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Hypertension/Questions Answered by Expert Domenic Sica
| Subject | Date Asked |
| What medication meets my criteria? | 2/1/2012 |
| Q: I live in Southern California in USA. I'm looking for an anti-hypertensive medication whose direct ... A: Two medications fit these criteria - verapamil and diltiazem. Each of these two compounds are in the ... | |
| report | 1/23/2012 |
| Q: I furnish below my blood report values. Kindly guide me Hb 14 F.B.S 124.70 P.P.B.S 140 CHOLESTEROL ... A: I do not see any reason why a switch is warranted from what I know about both drugs. I would ... | |
| spiking blood pressure | 1/19/2012 |
| Q: Previous good blood pressure. Not taking any medications. Weight is 133 and am moderately ... A: This is a very complicated question in that if I was seeing you a first visit would be one to one ... | |
| Blood pressure of 190/80 | 1/17/2012 |
| Q: I have had a physical recently and have not been diagnosed with hypertension. However, due to an ... A: Sress can easily increase blood pressure. This is a version of so-called white-coat hypertnesion. It ... | |
| Hypertension | 1/6/2012 |
| Q: Does blood pressure medicine stop working after you have been on it for a long time? I had been on ... A: Blood pressure medications do not necessarily stop working if taken for a long time; however, the ... | |
| carotid artery disease | 1/5/2012 |
| Q: I am not elderly, I'm only 55, however, I am concerned that I may have a problem with my carotids. ... A: It is highly unlikely that you have developed aneurysms in both carotid arteries particularly in the ... | |
| hypertension | 1/2/2012 |
| Q: dr sica,im 78 years old have. i have hypertension and kidney impairment.my last serum creatinine ... A: I am having a little difficulty in following your 2nd question. If you are asking me if your level ... | |
| White Coat Syndrome | 12/28/2011 |
| Q: I'm male, age 52 and have had hypertension for 20 years. I'm taking Toprol XL 50 mg. I can get a ... A: If you have white coat hypertension as severe as your then you might ask your physician if it okay ... | |
| Bp and cold weather | 12/27/2011 |
| Q: I'm 65 and normally in excellent health. I'm a daily runner and have completed 15 marathons in the ... A: It is not easy to say what medication is best for you without seeing you in person. That being ... | |
| high blood pressure | 12/22/2011 |
| Q: "Hi i need some advice as I've been to my doctors and he says i have high blood pressure so he sent ... A: If your blood pressure readings are in the 139/69 range then there should be anything that restricts ... | |
| Blood Pressure 130 60 | 12/18/2011 |
| Q: My blood pressure is constant 130 60 with Medicine, is that bad, I heard the difference between ... A: This is a perfectly acceptable blood pressure. Generally, as we age the difference between systolic ... | |
| Pre-Hypertention or Hypertention | 12/16/2011 |
| Q: Back Ground: Age 49, 5'6", 153lbs, no drugs, alcohol, or smoking, usually don't go crazy with food ... A: The good news is that your blood pressure is not dangerously high. As you are planning to do you ... | |
| hypotension | 12/16/2011 |
| Q: Is there such a thing as blood pressure that is too low? For example, a reading of 107/72 (a recent ... A: Yes, there can be a too low blood pressure; however, each person has their usual value and a fall ... | |
| high blood pressure | 12/12/2011 |
| Q: Greetings! How are you? I wanted to discuss problem concerning my father.He is 61 years of age and ... A: Hypertension is very common in patients with diabetes. He needs medication to treat his ... | |
| High BP question | 12/11/2011 |
| Q: I had some issues with high blood pressure while I was pregnant, though my blood pressure has since ... A: I cannot tell exactly what your doctor's were thinking based on these readings. Typically, if there ... | |
| Metoprolo | 12/6/2011 |
| Q: I just started taking Metoprolo about a month ago and I started having very loose bowel ... A: Loose bowel movements are not a common side-effect with metoprolol but can occur. You might try ... | |
| Stress Test | 11/15/2011 |
| Q: I am a male 54 years weight 103 kg with Hypertensin and Tachycardia with normal lipids No thyroid, ... A: I really don't know what advantages he/she is talking about. If the cost is about the same then the ... | |
| Stress Test | 11/15/2011 |
| Q: I am a male 54 years weight 103 kg with Hypertensin and Tachycardia with normal lipids No thyroid, ... A: There is no clear indication for angiography based on the history you have provided. This becomes a ... | |
| diagnosis of high bp causing chest pain | 11/12/2011 |
| Q: Female, 61 a week ago, severe chast pain (heart pounding, very heavy feeling in center of my chest ... A: Ufortunately, this is not the best of forums to diagnose a patient. That being said, if I was ... | |
| Hypertension - Beta Blocker | 11/4/2011 |
| Q: Is it better to take a beta blocker in the morning or afternoon? My husband thinks it's afternoon, ... A: I am not aware of there being any difference in beta blocker effect based on time of day that it is ... | |
| mystery hypertension | 10/20/2011 |
| Q: I'm an athletic 21yo male. 24 hr BP consistently 160/67, RHR 62, since it was ever measured (3yrs ... A: Having a blood pressure of 160/67 mm Hg is distinctly uncommon in that this represents what is ... | |
| BP | 10/16/2011 |
| Q: Is the blood pressure 80/120 is normal for all people. Does it vary with type of body condition. I ... A: 120/80 is a normal blood pressure and 140/90 would be considered high normal. If your blood ... | |
| What would be the drawbacks of this treatment? | 10/14/2011 |
| Q: A theoretical pill to permanently cure hypertension is developed. This pill decreases blood ... A: This is an impossible set of circumstances making this question unanswerable. Also, the the heart ... | |
| B.P | 10/7/2011 |
| Q: I am Gandhi a 31 years old man living India. I am basically sleep less due to my research in ... A: In the short term this blood pressure may not need to be treated; however, you should increase the ... | |
| hypertension | 10/4/2011 |
| Q: I have a long-standing hypertension which occasionally rises (seemingly randomly) to dangerous ... A: 40-mg is about the most lisinopril I would recommend taking; however, it is not likely to be of any ... | |
| atenolol | 9/28/2011 |
| Q: Does prolonged use of atenolol 100 ( for HBP+Tachycardia)cause any changes in lungs. In other words, ... A: There would be no long term damage to the lungs from atenolol use. Why were you getting routine ... | |
| asthama with diabetes and hypertension | 9/21/2011 |
| Q: sir I have asthama mild and hypertension palpitation irregular beat and diabetes.. pl guide me which ... A: ACE inhibitors do not cause asthma or worsen preexisting asthma. A good drug for you would be ... | |
| losatan | 9/10/2011 |
| Q: my doctor switched me from enanalpril 30 mg to losartan(coozar)100mg.she told mme coozar is more ... A: Losartan, as is the case for enalapril, can increase potassium in blood but rarely does this in ... | |
| Pounding pulse in head | 9/10/2011 |
| Q: When I lay down, I can hear and feel my pulse so loud in my head that I can't hear anything else. It ... A: This is not generally a blood pressure issue; however, it certainly is reasonable to have your blood ... | |
| enanalpril | 9/7/2011 |
| Q: need the expert.i am tt years old with hypertension and aged kidneys.i was taking enanalpril for ... A: My original response can be relooked at. If the creatinine is 1.8 your kidney function would be at ... | |
| enanalpril | 9/6/2011 |
| Q: need the expert.i am tt years old with hypertension and aged kidneys.i was taking enanalpril for ... A: Your baseline level of kidney function looks about right for your age. Enalapril or losartan each ... | |
| high blood pressure | 8/28/2011 |
| Q: I HAVE BEEN TAKING AMLODIPINE 5MG FOR 14 DAYS TO TRY AND REDUCE MY BLOOD PRESUURE. I KEEP GETTINGS ... A: Is this medication lowering your blood pressure ? Also, it would not at all be unreasonable to stop ... | |
| Side effects of using androgel | 8/20/2011 |
| Q: I didn't see a category for low testosterone, but maybe you can help. My Husbands dr. put him on ... A: The side-effects described can occur with Androgel but only occur in 3-5% of patients receiving this ... | |
| refractory systolic hypertension | 8/19/2011 |
| Q: Sica, I am a 34 year old registered nurse with mildly elevated blood pressure. On my current ... A: Your blood pressure pattern is a difficult one to decipher. You should not under any circumstances ... | |
| Mother's Hypertension Medication | 8/12/2011 |
| Q: Sir, My mother's physician recently (as of 7-6-11) switched her medication from Lipitrol to ... A: It would appear that the only change that was made was your mother receiving HCTZ in addition to the ... | |
| Coreg | 8/6/2011 |
| Q: After two days of taking 6 mg. of Coreg twice a day, my BP readings have gone UP instead of down. ... A: This is an extremely low dose of Coreg and it is not a compound that would be expected to increase ... | |
| BP and pottasium levels | 8/6/2011 |
| Q: PT pottasium level is elevated. Prev lab 6/30/11 5.3. Now 5.7 as of 8/2/11. PT now has edema in ... A: This is a tough situation for me to answer all of the questions being posed her particularly in ... | |
| metoprolol or nebivolol | 8/3/2011 |
| Q: My father aged 50 years has been taking Tenormin 100 since last 22 years for HBP and Sinus ... A: All three of these medications would have a similar effect on heart rate, which appers to be the ... | |
