hypertension in the elderly

Question: doctor! My mother aged 76, she – a doctor, but long does not work. Physical activity bad moves (lift even a single flight can cause pain in the heart). Since mid-March is becoming more strokes. Seizures occur in the movement and at rest. The pain usually in the back under the shoulder blade and pain numb left hand. To remove the pain takes validol, nitrosorbidom, Hollin, less nitroglycerin (from a headache), sometimes baralginom puts gorchishniki under the shoulder blade. Last time, often (a day or two) to make injection analginum dibasol + + papaverine. Helps, but not for long. Tried to find in Peter drops Votchala: it seems to us a long time do not. Pressure jumps per day from 120 to 230 (upper). Pressure is measured very often. Almost 30 years on clonidine (1 to 5 tables. Per day). Tried to replace clonidine probably tried all the groups of drugs used to lower pressure (beta-blockers, derivatives of amlodipine, ACE inhibitors, derivatives of nifedipine, calcium antagonists). Took monochinkve. But, first, nothing helps, still has to take clonidine, and secondly, other medications or cause a cough or itching, or swelling, cramps in legs, some cause or increase the pain in my heart, for example. , Enalapril, sidnofarm, piracetam. He constantly takes gipotiazid, preduktal, aspirin, verapamil, Panangin, sidnofarm (without pain), a mixture of valerian hawthorn + + motherwort, phenazepam at night. Courses: mildronat, riboksin, glycine, Cortexin, various dietary supplements (ateroklifit, kapillar and TP). In 1993, he underwent pericardial effusion. In addition to heart problems: chronic holetsistopankreatit, gastritis, pyelonephritis and cystitis with frequent exacerbations, Mts. hepatitis, asthma. For this reason, statins did not accept. Man she is very disciplined, strict compliance with the diet, salt, alcohol and other pleasure-muck does not use, making all possible exercises, self-massage, at the slightest opportunity is in the air. doctor! Please try to pick up her combination of drugs for the treatment of unstable angina and severe hypertension. Try, please suggest options for departing from clonidine. Thank you in advance for your reply. Sincerely, Irina

Answer: pain, probably of mixed origin, once these funds are helping. Drops Votchala in municipal pharmacies prepare the recipe, they have a limited shelf life (if they contain nitroglycerine). Did she drink a week in a row monochinkve retard 50 mg 1 capsule + gipotiazid 50 mg (poltabletki 100 mg) once in the morning?

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