can I stop taking this suddenly or do I have to step down like with a beta blocker? Been on it ...
A: Certainly seems reasonable to go off the medication and see what happens. Having written extensively ...
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| Hypertension | 5/20/2009 | Charles Cusumano, FMP, PA-C |
Q: I'm 32yrs old 190 excersise 3x weekly about 45 mins . When I go to the doctor my blood pressure ...
A: There has been an ongoing debate as to whether “white coat syndrome” is a serious problem or just an ...
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| studies on hypertension | 5/19/2009 | Domenic Sica |
Q: Could you please tell me whether there is any medical literature that could tell me the percentage ...
A: This is a tough question to give an answer to since there are many factors that increase the risk of ...
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| hypertension | 5/14/2009 | Charles Cusumano, FMP, PA-C |
Q: I have taken 20mg Enapril twice a day for 5 years to control my blood pressure to 120/75. Recently, ...
A: Well, 200/90 is way too high. Salt intake can raise blood pressure for sure. I would limit the salt ...
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| Can walking improve prognosis of diabetes ? | 5/12/2009 | Domenic Sica |
Q: Respected Sir, I am from India having BP taking Atenolol 100 Losartan 100 Indapamide 1.5 Amlodepine ...
A: It is probably advisable to start the metformin and continue with the exercise as well. The exercise ...
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| atenolol and calcium | 5/9/2009 | Charles Cusumano, FMP, PA-C |
Q: I currently take atenolol 25 mg daily. I am interested in taking calcium as well as magnesium too. ...
A: Calcium blocks the absorbtion of atenolol. I wouldn’t take either calcium or magnesium unless you ...
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| Fluctuating BP and arrhythmia | 5/8/2009 | Charles Cusumano, FMP, PA-C |
Q: About a month ago I had a single episode of arrhythmia and after a day in hospital I have been put ...
A: Given the SLOW pulse, Sotolol is not a good drug as it slows pulse even more. Sounds like you might ...
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| Blood Pressure | 5/8/2009 | Charles Cusumano, FMP, PA-C |
Q: At age 22 I became pregnant with my first child. My blood pressure was 135/85 which my Dr said was ...
A: Back then (when you were 22) we had different standards for what was “normal” and what wasn’t. Truth ...
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| Fluctuating BP and arrhythmia | 5/7/2009 | Charles Cusumano, FMP, PA-C |
Q: About a month ago I had a single episode of arrhythmia and after a day in hospital I have been put ...
A: Sotalol should not be causing these BP fluctuations. In addition, if you are still having these ...
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