| Hypertension | 7/26/2011 |
| Q: My wife has swelling on her feet and on checking the BP it reads 130/90 But she has no medicine been ... A: It sounds like she should speak with her physician and not necessarily listen to the stories coming ... | |
| Hypertension or Anxiety | 7/22/2011 |
| Q: A month ago I felt dizzy and checked my b/p - it was 190 over something so I went to my doctor. It ... A: These are difficult questions to answer in this forum as to telling you whether you have ... | |
| Low Blood Pressure but High Sodium? | 7/20/2011 |
| Q: Over the past year or so I have been tracking my blood pressure because I know it is quite low. My ... A: Your blood sodium level is absolutely normal. I really have no idea where your nurse friend is ... | |
| Blood Pressure | 7/18/2011 |
| Q: Dr. Sica, I have been on 25 mg of Anetonal (not sure on the spelling) for 2 years. During my last ... A: The weight loss may have brought your blood pressure down to a normal value and you then would not ... | |
| Hyper / Hypotension | 7/9/2011 |
| Q: My mother has had issues with dizziness and high blood pressure since adulthood. Most recently ... A: She needs someone who knows about blood pressure as you are thinking. She has something called ... | |
| Caffeine and Blood Pressure | 7/8/2011 |
| Q: I've read about caffeine and it's effects on blood pressure but have received conflicting data. ... A: Cafffeine toxicity requires a truly large amount of caffeine being taken in and has effects that are ... | |
| increased blood pressure and heartbeat | 7/1/2011 |
| Q: I take my blood pressure and heartbeat every evening. Normally I had blood pressure of ... A: Because of the frequency with which you take your blood pressure you will pick up random variations ... | |
| increased blood pressure and heartbeat | 7/1/2011 |
| Q: I take my blood pressure and heartbeat every evening. Normally I had blood pressure of ... A: These changes are very small in magnitude and could reflect different environmental conditions, a ... | |
| Hypertension | 6/25/2011 |
| Q: I was diagnosed with high blood pressure a week ago, after becoming very dizzy and going to the ... A: It would seem like the metoprolol has worked best for you. I would talk to my physician about ... | |
| hypotension | 6/22/2011 |
| Q: I was wondering about the opposite of hypertension...hypotension. I am a healthy 34 year old ... A: You should be increasing your salt intake with this particular blood pressure pattern. This blood ... | |
| Edema & salt | 6/12/2011 |
| Q: I am a 71 year old type 2 diabetic. I have always been a heavy table salt user, I pour plenty of ... A: It could relate to a number of factors including the medications you are taking, your kidney ... | |
| High Blood Pressure after work | 6/8/2011 |
| Q: I'm wondering if I should be concerned because my blood pressure is always high after work. A ... A: Blood pressure in this range would not be treated per se. Blood pressure readings tend to be more ... | |
| atenolol in brochitis | 6/8/2011 |
| Q: Since 1979, I had allergic brochitis bout for which I used to take Deriphylin Retards 300 twice( ... A: If there is no difference in how you feel, partcularly as relates to shortness of breath symptoms, ... | |
| HPB Meds | 6/2/2011 |
| Q: Sica, Thanks in advance for your time & expertise. I'm a female, 40 yrs., 5'4, 110, good blood ... A: It is hard to read the mind of your physician. If I was managing you I would begin tapering ... | |
| coversyl 8mg | 6/2/2011 |
| Q: i have been on metoprolol 25mg twice a day for 6 years. after a car accident, my blood pressure ... A: The Coversyl would not do much for the blood pressure if there is some contribution from anxiety. ... | |
| Hypertention and Beta Blockers | 5/27/2011 |
| Q: I'm 51 male, and was on Toprol for hypertention for 20 years. I got off it because I wanted to ... A: Beta blockers do not weaken the heart as you use the back brace analogy. Do you currently have a ... | |
| Blood pressure changes daily | 5/26/2011 |
| Q: For the last couple of months my blood pressure, taken at the doctor's office, at home, at fire ... A: I cannot give you great advice with as little information as you provide it; however, if I were ... | |
| Change in Medication. | 5/12/2011 |
| Q: I am a 64 year old male who has had essential hypertension since my youth. I have been taking ... A: Eight milligrams twice daily or 16 mg once daily of the Coversyl would be a more equivalent dose to ... | |
| Heart Attack Type 2DM | 5/6/2011 |
| Q: Age 57(Male) Final diagnosis # Type 2DM # ACS- ASMI(10/4/2011) Post STK(10/4/2011) ... A: He will need careful follow-up and management of his varied diseases. Since I cannot provide ... | |
| Hypertension and complications | 5/3/2011 |
| Q: I am an Indian working in Saudi Arabia. My age is 55. I have been using Atenolol 50mg and Amlodipine ... A: I do not see that your bilirubin has been previously checked so there is nothing to compare it to. ... | |
| Hypertension and complications | 4/30/2011 |
| Q: I am an Indian working in Saudi Arabia. My age is 55. I have been using Atenolol 50mg and Amlodipine ... A: I am not a liver specialist but can offer the following thoughts. The elevated bilirubin would in no ... | |
| Feel heart beat in ears on blood pressure meds | 4/28/2011 |
| Q: I am taking lisinop/hctz 20-25mg once a day. I feel my heart beat in my ears and I feel weak tired ... A: To answer this in any depth is beyond what I can really do in this forum. I could offer the ... | |
| meds | 4/25/2011 |
| Q: It's always been my understanding that blood pressure medication isn't started and stopped based on ... A: I am a little confused by your question as to the issue of blood pressure medication being started ... | |
| I have a question... | 4/22/2011 |
| Q: The past two days I've noticed my feet are mildly swollen. They aren't overly red or black or blue ... A: If you are worried about having hypertension the easiest thing to do is to have your blood pressure ... | |
| hypertension | 4/20/2011 |
| Q: I am 37 years old, my BP reading is high some times ranging from 150/80, 135/92, 126/82, 135/85, ... A: It would be quite dangerous to treat blood pressure elevations as small as the ones that you are ... | |
| hypertension | 4/19/2011 |
| Q: I am 37 years old, my BP reading is high some times ranging from 150/80, 135/92, 126/82, 135/85, ... A: Blood pressure is influenced by activity and a variety of normal day to day activities and ... | |
| Forgot meds | 4/15/2011 |
| Q: My aunt called me and left town and forgot her lisinopril 100mg once a day. Her husband takes lotrel ... A: If her blood pressure is not that high she can probably not take anything for 2-days until she gets ... | |
| Hypertension | 4/11/2011 |
| Q: I am currently taking Losartan 100mg, Atenolol 50mg, Diltiazem 60mg(3x a day) and half a ... A: The question would be best answered as to what your blood pressure is doing with this number of ... | |
| low dose ASA | 4/5/2011 |
| Q: Dominic A friend of mine (39) recently suffered a mild heart attack. He also has hypertension as do ... A: Current recommendations state that the use of aspirin for men age 45 to 79 years occur when the ... | |
| walking? | 4/4/2011 |
| Q: Dominic A friend of mine (39) recently suffered a mild heart attack. He also has hypertension as do ... A: I cannot offer a good answer to this question in that it may simply be that there are insufficient ... | |
| High Blood presure | 4/1/2011 |
| Q: I am 55 years old, am 6'6" tall, weigh 210. I exercise regularly. I take 5 mg. of lisinopril daily. ... A: I have no idea why garlic would raise your blood pressure in that it is not reported to do so; thus, ... | |
| wide pulse pressure | 3/31/2011 |
| Q: im 19 and 90 percent of the time i have a wide pulse pressure, ex, 113/58, 120/60, 108/60. Not all ... A: This is a natural variation that is present and not one that in any way is dangerous or indicative ... | |
| Extreme dry mouth with hydrochlorothiazide | 3/31/2011 |
| Q: I am a 28 y/o male. I currently have Type II diabetes, hypertension, and hashimoto's thyroiditis. I ... A: It would be highly unlikely that taking the hydrochlorothiazide separately would do this. If you ... | |
| atenolol in asthama | 3/25/2011 |
| Q: I am a hypertensive Indian male 52 years I had astahmatic bout since 1978 when I was 22 years and ... A: The simple answer is no. If the chest physician insists that you must switch it might not be ... | |
| worrying | 3/23/2011 |
| Q: I'm 19 and 95 percent of the time I have good BP but when I'm nervous or in a stressful situation my ... A: Many people see their blood pressure go up when nervous or in a stressful situation. As you are ... | |
| High systolic w/ low diastolic | 3/9/2011 |
| Q: I'm a 52 year old female. For many years I was morbidly obese and had problems with unexplained ... A: There is nothing you can do to raise your bottom number and lower your top number since they move in ... | |
| low cholesterol, high systolic | 3/7/2011 |
| Q: I am an ICU nurse, and am trying to figure out what is causing my high blood pressure ... A: Very few doctor's would treat a blood pressure in this range. There are no good reasons I can think ... | |
| Low pulse rate/high systolic | 3/6/2011 |
| Q: You've been kind to answer a couple of my previous questions but I have another one. I'm 64 and a ... A: A best approach here would be to stop taking your blood pressure; however, if the urge is too much ... | |
