AboutDr. Ravindra Bhaskar Ghooi Expertise I can provide information on drugs and medicines, their actions, uses, interactions and adverse effects. To avoid confusion, generic names of
medicines may please be provided. I am a pharmacologist, having worked
on animal and human pharmacology, and presently I am the Dean of Bilcare Research Academy, where we teach courses on clinical research. We dont work on saturdays and sundays, hence questions reachng me on these days will be replied on Monday, please bear with me.
Question QUESTION: I have high blood pressure aparently from taking one OTC Ibuprofin for a ruptured disc. What blood pressure medication will counteract high blood pressure caused by Ibuprofin?
ANSWER: Hi Steve,
A link between infrequent use of ibuprofen and hypertension has been demnstrated for older women. I would suggest you watch your BP before you plan to sue any drug for that. While taking iuprofen there is no need to take a drug to counter the possibility of hypertension.
Ravi Ghooi
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QUESTION: I reviewed my question and need to start again. I take one OTC Ibuprofin A DAY for a ruptured disc problem. I read about Ibuprofin causing high blood pressure which I have. I take Benicar 40 mg and Metoprolo ER25 mg, Toprolxl 25 mg per day and still have high blood pressure. How does Ibuprofin cause high blood pressure (water retention?) and what meds would counteract that? I was on benicar with a diuretic but was getting dehidrated and still had high blood pressure.
Thanks,
Steve
ANSWER: Hi Steve,
Thanks for the clarificaton. But there are still some questons that now have. Earlier I had thought that you are nt hypertensive and only wish to take preventive action, that is clearl not the case.
I want to knw if you have been on BP medication before you began ibuprofen and was the control adequate?
Has the BP gone out of control since you began ibuprofen?
What is yor age? Do you have any other complications, such as diabetes?
Your doctor has adviced you metoprolol and toprol? Is that right, I would like to have details.
In my opinion the issue does not seem to be hypertension caused by ibuprofen but uncontrolled hypertension, is my assumption right?
Ravi Ghooi
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QUESTION: Thanks for your response. I started Ibuprofin before High Blood Pressure meds. I still have high Blood pressure and don't think the meds have helped significantly. The Metoprolo ER 25mg and Toprolxl 25mg are both on the same prescription lable for one of my pills. I take three pills a day, the Metoprolo/Toprolxl and the Benicar 40 mg and the Ibuprofin.
Also, I saw there was a study on women and BP increase from Ibuprofin but I didn't see one on men. I assume there hasn't been one so I only suspect a link for myself. I am almost 60 years old.
Thanks,
Steve
Answer Hi Steve,
In your place I would ignore the link between ibuprofen and hypertension. It matters little if there is a link or if the hypertension is an independent problem, we got to treat it. My first suggestion would be as follows:
1. Take either metoprolol ER or Toprol XL they are both the same things and it does not make sense to use them simulataneously.
2. To this I would add a calcium channel antagonist like amlodipine
3. I would reserve Benicar for much later
4. If the need be I would add a diuretic (preferably HCTZ or indapamide)
You will have to discuss this with your doctor, because these drugs would not be accessible without a prescription.
Ravi Ghooi
