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Archive for the ‘medication treatment’ Category

Question: Doctor, thanks for the response to my letter in the subject R150/110 Climax (50 years)! Unfortunately, the good and expensive L-va (co-diovan) I was not yet available. After the abrupt rise of pressure, about which I wrote in my previous letter – I renewed 2 times a day egilok 25 mg and the pressure has become a "norm" 130-135 90-95. My questions: 1. Continue to drink egilok "whole life"? 2. Or switch to other drugs, relatively cheap. What? (again, not to provoke cough) Which group you advise me if ACE inhibitors are not I? 3. What does the relative excess of Lower pressure over the upper (eg, 130 105-110 – ie, the difference between the upper and lower low, but the lower "off scale" more)

Answer: Continuing http://doktor. ru/qa/46889/qa. html? id = 92584. When menopausal jumps in blood pressure in conjunction with the acceleration of the pulse can drink egilok, my whole life too early to plan treatment. If you help, do not need to economize on low-cost vehicles. Preferential enhancement of the "lower" pressure may indicate, for example, fluid retention and salt in the body. The most important thing about hypertension – http://doktor. ru / qa / davlenie / article. html? id = 51966, little about hypertension – http://doktor. ru / qa / davlenie / article. html? id = 48559.

Question: doctor! "I am 50 years old. I can not deal with its pressures. It rises to 145 / 110, but in the normal state and is 120/95. What is a fairly large increase in lower pressure and nearly normal upper and whether there is a difference in the medication in this case? "(I agree with increasing pressure Egilok.)

Answer: Discuss these questions useful when a person takes medication continuously.

Question: I am 57 years old, weight 69 kg, height 162sm. During 8 years of taking daily 5 mg and 5 mg Concor Enap HL. In the last 3-4 months blood pressure was low manageable. In the morning, to 170. / 100. Reduce kapotenom and greater dose Enap. I understand that-addictive and have to change medications. ECG without pathology. I want to start such a scheme: Concor 5 mg monopril 25 mg, amlodipine 5 mg, and gipotiazid 12. 5-25mg. Or poprobovatetu better first scheme, but without monoprila? Zoom reception Concor to 10mg can not because of bradycardia. I would be very grateful for the advice. Sincerely, Tatiana

Answer: It is better in such cases, consult with your doctor personally. Can blood pressure even more to shake. Enap HL 5 mg does not happen. In principle Enap HL can be taken 2 times a day. Concor is a higher dosage, but the dose depends on the initial pulse rate.

Question: Dear doctor! "Tell me, please, what can replace pirroksan, which there is little available in Moscow. I have adrenal hyperplasia (pheochromocytoma is excluded), and, obviously, on this basis there are attacks that are similar to the sympathetic-adrenal, but going much easier: red face and forehead, skin burns and even nibbling, poznablivaet slightly raised pressure (130/90 – 140/100). For the first time it happened the day after the novocaine blockade. The next time a year later, repeated the same story. "Crisis" was advancing on the day after induction of anesthesia. Allergies or to novocaine or lidocaine on I do not. In September last year I did two intraarticular injection diprospana with lidocaine – the same thing happened up to the smallest detail. The next day, flushed face, thick in his eyes, slightly higher pressure. Before that, I took about a year and Concor pirroksan, and similar seizures have stopped (they used to, and not only after anesthesia). CT showed a weak adrenal hyperplasia, as the doctor, "almost within normal limits. Now more than a month periodically strongly reddens and burns face, forehead, neck. I menopause (1.5 years), but it is not flushing. Sometimes it helps valokordin, accept the remnants pirroksana only in extreme cases, because nowhere else can not buy it. Can anything replace it? Thank you in advance for your reply. Best regards.

Answer: In addition to pirroksanom of old drugs to the same group were phentolamine, Nicergoline (SERMION, nilogrin).

Question: My grandmother is suffering from hypertension since his youth. Operating pressure she 130/65, and the high 145.150, as sometimes happens, and 250/100. With little pressure (140.145) takes Enap, and if high blood pressure, then – 60 drops karvalola and 5 drops Farmadipina (producer plant Pharmak, Kiev). Also, she has the prize of some drugs increased sugar 6,8, then 7,2 (all spring, she sat on a diet is sugar in the blood is 5,8). Recently, it was our neighbor at the dacha, and said that her doctor advised her bonnet. I want the internet to find instructions for this drug, to read about it, if it fits my grandmother, but unfortunately I can not find. For even looked in the Compendium – guide to all the drugs that we have on the pharmaceutical market (published in Kiev), but there also could not find the instructions. Could you help me in finding the instructions or'll show indications for use and side effects. Or maybe you can recommend a good drug for reducing the pressure. Many thanks in advance.

Answer: Looking for an international name captopril, captopril.