| long term hypertension - fit, healthy | 3/3/2011 |
| Q: I am 45 yrs old with essential hyertension and known "white coat syndrome" I had my first high ... A: If your blood pressure readings are for the most part in a normal range when taken at home treatment ... | |
| bp withdrawl | 2/15/2011 |
| Q: im 18, I was on a beta blocker for months for an arrythmia thats now ablated and ive taperd off of ... A: One to two months after the ablation is a suitable time to determine if you have naturally high ... | |
| Hypertension and alternative meds | 2/8/2011 |
| Q: My fiance is very good shape. He used to train in MMA, and still has an outstanding physique, about ... A: It sounds like he has significant hypertension. There are no natural therapies I know of that can ... | |
| Low pulse on bb blocker | 2/3/2011 |
| Q: im on a beta blocker and my normal resting hr is about 80-85, on the beta blocker my resting hr is ... A: The beta-blocker will lower your heart rate - I do not know whether you recognize that drug effect ... | |
| Propper way to take bp standing up | 1/28/2011 |
| Q: im just curious, whats the propper way to take bp standing up? Ive read with your arm straight out ... A: What you have read is correct. Failing to support the arm, which causes isometric muscle ... | |
| hypertension, drug-induced? | 1/26/2011 |
| Q: I am a 52-year-old female, and take Vyvanse (70mg) and WellbutrinSR (300mg). I've taken Vyvanse (or ... A: Yes, there can be a connection between the kidney problems and/or NSAID use and your current blood ... | |
| Chest pain | 1/17/2011 |
| Q: im 18, on toprol and usually my blood pressure is fine. Today i was 3 hours late on my meds and ... A: This is not blood pressure or delay in the time of medication administration related. It sounds ... | |
| Exercise while trying to control hypertension | 1/8/2011 |
| Q: I'm a 59-year old post menopausal woman who has been treated for high blood pressure for the past 15 ... A: Valturna does not take two weeks to kick in. Its effects should be there, if there is to be any ... | |
| Hypertension | 12/29/2010 |
| Q: I am 39yrs old and started taking Sotalol in March of this year for a heart condition. shortly ... A: I was asked what was the numerical value to which the blood pressure has gone up to not per se ... | |
| irregular hypertension | 12/26/2010 |
| Q: My mother (85yrs) has a history of erratic fluctuations in blood pressure (systolic and diastolic). ... A: There is not a specific mechanism that would explain the erratic nature of the blood pressure. If I ... | |
| work-related hypertension | 12/25/2010 |
| Q: I work nights as Primary Triage Assessment RNC; I work 3-4 nights from 1900-0700. I have ... A: If the hypertension is associated with an increased heart rate (> 80 beats/min or so) then a ... | |
| systolic bp after exercise | 12/24/2010 |
| Q: Im out of shape, not too bad but for me pretty out of shape. My bp has been high and I am on a beta ... A: I need to make this the last question I answer since I am doing this on a volunteer basis and have ... | |
| systolic bp after exercise | 12/24/2010 |
| Q: Im out of shape, not too bad but for me pretty out of shape. My bp has been high and I am on a beta ... A: This is a non-issue for you at these particular blood pressure readings. I am unaware of the ... | |
| systolic bp after exercise | 12/21/2010 |
| Q: Im out of shape, not too bad but for me pretty out of shape. My bp has been high and I am on a beta ... A: Both thoughts on your part are correct; however, I do not know from your note what is your baseline ... | |
| high blood pressure | 12/21/2010 |
| Q: My son is 18yr old for 2 yrs now we have been trying to figure out why he has a fast heart rate and ... A: I believe the closest city to you with a good cardiac electrophysiologist would be Pittsburgh; ... | |
| high blood pressure | 12/19/2010 |
| Q: My son is 18yr old for 2 yrs now we have been trying to figure out why he has a fast heart rate and ... A: He most likely has a variant of the disease called POTS (postural orthostatic tachycardia syndrome). ... | |
| hypertension and DM | 12/18/2010 |
| Q: am a man of 59 years, hypertensive since 1983 and diabetic since 1997, usually BP was controlled by ... A: You probably need to have a diuretic added to your regimen if your blood pressure is going to be ... | |
| High blood pressure | 12/17/2010 |
| Q: I am 19 years old and live in south Asia.A few days ago i went for a medical check up.There I found ... A: It is quite difficult to do a complete consultation by this route but I would offer the following ... | |
| Fluctuating BP | 12/11/2010 |
| Q: I've written before but need your advice again. I'm 64 and in excellent health. I'm an avid runner, ... A: I believe I have answered this exact question previously. FLuctuations are quite normal and can be a ... | |
| Bp fluctuations | 12/1/2010 |
| Q: I'm 64 and very healthy. Avid runner-35 miles a week. 6'3, 180 lbs and resting heart rate of 44bpm. ... A: I think that your statement that you are an anxious person is important. When treating hypertension ... | |
| Blood pressure fluctuating while on tablets | 11/30/2010 |
| Q: My dad is 71 years old and has been on tablets for blood pressure and beta-blokers for years. His ... A: I could probably answer this question better if I physically saw your father. That being said there ... | |
| hypertension | 11/24/2010 |
| Q: I AM 27 YEARS OLD.I AM SUFFERING WITH HYPERTENSION SINCE 2 YEARS. IN THE PAST I USED TABLETS ... A: This is a question that you need to discuss with your physician and obstetrician. The medications ... | |
| lisinopril-hctz | 11/18/2010 |
| Q: As I read up on lisinopril-Hctz it says that this is for people who have had a heart attack and I ... A: The primary reason these two drugs are given is for the treatment of hypertension; thus, it is a ... | |
| fluctuating blood pressure | 11/17/2010 |
| Q: I'm 64, supposedly in excellent health. Avid runner (40 miles or so a week). My resting heart rate ... A: I agree completely with your primary care physician on this topic. You might talk with your primary ... | |
| White Coate Syndrome | 11/15/2010 |
| Q: Is it dangerous to give anti-hypertensive drugs to a patient who unknowingly has white coat ... A: I can not tell from your question whether your wife has white coat hypertension or whether you are ... | |
| high BP? | 11/13/2010 |
| Q: I took my blood pressure in walmart on a automatic machine, and it read 151/94.- had just walked in ... A: Probably not. You probably need to have additional readings over time. You do however have labile ... | |
| How long before changing drugs | 11/8/2010 |
| Q: White Male : 44yrs, 100kg , 183 cms. Some family history of high BP, always been around 130/90 for ... A: If there is no fall in your blood pressure after 7 to 10 days of this medication then a medication ... | |
| nifedipine er 60mg | 10/30/2010 |
| Q: I have hypertension...was high on norvasc and diagnosed with kidney disease so was put on lisintril ... A: Yes, nifedipine ER is a safe medicine. The swelling is particular to this class of drugs, calcium ... | |
| Hypertension | 10/27/2010 |
| Q: I'38 years old.I've taken Atenolol 50mg,Atorvastatin 20mg,Asprin 75mg per day for many years but ... A: Althhough atenolol can be associated with depression it is not a common side-effect with this ... | |
| spike in BP, migranes, dizzines.. | 10/24/2010 |
| Q: About me: F, age 30, 5'6", weight 140. run 3-6 miles 4-6 times a week, horse back ride everyday. ... A: The tests being done, whatever they are, would be appropriate. The headaches could be a cause of ... | |
| imergency occ hypertension | 10/23/2010 |
| Q: sir pl advice imergency oral treatment by fast acting oral medicine for hypertension and resultive ... A: Oral clonidine is the best option in that it works within 30 minutes and does not need to be chewed. ... | |
| Causes of Hypertension | 10/21/2010 |
| Q: I am a 47 yr old female that was diagnosed with hypertension in my mid 20s. (Then I weighed about ... A: Your situation is difficult to resolve by this means of communication since it sounds like you have ... | |
| blood pressure meds | 10/20/2010 |
| Q: I went to the doctors 21 days ago as i had high blood pressure, lower figure usually well into the ... A: It would seem that you should take only the new medicine. The reasons the switch was made was ... | |
| Can hormones cause High BP? | 10/12/2010 |
| Q: I'm a 33 year old female taking flovent for asthma, singulair, and diltiazem cd 120mg for stage one ... A: The estrogen is a well-recognized cause of blood pressure going up. The progesterone is much less ... | |
| 24yr old hypertensive | 10/9/2010 |
| Q: i found out i had high blood pressure some weeks ago and i have been on lisinopril, i am 24 and ... A: Whichever way you go it should be discussed with the physician who originally prescribed the ... | |
| High Blood Pressure Medications | 10/2/2010 |
| Q: I have high blood pressure which has caused some kidney damage. Presently taking Clonidine 0.1 mg ... A: This will be my last response on this line of questioning since I can only keep it to three ... | |
| help with beta blocker | 9/29/2010 |
| Q: i developed svt 3 months ago and was put on toprol. My blood pressure at home is normal (110/70 avg) ... A: These sound like significant side-effects almost as if a textbook has been read (i.e, poor blood ... | |
| Low BP w/BP Meds | 9/28/2010 |
| Q: Shortly after being diagnosed with Diabetes Type 2 a year ago, his BP was high during a follow up ... A: Yes, you are absolutely right that this is a confusing approach. There is a belief, not necessarily ... | |
| High Blood Pressure Medications | 9/26/2010 |
| Q: I have high blood pressure which has caused some kidney damage. Presently taking Clonidine 0.1 mg ... A: Your e-mail is hard to decipher. The amlodipine and valsartan in not clonidine and neither contains ... | |
| Wrong prescription? | 9/20/2010 |
| Q: and 83 and recently put on NORVASC, starting with 2.5 mg, then 5 mg and now 10 mg. Am experiencing ... A: Without any blood pressure readings pre and post-Norvasc I cannot offer any meaningful advice. You ... | |
| 24yr old hypertensive | 9/17/2010 |
| Q: i found out i had high blood pressure some weeks ago and i have been on lisinopril, i am 24 and ... A: Whether you can get off medication or not often relates to how high your blood pressure is to start. ... | |
| hypertension | 9/11/2010 |
| Q: can you please help. thank you Hello!My question is about chronic hypertension. My boyfriend has ... A: Elevated blood pressure can cause heart and lung consequences with but a couple of years of elevated ... | |
| what data do I need | 9/6/2010 |
| Q: • I have hypertension partly due to family history, and partly due to long term use of oral steroids ... A: Blood pressure readings will prove useful. If you could provide heart rates at the time of the ... | |
| High blood pressure | 8/30/2010 |
| Q: I am a 46 year old female who is 5'10" and weighs 155. I do not smoke or drink. In the last 3 years ... A: Yes, but the dose of lisinopril that you were on was vanishingly small and is not the drug of choice ... | |
| sudden increase in diastolic pressure and pulse | 8/27/2010 |
| Q: I'm an overweight (228 pounds and dropping# female aged 38 with ectopic heartbeats, until last week ... A: Not seeing you as a patient makes it difficult to give a definitive answer. Many of your symptoms ... | |
| Controlling Blood Sugar | 8/26/2010 |
| Q: I have diabetic Type2 for the past 5 years. My FBS is always less than <115. I am taking everyday ... A: Natural progression of the diabetes is the usual answer and generally that means that the most ... | |
| CoQ10 | 8/18/2010 |
| Q: I am 51 with hypertension and sleep apnea. I have tried low calorie diets for months, running, every ... A: CoQ10 has no known effect on weight so I do not think your 2 pound weight loss is in any way ... | |
| Lisinopril & Headache | 8/15/2010 |
| Q: I have recently stopped taking my Lisinopril 10 mg due to severe stomach irritation, mid-back pain ... A: The headache would have nothing to do with stopping the lisinopril particularly in light of your ... | |
| hypertension | 8/14/2010 |
| Q: i am 36 years old. I am suffering from perennial allergic rhinitis from more than one years. during ... A: If olmesartan is lowering your pressure then for that reason it is suitable. The other issues you ... | |
| Hypertension | 8/10/2010 |
| Q: Sica, How much weight do you need to lose before you see a significant drop in blood pressure? I am ... A: It might but you can only tell this by what the blood pressure is at that time. You are currently ... | |
| bp med least side effect to GERD | 8/8/2010 |
| Q: What is the latest research to support recommended medications to reduce arterial stiffness and ... A: The drug class that would be most appropriate as to blood pressure reduction and lessening arterial ... | |
| hypertension | 8/8/2010 |
| Q: i am 36 years old. I am suffering from perennial allergic rhinitis from more than one years. during ... A: Olmesartan will not cause allergic rhinitis. It can however cause stuffiness. It might not be a bad ... | |
| hypertension | 8/7/2010 |
| Q: My husband, age 58, was feeling light-headed and unable to concentrate. Visited w/ PCP and found ... A: You are correct in that it should be more consistently lower. One way to assess the response to his ... | |
| Hypertension | 8/6/2010 |
| Q: Sica, How much weight do you need to lose before you see a significant drop in blood pressure? I am ... A: Usually a 20 pound weight loss is what it would take for there to be a blood pressure drop; however, ... | |
| Hypertension | 8/2/2010 |
| Q: In 2008 I experienced nose bleeding that could not be stopped until I was taken to the hospital. I ... A: Sorry for the delay in answering this but I was away without e-mail access. When the three drug ... | |
| PH | 7/28/2010 |
| Q: I finally got to see the summary of my recent ECHO. Maybe you could help me in interpretation (?). ... A: I would have to have a more detailed history and do a physical examination on you, which is not ... | |
| Blood Pressure Medicine | 7/27/2010 |
| Q: I am currently on Lotrel 10-20 mg cap for high blood pressure. I have been taking it for 2 months, ... A: It all depends if your blood pressure remains well-controlled on the lisinopril alone. If not, then ... | |
| diabetes with PCOS | 7/27/2010 |
| Q: I was recently diagnosed with Polycystic Ovarian Syndrome, and was wondering, am I now a diabetic?? ... A: The metformin is used for two reasons: (1) it allows the Polcystic Ovary Patient to ovulate better ... | |
| Hypertension | 7/26/2010 |
| Q: I am 71. Been on Motens 4mg. for 8 years.I stay at around 147/90. Have been experiencing cramps and ... A: There really is no difference between these two compounds; thus, I do not beleive your symptoms ... | |
| blood pressure meds | 7/20/2010 |
| Q: .M'm 49 year old male recently had a nuclear stress test.. because of family history of heart diease ... A: This is a complex issue that is hard to answer with your being sight unseen. If you have a blood ... | |
| From high normal to low blood pressure | 7/10/2010 |
| Q: I'm a 28 year old female who is about 5 to 10 pounds overweight. A few years ago it was not unusual ... A: It is unlikely that you have developed diabetes. It is uncommon for one's blood pressure to drop ... | |
| hypertensive crisis with low BP | 7/10/2010 |
| Q: I had a hypertensive crisis last year while on holidays in Australia, caused probably by excess ... A: You should see your doctor once again. DIzziness can be caused by multiple issues other than blood ... | |
| Hypertension chances | 7/8/2010 |
| Q: I'm on reaccutane and its making my cholestrol go sky high every month, it goes up every month. The ... A: There is no real association between an elevated cholesterol and the development of new-onset ... | |
| From high normal to low blood pressure | 7/5/2010 |
| Q: I'm a 28 year old female who is about 5 to 10 pounds overweight. A few years ago it was not unusual ... A: It would be helpful if you could check your blood pressure and heart rate while lying down and then ... | |
| Diovan and Psychological Side Effects | 6/29/2010 |
| Q: My daughter is 11 and has been on 80mg of Diovan daily for 3 years to control her ... A: No specific research on this and it has not really been a side-effect reported with this medication. ... | |
| Withrawal of diuretic | 6/27/2010 |
| Q: Sir, I am hypertensive male 55 years on hydrochlorothiazide 25 mg Tenormin 100 Amlodepine 10 mg and ... A: WIthdrawal of the hydrochlorothaizide will lower the uric acid by 1-2 mg (current value apparently 8 ... | |
| Can my blood pressure medication cause dry mouth? | 6/27/2010 |
| Q: I am a 53 post menopausal female who is takes a thyroid medication, omeprazole, and a blood pressure ... A: Dry mouth can occur with labetalol but it would be highly unlikely to occur with a dose of 50-mg ... | |
| Blood Pressure | 6/25/2010 |
| Q: I'm 29 yrs old in fairly good shape..... Is it normal for blood pressure to rise and peak after ... A: Blood pressure generally drops some in going from a lying to a standing position. The change you ... | |
| bp and ice eating | 6/23/2010 |
| Q: I am 29 and never had bp problems before.My father passed in Oct and I had bp checked and it was ... A: Very unlikely that your blood pressure is up because of ice eating. If your blood pressure remains ... | |
| Inderal | 5/31/2010 |
| Q: What is the best way to withdrawl from propranolol 10 mg ? I use it 4 times daily now, reason was of ... A: If the only reason you were on this was "temporary " then you can proceed quickly with tapering ... | |
| High Blood pressure | 5/27/2010 |
| Q: I have been on Ramipril 5mg for around 5 months now and it has seemed to keep my blood pressure well ... A: There is typically a difference in blood pressure readings between the arms. The arm with the ... | |
| high blood pressure | 5/26/2010 |
| Q: I have had hypertension for some 30 years. I am 59 years old, 5'11" and 150 lbs. I take ... A: Stress is probably contributing to your blood pressure elevation. If the stress issues has been ... | |
| high BP and fast breathing | 5/23/2010 |
| Q: MY wife 39 yrs old having high blood pressure .WE have consulted GP because that day day her BP was ... A: This is not due to uric acid either for the BP or the fast breathing. Her picture of spiking blood ... | |
| high potassium serem levels | 5/22/2010 |
| Q: I have been taking lisinopril for ten years. Last week my potassium level was 6.2. My dr. took me ... A: No, it is ithe lisinopril. The increase is not 3 to 6% but rather 0.3 to 0.6 mEq/L. Those people ... | |
| hypertinsion and chest pain | 5/18/2010 |
| Q: i have had chest pain off and on for two weeks but the past two days it has gotten worse and ... A: You need to see your physician and/or go to an Emergency Room. Without any more information than ... | |