Question: Dear Doctor, I am 55 years old. The increased pressure is observed during the past five years. Typically, blood pressure 140/100, 160/100 after nerve overload. Drugs that reduce blood pressure, taken haphazardly, mostly Enam, reception has ceased because of the strong tickle in the throat, coughing and shortness of breath (even with normal walking). After the refusal of Enam, these symptoms disappeared. I tried to receive egiloga. As a result, blood pressure decreased, but there were "sticky" tears (tears throughout the day). After reviewing your recommendations for the initial treatment of GB, within a month of taking daily morning atenolol 50 mg + 25 mg gipateozid. The level of blood pressure returned to normal (120-130 / 80). But in the last week alone reduced the dose gipateozida half (afraid that the reception would lead to a diuretic washout of potassium from the body and worsen the condition of the heart). As a result, there were severe edema of the legs (like tables), and individuals, especially the upper lids, and most importantly breathlessness and feeling a constant lack of air. I can not sleep in a horizontal position – requires at least two pillows. Urgently resume the reception gipateozida 25 mg. Heart rate 52-56 beats / min. Already knew that requires continuous use of drugs, but please explain: swelling and shortness of breath – is the result of reducing the dose of a diuretic? Or is change the dosage of drugs, and can replace them with others? Sincerely, Natalya.

Answer: You do not have opportunities to talk with the district therapist?

Question: I am 36 years old weight of 130 kg. do not smoke 3 years experience is not a big age 5. drink enough, on Fridays gram 300 Sukhova wine or vodka 150. I diagnosed hypertension 2 degrees Working pressure was 130/90 at 160/100 – was strongly plohopuls 90 set tahikordiyu. three years nazat strongly psihanul and pains began in the heart. He lay in a hospital in the district a month so I did not set. Accepted enziks + Concor pain in my heart do not pass. Local kordiolog said that for him there is nothing. Neurologist said oseohondroz. 4 months ago I sezdel in oblostnuyu hospital there did ultrasound and EKG and said that the heart to a normal blood pressure. They appointed a drug Tevet plus 1 tablet and half of Locri. Now the pressure I mean 115/85, but sometimes drops to 100/70. And his feet began to hurt (heaviness in the legs), sometimes dyspnea but not strong. Maybe should stop receiving these safer sex and avoiding.

Answer: You can go to just Tevet without a plus and you can take to Locri poltabletki (divisible tablets) – but the tachycardia could resume. In principle, the heaviness in the legs and shortness of breath may be from Locri.

Question: Dear Vladimir Vladimirov, thanks for your reply on povodusimpatoadrenalovyh crises, but still wanted to know more about the drug otgipertoniya for permanent use, which does not give bronchospasm itahikardiyu. Over the past thanks! E. M.

Answer: Continued http://doktor. ru/qa/47936/qa. html? id = 95668. For example, just mentioned Tevet.

Question: Dear doctor. My husband 48 years. He has 10 years of high blood pressure and a tendency to tachycardia-85-90 strikes. During this time, tried many medications. At one time, took captopril, diroton, the last 2 years sitting on Enap-H. But even with the admission Enap, the pressure is kept at 155/105. Probably will not help. His excess weight-120 kg, and the constant stress life. Which drug can be replaced Enap, can drink gipotiazid long time. I give him from time to time once or twice a week. Thank you in advance for your reply.

Answer: You can substitute Enap-NL 20. And he and the other already contain gipotiazid (= hydrochlorothiazide).

Question: I am 28 years old. high blood pressure discovered 3 years ago, first the pressure abruptly appeared 180-170/110-100, in the norm was 130/90, then rose to 140/100. propyl course betablokatorov together with "Arifonom" – first "Locri" and then "Concor. Horse Racing ceased, but remained 140/90. did ultrasound of the heart – a small change in the left ventricle. The doctor attributed to "Prestarium 5" half-tablets. Pugh is a medicine already 4th month – pressure 135-130/90 evening sometimes 140. Very much has to respond to the storms – a dull headache in the neck, eye pain, severe dizziness, rarely a sharp pain in my heart. doctor advised to take "tenoks", "pumpan", and from the head "fezam. from coffee declined long, I drink moderately on holidays, do not smoke in childhood. was infection in the kidneys, treated with antibiotics, took a course of quantum medicine – helped for about three months. Often working at a computer and professionally doing vocals. some doctors have a version that I have a venous outflow of the head, held in the local sanatorium oxygen and coniferous рапные bath. anything helps. show you where to find the cause of high blood pressure and how to stop drinking drug

Answer: It is difficult to judge. For the drug name is not important, and the dose and frequency of use. Prestarium is 2, 4 and 8 mg Concor 5 and 10 mg; tenoks 5 and 10 mg. The latter sometimes increases anxiety and pulse rate (generally not specified). Ie serious approach "to adjust the pressure you can. Blood pressure during the selection miedikamenta be measured in the morning and evening strictly by the rules (http://doktor. Ru / qa / davlenie / article. Html? Id = 51939). But is it possible to refuse drugs, in absentia can not tell. Generally, meteozavisimost and complaints are typical for autonomic dysfunction.