| lightheaded | 5/17/2010 |
| Q: Have suffered from dizziness for 2 1/2 years. Lots of stress in my life. lots of tests. Ekg ok.lots ... A: An anti-depressant would be a reasonable step to take for a three month trial. If there are ... | |
| High Blood Pressure | 5/16/2010 |
| Q: I am a 39 year old male Indian and recently after checking ,found High Blood Pressure.I am having 79 ... A: You can cut the dose back to once daily and see where your blood pressure goes; however, it sounds ... | |
| reportd | 5/13/2010 |
| Q: I am a male 53 years non alchoholic non tobacco chewer, vaggy obese ( 110 kg weight ) I have bp ... A: You should be being treated for your blood glucose level with the preferred drug being metformin. ... | |
| lightheaded | 5/12/2010 |
| Q: Have suffered from dizziness for 2 1/2 years. Lots of stress in my life. lots of tests. Ekg ok.lots ... A: It does not sound like this relates to your blood pressure. Dizziness is not one of my areas of ... | |
| cerebrovascular hypertension | 5/10/2010 |
| Q: I am 25 yo man and last graduate year medicine student. I am a vocalist in a rock band. does scream ... A: What are describing as contrcting abdominal muscles and increasing intracranial pressure is the ... | |
| HYPERTENSION(question not answered) | 5/10/2010 |
| Q: My name is Rajesh. My father who is 45 years is suffering from hypertension since year 2000. But ... A: I too do not know what the word allergin means. Per chance is the physician trying to say allergic ... | |
| High Blood Pressure | 5/9/2010 |
| Q: I am a 39 year old male Indian and recently after checking ,found High Blood Pressure.I am having 79 ... A: The majority is hypertension cases are so-called essential hypertension without a clear and defining ... | |
| Grouth hormone | 5/6/2010 |
| Q: I bought a bottle of grouth hormone like 8 or 10 years ago when I read very good comments about it. ... A: Growth hormone is a controlled substance and can only be obtained by prescription and for health ... | |
| Taking blood pressure at home | 5/5/2010 |
| Q: My Dr. wants me to monitor my blood pressure at home. I have two blood pressure monitors at home - ... A: The blood pressure readings are inherently different if it is taken in the arm versus the wrist. ... | |
| Pills | 4/25/2010 |
| Q: 60 yr old male taking medication for high cholesterol. Recently diagnosed as diabetic. Was ... A: Protection from kidney disease and heart disease. Lisinopril can protect the kidney by changing the ... | |
| Fluctuating blood pressure | 4/23/2010 |
| Q: I'm 64, male, 6'3, 185. Avid runner. 40 or so miles a week. Resting heart rate of 44. My ... A: Yes, you are probably worrying about this too much. I am not certain that the losartan that you are ... | |
| Blood pressure range | 4/21/2010 |
| Q: There is a history of high blood pressure in my family. I would like to purchase an economical ... A: Most devices on the market are good having undergone testing by device agencies before hitting the ... | |
| rapid pulse rate | 4/19/2010 |
| Q: My Mum, 91 years old, normally has high blood pressure ad has been taking medication for this ... A: There are multiple causes for a high heart rate but in the case of your mother it might simply be ... | |
| treating systolic hypertension | 4/19/2010 |
| Q: My bp ranges from 115-140 over 55-70. I am on atenolol and Lisinopril. Been taking these for years. ... A: From your description of your case I am surprised that you are on two drugs for hypertension. I ... | |
| metopolol | 4/12/2010 |
| Q: I have been taking Tenormin 100 for tachycardia and rapid pulse since 1989. With the passage of ... A: If he is insisting you might politely ask why. Your blood pressure values look good and it would ... | |
| What is the significance of HbA1c test in non-diabetics? | 4/8/2010 |
| Q: I am a 53 years old hypertensive( atenolol 100 losartan 100 amlodepine 10 mg) obese male( weight ... A: The 6.9% value for this test represents an "average" blood sugar 24/7 over several weeks that is ... | |
| FLUCTUATING BLOOD PRESSURE READINGS | 4/8/2010 |
| Q: My mother has recently been experiencing fluctuating blood pressure levels ranging from 150/103 to ... A: Usually elevated blood pressure readings on awakening relate to the quality and amount of sleep and ... | |
| Trkturna | 4/6/2010 |
| Q: Dr. Domenic If you can help me I will be very thankful. I currently have high blood pressure and ... A: The additional blood pressure lowering with Tekturna on top of the lisinopril that you are already ... | |
| metopolol | 4/5/2010 |
| Q: I have been taking Tenormin 100 for tachycardia and rapid pulse since 1989. With the passage of ... A: Metoprolol is not necessarily better than atenolol for differentially lowering blood pressure or ... | |
| 36 with High blood pressure | 3/30/2010 |
| Q: I am a bit frustrated.. a little history.. I am 36. I am 5'5" 158lbs. I have been experiencing HBP ... A: You have what would be termed labile blood pressure, which seemingly crossed into the hypertensive ... | |
| lisinopril | 3/30/2010 |
| Q: I have been taking 10 mg of lisinopril for several years for hypertension. Recently I had an ... A: If you are really concerned about potassium levels being elevated your doctor should check this for ... | |
| lisinopril | 3/30/2010 |
| Q: I have been taking 10 mg of lisinopril for several years for hypertension. Recently I had an ... A: Have you had your potassium levels checked ? A such, it your potassium level was elevated it would ... | |
| 36 with High blood pressure | 3/28/2010 |
| Q: I am a bit frustrated.. a little history.. I am 36. I am 5'5" 158lbs. I have been experiencing HBP ... A: I may need to answer ths question in two parts since I need additional information. Are your ... | |
| beta blocker question | 3/28/2010 |
| Q: I know response to beta blockers is individual, but in general are there any less likely than others ... A: Beta-blockers are generally used as a way to slow heart rate in the post-MI circumstance, If you ... | |
| beta blocker question | 3/28/2010 |
| Q: I know response to beta blockers is individual, but in general are there any less likely than others ... A: Beta-blockers are more likely to cause fatigue as well as to disturb sleep than other drug classes. ... | |
| Coversyl Plus HD | 3/27/2010 |
| Q: I have HBP and I was on Coversyl 8mg for 2 years. My blood pressure was around 145/95 in the morning ... A: The increase in heart rate could relate to the diuretic having caused some fluid loss from the body. ... | |
| hypertension | 3/25/2010 |
| Q: My name is Raj and I am 23 years old and recently detected as suffering from high bp (170/100).High ... A: These events do not happen to all individuals with hypertension but only a small number. The pain ... | |
| Blood Pressure | 3/24/2010 |
| Q: I am 22 years old and was diagnosed with high bp 5 months ago, after sudden dizziness and racing ... A: You are correct in your assessment in that the blood pressure is not high enough to cause what are ... | |
| Blood Pressure | 3/23/2010 |
| Q: I am 22 years old and was diagnosed with high bp 5 months ago, after sudden dizziness and racing ... A: Are your symptoms occurring on or off therapy with ramipril ? A blood pressure reading of 135/70 mm ... | |
| sudden rapid heart beat | 3/21/2010 |
| Q: my daughter has random episodes of a fast heart beat. she has had them twice in a weak, but has also ... A: She needs to see a cardiologist with an interest in electrophysiology. There is a device called an ... | |
| diastolic hypertension | 3/11/2010 |
| Q: My recent visit with my internist had me worried when he told me that my BP was 120/95. He tried it ... A: Isolated elevation in diastolic blood pressure is not usually treated unless the value is greater ... | |
| Pre-hypertension | 3/9/2010 |
| Q: I’m a 35 year-old male with pre-hypertension. My blood pressure regularly measures at 130-140 over ... A: There really is nothing else that you can or should do with this. Pre-hypertension is not a disease ... | |
| hypertension | 3/6/2010 |
| Q: I am a male married senior, BMR 24, non-smoking, walking 30 min per day. My low blood pressure is ... A: You probably do not have hypertension with these readings unless the top # is more persistently in ... | |
| HDL very poor | 3/2/2010 |
| Q: I am obese ( weight 115 kg) male 52 years and on BP drugs. Recently I had blood tests which results ... A: You would probably need to start therapy with niacin for starters. It would not be likely that any ... | |
| high blood pressure but low sodium with blood test | 2/28/2010 |
| Q: I have high blood pressure. Recent readings include 150/92, a couple days later down to 135/85. But ... A: It depends on how low the blood sodium value is if you have that information. It is unusual for ... | |
| hypertension | 2/22/2010 |
| Q: I am a 37 year old male and is taking anti hypertensive medicines for last 5 yrs daily. About 2 ... A: I am confused as to what medications you are currently taking. I gather you are taking losartan ... | |
| hypertension | 2/11/2010 |
| Q: I posted a question not too long ago on this topic and I'm unsure whether it was to you or not, so I ... A: I did not originally answer this question. Blood pressure can vary to this degree and there is not a ... | |
| High Blood Pressure | 2/9/2010 |
| Q: I am 21 and recently checked my blood pressure , it showed 130/90. The reading is constant for over ... A: This is not yet high blood pressure but once it is above 140/90 mm Hg it becomes so. You might ... | |
| Hypertension | 2/5/2010 |
| Q: For many years I was using 50 mg. Atenolol without any problems and it kept my b/p under control. A ... A: I am not familiar with Exforte - per chance do you mean Exforge ? If it is Exforge I do not know ... | |
| beta blocker question | 2/3/2010 |
| Q: Following a relatively minor heart attack a year and a half or so ago I have been on a very low ... A: There is no need to suffer with severe nightmares with Toprol XL. You might consider having your ... | |
| fasting BS higher than post prandial | 2/3/2010 |
| Q: I am hypertensive and I observe since last 2 years that my fasting blood glucose is lways 110 to 120 ... A: This is an early phase of diabetes that is best treated with metformin. The drop in the blood ... | |
| Blood pressure variations | 2/1/2010 |
| Q: Sica, I had my blood pressure taken today, the result was 128/81 with a pulse of 119. This was a ... A: Of the several medications cited, which ones are you on at this time. Several of the ones listed can ... | |
| Regarding Blood pressure | 1/29/2010 |
| Q: I am 25 year old guy. I checked my blood pressure n it came out to be 157/98. Then after couple of ... A: You probably need a good history and physical examination from your treating physician. Thereafter, ... | |
| Hypertension | 1/25/2010 |
| Q: My name is Pankaj and i am male of 22 years. Recently during a medical examination my blood pressure ... A: You need to have your blood pressure checked outside of a doctor's office in that you may have ... | |
| IMPAIRED GLUCOSE TOLERANCE and metformin | 1/13/2010 |
| Q: I am male/48 years and hypertnsive obese weight iii kilograms. Both parents HBP and mother died of ... A: Metformin is a good choice for your level of glucose intolerance. Are you trying to avoid any ... | |
| hypertention | 1/9/2010 |
| Q: my brother is 22 years old with history of hypertenssion for 6months,investigations done for him and ... A: My advice would be to increase the Norvasc to 10-mg once daily and if his blood pressure does not ... | |
| carvedilol | 1/8/2010 |
| Q: Is Carvedilol similar to atenolol whether it nas the same benefits of atenolol. My dr wants me to ... A: Carvedilol and atenolol would each be identical in how they might make a person with an asthmatic ... | |
| Best Approach | 1/7/2010 |
| Q: Dr. Sica, I am a 68 year old female (will turn 69 in February) and was first diagnosed with high ... A: The Avapro would have nothing to do with the Vitamin B-12 deficiency if you were wondering about ... | |
| question | 1/6/2010 |
| Q: I am 72 years old male from India with essential hypertension I am on Tenormin 100, HCTZ 25 S ... A: Enalapril can be safely substituted for ramipril at an equal dose of 10-mg. If your blood pressure ... | |
| dizzeness | 1/3/2010 |
| Q: i have been experincing dizzeness i was wonder what cause that i have been takeing achiphex for my ... A: A simple approach might be to hold the Aciphex for a day or two and see if the dizziness abates. If ... | |
| question | 1/3/2010 |
| Q: My wife 44 yrs hypertensive on Tenormin 100 and losartan 100 with MVP on Echo. All other parameters ... A: The moneuklast would be something used for presumed asthma. A more prudent approach would be to ... | |
| question | 1/2/2010 |
| Q: My wife 44 yrs hypertensive on Tenormin 100 and losartan 100 with MVP on Echo. All other parameters ... A: What is your wife's body size and does she have difficulty with snoring while asleep or awakening ... | |
| Appropriate dosage for controlling BP | 12/31/2009 |
| Q: i am 52 yrs old married male suffering frm mild BP for last 20 years. When I take amlodipin 5mg the ... A: If you are not having side-effects with the 5-mg dose then there are not really any adverse effects ... | |
| Appropriate dosage for controlling BP | 12/30/2009 |
| Q: i am 52 yrs old married male suffering frm mild BP for last 20 years. When I take amlodipin 5mg the ... A: That is a dramatic difference for such a small change in the amount of amlodipine [5 versus 2.5-mg] ... | |
| reports | 12/30/2009 |
| Q: My wife aged 47 years had a medical health check up wherein she is found to have following adverse ... A: The adverse reports are not adverse per se but rather reflect an incidental finding for lymphocytes ... | |
| Medication | 12/26/2009 |
| Q: I take four medications daily: a water pill, a blood pressure medication (Quinapril), a baby ... A: There is no rhyme of reason to all the medication for a particular disorder being taken together at ... | |
| pressure chest | 12/23/2009 |
| Q: my husband complains about pressure on his heart/chest. He had several EKG that were normal. He also ... A: I am guessing that taking you meant to say that taking nitroglycerin made it worse. I cannot offer ... | |
| Hypertensive drugs | 12/22/2009 |
| Q: should linsinopril at a dosage of 10mg daily be taken together with Amlodipine at a dosage of 10mg ... A: It can be taken together with or separate from amlodipine by several hours. Sometimes when both ... | |
| left arm numb | 12/20/2009 |
| Q: my left arm is numb and blood pressure is 150/100 should i be concerned A: I need a little more information on this before I can provide an answer. Are you hypertensive all ... | |
| hypertension medication side-effects | 12/17/2009 |
| Q: I am a 61 year old man with hypertension that first developed about two years ago. I have begun ... A: When are you taking the medication in the context of the workouts ? Taking it too close to the ... | |
| extra beat | 12/11/2009 |
| Q: I am 55 years male on Tenochlor 100 Telma 80 mg and Amlodac 10 mg. I am being given atenolol 100 due ... A: I am unfamiliar with some of the medications you are taking (Telma and Amlodac). Is the extra beat, ... | |
| expert advice | 11/18/2009 |
| Q: my hubby is 34 yr old.he is a very busy business man.for the past few days he was having ... A: It would probably be advisable to have his blood pressure checked on a couple of other occasions ... | |
| Pre hypertension | 11/14/2009 |
| Q: I am a 60 year old male with pre hypertension for several years and I have been doing life style to ... A: This will require at least two drug therapy to bring you down to less than 120/80 mm Hg in that ... | |
| Pilates and hypertension | 11/14/2009 |
| Q: My blood pressure varies alot throughout the day. I am currently taking atenolol 25 mg. daily. My ... A: Based on the information you just provided I would suggest the following approached (1) see if your ... | |
| Pilates and hypertension | 11/14/2009 |
| Q: My blood pressure varies alot throughout the day. I am currently taking atenolol 25 mg. daily. My ... A: You might already know this but that is not a huge variation in blood pressure as you describe it. ... | |
| fluctuating hypertension | 11/13/2009 |
| Q: I am an african american female age 40, 150 lbs. I have never been over weight and I have no family ... A: Blood pressure will vary based on environmental factors such as pain, intercurrent illness, sleep ... | |
| Pre hypertension | 11/9/2009 |
| Q: I am a 60 year old male with pre hypertension for several years and I have been doing life style to ... A: You look to be in excellent shape. I can answer this question better if you give me your blood ... | |
| Elevated BP,Very high HR in young pregnant woman | 11/6/2009 |
| Q: I'm 29, 36wks pregnant with 4th child, hx of MVP with Regurgitation and decreased efraction rate. I ... A: Country practices vary as to how to approach this issue. What country are you in ? Is there any way ... | |
| Blood press medicine | 11/6/2009 |
| 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 ... | |
| hypertension | 11/3/2009 |
| Q: I am a 26yr old female and have had renal problems(mainly recurring uti's and reflux) since i was ... A: You have what is called reflux nephropathy, which is associated with hypertension and recurrent ... | |
| High Blood pressure? | 10/29/2009 |
| Q: I have a blood pressure of around 155 over 85, i am told i may have hypertension-is this true? Is ... A: If you are in this range consistently then you do have hypertension and this probably should be ... | |
| Switching from Lisinopril to Cozaar | 10/24/2009 |
| 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 ... | |
| Switching from Lisinopril to Cozaar | 10/23/2009 |
| 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 ... | |
| spikes in blood pressure | 10/23/2009 |
| 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 ... | |
| Hypertension and high altitude | 10/19/2009 |
| 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. ... | |
| High blood pressure | 10/12/2009 |
| Q: I,m 50 years old with HBP . All the meds we try wont keep it stable . Sometimes its 180/98 when its ... A: The medicines you mention also "remodel" the heart separately; thus, a possible reason why you are ... | |
| High blood pressure | 10/10/2009 |
| 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 ... | |
| weightloss and running | 10/10/2009 |
| 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 ... | |
| med question | 10/9/2009 |
| 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 ... | |
| Spikes in bp while on meds | 10/5/2009 |
| 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 ... | |
| Spikes in bp while on meds | 10/4/2009 |
| 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 ... | |
| Blood Pressure | 10/1/2009 |
| 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 ... | |
| Dietary Fat | 9/29/2009 |
| 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 ... | |
| Sauna & Hypertension | 9/29/2009 |
| 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 ... | |
| Blood pressure | 9/28/2009 |
| 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 ... | |
| tia | 9/21/2009 |
| 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 ... | |
| high blood pressure | 9/21/2009 |
| 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 ... | |
| medication? | 9/19/2009 |
| 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 ... | |
| medication? | 9/19/2009 |
| 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 ... | |
| Impedance cardiography (ICG) | 9/17/2009 |
| 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 ... | |
| Hypertension specialist in San Diego, CA | 9/17/2009 |
| 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 ... | |
| New HBP treatment | 9/15/2009 |
| 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 ... | |
| New HBP treatment | 9/13/2009 |
| 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 ... | |
| Impedance cardiography (ICG) | 9/12/2009 |
| 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 ... | |
| high blood pressure | 9/11/2009 |
| 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 ... | |
| Management of Hypertension in Patients with Type 2 DM | 9/6/2009 |
| 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 ... | |
| calcium channel blockers | 9/2/2009 |
| 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 ... | |
| Can I go off or reduce my medication? | 9/2/2009 |
| 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 ... | |
| AHA diets | 9/2/2009 |
| 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 ... | |
| Management of Hypertension in Patients with Type 2 DM | 8/31/2009 |
| 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, ... | |
| Lopressor | 8/30/2009 |
| 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 ... | |
| Hypertension | 8/29/2009 |
| 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. ... | |
| hypertension medication...? | 8/27/2009 |
| 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 ... | |
| heart palpitations | 8/25/2009 |
| 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 ... | |
| hypertension control | 8/19/2009 |
| 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 ... | |
| HTN and beta blocker weaning | 8/18/2009 |
| 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 ... | |
| should medication be considered? | 8/18/2009 |
| 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 ... | |
| will CT scan reveal a recent massive ischemic stroke | 8/17/2009 |
| 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 ... | |
| will CT scan reveal a recent massive ischemic stroke | 8/16/2009 |
| 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 ... | |
| sudden H.T.N | 8/5/2009 |
| 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 ... | |
| BP med question | 8/4/2009 |
| Q: I am a 24-year-old female who is 4'11 and 88lbs and was recently given a prescription for 80mg of ... A: I would approach this by taking 1/2 of the 80-mg pill every other day and see how the blood pressure ... | |
| legal dosage ofr atenolol | 8/2/2009 |
| Q: On 7/02/09 my wife's primary care giver doubled her prescription of atenolol. She had been taking ... A: 200-mg is on the high end for atenolol but it a dose that can be used. The Diltia-XT is not a beta ... | |
| sudden H.T.N | 8/2/2009 |
| Q: diasystolic 90 sys.130-150 6mths. now sys 173-192 dia-110 map120-132 51yr woman hashimotos 100mcg ... A: This pattern is one that is mainly seen with one of two conditions (1) pheochromcytoma - you may ... | |
| High Blood Pressure | 7/23/2009 |
| Q: My father has found out today that he has high blood pressure. He is 47 years old and I was ... A: A pressure of 160/110 mm Hg would never be a normal development. Cutting salt out of the diet ... | |
| High Blood Pressure | 7/23/2009 |
| Q: My father has found out today that he has high blood pressure. He is 47 years old and I was ... A: If his blood pressure is truly that high then it would be highly unlikely that he could go without ... | |
| 30 year old female with new onset HTN | 7/21/2009 |
| Q: I am a 30 yr old RN, manager at a stable home health care office near my home. I do yoga and ... A: Beth - I probably need to talk to you directly about this. If you send me your call back # I will ... | |
| blood pressure | 7/16/2009 |
| Q: I know your normal blood pressure is under 120/80, but with excersise it goes up. Is there a normal ... A: As you may already know heart rate recovery times are type of exercise, age, and prior level of ... | |
| blood pressure | 7/10/2009 |
| Q: I know your normal blood pressure is under 120/80, but with excersise it goes up. Is there a normal ... A: It depends on your exercise. Weight lifting differs from running/swimming. With running/swimming we ... | |
| Blood Pressure | 6/20/2009 |
| 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 ... | |
| Question about benicar | 6/20/2009 |
| 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. ... | |
| Question about benicar | 6/18/2009 |
| 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 ... | |
| Question about benicar | 6/15/2009 |
| 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 ... | |
| Followup re: medication | 6/10/2009 |
| 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 ... | |
| Nebivolol | 6/9/2009 |
| 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 ... | |
| Nebivolol | 6/9/2009 |
| 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 ... | |
| pre diabetic? BG and HbA1c disagree | 6/4/2009 |
| 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 ... | |
| pre diabetic? BG and HbA1c disagree | 6/4/2009 |
| 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 ... | |
| Combination of Vitamins | 6/4/2009 |
| 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. ... | |
| Followup re: medication | 5/30/2009 |
| 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 ... | |
| medication? | 5/30/2009 |
| 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 ... | |
| Followup re: medication | 5/29/2009 |
| 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 ... | |
| Lisinopril | 5/27/2009 |
| 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 ... | |
| Blood Pressure Medication, is it dangerous? | 5/24/2009 |
| 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 ... | |
| I am a 21 year old male and have problem with BP | 5/24/2009 |
| 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 ... | |
| Blood Pressure Medication, is it dangerous? | 5/23/2009 |
| 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 ... | |
| Epinepherine, catecholamines, high blood pressure | 5/23/2009 |
| 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 ... | |
| changed drugs for High BP | 5/23/2009 |
| 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 ... | |
| Epinepherine, catecholamines, high blood pressure | 5/22/2009 |
| 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 ... | |
| Linsinopril HCTZ 10MG | 5/21/2009 |
| 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 ... | |
| studies on hypertension | 5/19/2009 |
| 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 ... | |
| Can walking improve prognosis of diabetes ? | 5/12/2009 |
| 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 ... | |
| lisinopril | 5/3/2009 |
| Q: i'm a 22 year old male who was just recently diagnosed with hypertension. i was put on ... A: You can probably go to an every other day regimen for the blood pressure medication and assess your ... | |
| Can digitalis be used to treat hypertension? | 4/15/2009 |
| Q: Decreasing the heart rate will decrease blood pressure if other affecting factors [e.g. extent to ... A: Beta-blockade would be much safer and more predictable in its effect on heart rate and blood ... | |
| Hypertension Medication | 4/11/2009 |
| Q: I have been prescribed with Losartan 100 mg, Norvasc 5 mg and Lipitor 20 mg for my hypertension ... A: These symptoms are not the result of hyperacidity. These symptoms sound more cardiac in origin. I do ... | |
| Blood pressure around the house, at work, etc. | 4/9/2009 |
| Q: What I want to know is, if my "normal average" blood pressure at rest is 117/68, what would be a ... A: Blood pressure normally goes up with activity. Whoever told you that it does not might need to share ... | |
| Is Candesartan linked to a dry cough? | 4/6/2009 |
| Q: I recently retired from work having been diagnosed with hypertension and having suffered from stress ... A: Candesartan is not really associated with cough. I can't make a firm diagnosis by e-mail but I ... | |
| Are medications really the best option? | 4/3/2009 |
| Q: I would like to ask a question about a topic that hits very close to home and where i am really ... A: A thiazide-type diuretic is one choice amongst several drug classes for the initial treatment of ... | |
| Are medications really the best option? | 4/1/2009 |
| Q: I would like to ask a question about a topic that hits very close to home and where i am really ... A: Unfortunately, I (and recent literature) do not agree with your analysis. The studies you cite have ... | |
| clonidine | 3/30/2009 |
| Q: I should say ahead of time that I am fully aware that my complaint may sound strange. I am 35, ... A: Your case is complicated as you have nicely outlined. The issue with clonidine that you are ... | |
| blood pressure pill | 3/30/2009 |
| Q: Could you please give me the name of a prescription high-blood-pressure pill that does not make the ... A: There are several such compounds in a class called angiotensin receptor blockers including: Cozaar, ... | |
| problems | 3/27/2009 |
| Q: my mom is 50,ijn past 4-5years she always coplained for like temperature only on her face,or on her ... A: I am having a little trouble trying to figure out what you are saying. Are you describing flushing ... | |
| Avalide? | 3/21/2009 |
| Q: I have just started Avalide. I cant find much info on it,I am hoping you can help? 1.How long do I ... A: You should see a response within a week if you are going to get a response from this combination ... | |
| High BP and Pulse | 3/20/2009 |
| Q: I am a 25 year old male and have high blood pressure, i have been in for loads of tests and my BP ... A: You probably need to see a hypertension specialist since there are several possible causes for this ... | |
| B/P and Rx interactions | 3/18/2009 |
| Q: Dx:small blood vessels-resulting in uncontrolled hypertension. Taking Tropol XL 50 mg. one X day, ... A: Probably the safest way to treat your blood pressure is to establish good control of your angina and ... | |
| B/P and Rx interactions | 3/18/2009 |
| Q: Dx:small blood vessels-resulting in uncontrolled hypertension. Taking Tropol XL 50 mg. one X day, ... A: Absolutely; however, the question is why would it be taken together with the beta blocker. If it is ... | |
| medication | 3/15/2009 |
| Q: I have been tested, including a 24 hour ambulatory monitor,and my next step is to see my doctor ... A: Your question is a little confusing but I will take a shot at answering it. If you have been ... | |
| Hypertension and Alzheimers | 3/14/2009 |
| Q: To what degree is hypertension implicated as a cause of Alzheimers? I came across a tv interview ... A: There is increasing evidence to suggest that when a patient with hypertension is suitably medicated ... | |
| hypertension | 3/12/2009 |
| Q: Im 32yrs old 72' 183lbs. My question is about high blood pressure. Everytime I go to the dr they ... A: Some people have an "alerting" reaction to blood pressure measurement when it is obtained in an ... | |
| Lisinopril | 3/1/2009 |
| Q: I have a Bicuspid Aorta valve, and a 4.5 ascending Aorta aneurysm. Blood pressure has been rising ... A: Goal blood pressure for you should be below 130 mm Hg systolic (top #). If the Cozaar is being added ... | |
| stress related hypertension | 2/16/2009 |
| Q: I'm 22, 132 lbs, and I suffer from stress and anxiety with occasional panic attacks. I take xanax ... A: Panic can trigger significant rises in blood pressure; however, it is transient in nature. The best ... | |
| Low blood pressure | 2/15/2009 |
| Q: I know the general guidelines for high pressure. What constitutes low blood pressure and what are ... A: This is a question that is fairly broad and I cannot answer it briefly. If a person's blood pressure ... | |
| medication and herbs | 2/14/2009 |
| Q: Can Hawthorn Extract (leaf)300 mg and Coleus Forskohlii Extract (root) 156 mg safely be taken with ... A: There is no problem with either Hawthorne Extract or Coleus Forskohlii being taken together with ... | |
| guidance | 2/11/2009 |
| Q: Respected Sir, I am taking Tenormin 100 Natrilix SR 1.5 Losartan 100 Amlodepine.Indian brands I am ... A: That approach is not unreasonable particularly if you can verify that it is working by way of your ... | |
| Low Blood Pressure | 2/3/2009 |
| Q: Recently I've had my blood pressure taken and it is around 94/64 or 90/60. The nurse sort of gives ... A: This blood pressure range is not at all unusual for someone with a small frame. One thought is ... | |
| cilnidepine | 1/29/2009 |
| Q: Respected Sir, My brother's wife aged 64 has hbp and was on losartan 100 with HCTZ 12.5 Due to bp ... A: A suitable alternative to cilnidipine (or amlodipine) would be the drug diltiazem (180 to 240-mg) ... | |
| Hypertension (White coat) | 1/27/2009 |
| Q: I live in the UK, 39 yr old , male, on Irbesartan 300mg/od + Lercanidipine 20mg/od,on medication for ... A: Oliver - this is one of the more difficult clinical circumstances to deal with. A trial of a low ... | |
| ramipril +losartan | 1/17/2009 |
| Q: Respected Sir, I appreciate your response to my early query on 6th Jan To reecapitulate, I repeat ... A: The most important aspect of your care is that of effective management of your blood pressure. If ... | |
| Am I diabetic ? | 1/16/2009 |
| Q: Respecred Sir, I am 48 years male with IGT Since last three months I notice that mr fasting blood ... A: This is an early diabetic pattern, which probably relates to your family history as well as your ... | |
| selective betablocker | 1/14/2009 |
| Q: Sir, I am a aptient of high blood pressure with tachycardia and missing heart beats. I am ... A: Tenormin (atenolol) is in point-of-fact falling out of favor in the hypertension community. ... | |
| severe concentric LVH & Dystolic Dusfunction | 1/13/2009 |
| Q: Respected Sir, I have read your answers and highly impressed by the quality responses. I am 50 ... A: The major issues in the regimen, such as the one, that limit its effectiveness are (1) unrecognized ... | |
| severe concentric LVH & Dystolic Dusfunction | 1/12/2009 |
| Q: Respected Sir, I have read your answers and highly impressed by the quality responses. I am 50 ... A: It would seem from these values that you need better blood pressure control as well as to be ... | |
| Tenormin | 1/9/2009 |
| Q: Sir, I am male/50/Indian hypertensive on Tenormin 100 Amlodepine 10 Losartan 100 Lozol 1.5 While I ... A: You are correct that Tenormin can lead to a rise in blood sugar. It may be less so if you can safely ... | |
| diuritic | 1/9/2009 |
| Q: am hypertensive male 48 years and on Atenolol 100 with Losartan 100. I have been taking Atenolol ... A: If you are prone to fluid retention and/or have any symptoms of heart failure the torsamide is ... | |
| strong heartbeat and feeling of heart skipping beats | 1/6/2009 |
| Q: I work out with weights 3 times a week. I am 57 years old and take a beta blocker for high blood ... A: Skipped beats are generally not a problem under the circumstances that you describe. A stress test ... | |
| Blood shot eyes | 12/15/2008 |
| Q: I am male, 60 years old, 5'6, 160lbs. I have had high blood pressure for over 7 years. On certain ... A: The "high" number for your blood pressure is actually not that high from a blood pressure ... | |
| igt | 12/11/2008 |
| Q: Sir, I am male/51 years and hypertnsive on Tenormin 100 Losartan 100 Amlodepine 10 and Indapamide ... A: These readings look like you are "pre" diabetic. Glycomet is not an unreasonable choice of a ... | |
| hypertension due to cholestrol (TRIGLYCERIDE) | 12/3/2008 |
| Q: Respected sir, I am a male of 26 years. Last year My Triglyceride level get elevated to 218 and i ... A: It is unusual that your blood pressure would drop as much as it did with these two blood pressure ... | |
| Hypertension | 11/29/2008 |
| Q: I would like to thank you in advance for taking your time to hopefully answer my question. I am a 36 ... A: This most certainly is a complex situation. First, there appears to be a significant response to an ... | |
| hdl levels | 11/22/2008 |
| Q: about 12 yrs ago I went through treatment for genotype 1 hepatitis c. my viral load was 9 million.I ... A: I presume that you have talked to your physician on this. If you have not already tried aspirin then ... | |
| heart arrhythmia's | 11/22/2008 |
| Q: I have severe high blood pressure,i'm 37yrs old.I was sent to Vanderbilt Hypertension clinic,i don't ... A: The Nifedical has no effect on potassium. A 30-mg dose of Nifedical-XL is not a high dose (top dose ... | |
| heart arrhythmia's | 11/22/2008 |
| Q: I have severe high blood pressure,i'm 37yrs old.I was sent to Vanderbilt Hypertension clinic,i don't ... A: Both are known side-effects from the Nifedical XL. By heart arrhythmia's do you mean fast heart ... | |
| hdl levels | 11/18/2008 |
| Q: about 12 yrs ago I went through treatment for genotype 1 hepatitis c. my viral load was 9 million.I ... A: More likely than not the Niaspan ER is causing you to feel the worst. Is flushing the major symptom ... | |
| hypertension | 11/16/2008 |
| Q: I checked my blood pressure a few days back and it read 95/140. What is the normal blood pressure?? ... A: You probably meant that the blood pressure reading was 140/95 mm Hg rather than 95/140. This is a ... | |
| high and low blood pressure | 11/16/2008 |
| Q: Until recently I have had high blood pressure and have been treated for such. Recentlly though, my ... A: This is something called orthostatic hypotension and requires very specific treatment. The high ... | |
Hypertension
Answers by Expert:
Domenic Sica
Top Expert on this page
Expertise
All aspects of hypertension as well as any consideration in drug therapy for the management of hypertension.
Experience
Heavily published in the area of drug therapy in hypertension and renal disease. Primary management physician for a large multi-state referral practice for diagnosis and management of complex hypertension
Organizations
Multiple including the American Society of Hypertension, International Society of Hypertension, American Society of Nephrology, American Heart Association, American College of Clinical Pharmacology amongst others.
Publications
Over 250 publications (see PubMed)
Education/Credentials
Board certified in internal medicine, nephrology, clinical pharmacology, and hypertension
Awards and Honors
Multiple awards as clinical and/or teacher of the year.
Past/Present Clients
Not pertinent
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