Zanax - Cardiology doctors online » medication treatment

Hypertension

admin — Fri, 28 May 2010 15:36:57 +0000

Question: I am 55. I suffer from hypertension 9 years. Was diagnosed glamerulonefrit of hypertonic type. In the future, the diagnosis was withdrawn. Pressure is kept constant at the level of 150/100 to 182/115. When crises to 210/120. Accepted Enap-H, with an increase Nifedipine. Side effects – a cough. Agree Kazaar 1 tablet per day. Expressed no consistent effect. With a duration of medication effect occurs? What komleksnoe treatment can help stabilize my blood pressure? Do I need to change medication? What can we say about Diovane? Thanks in advance.

Answer: (05. 02. 07) In fact, these questions need to pay to the doctor. The maximum therapeutic effect while taking kozaara develops within 3-6 weeks if necessary, the dose may be doubled. Diovan – roughly the same drug, it is stronger than the combined means of co-diovan.

With respect to your experience. Hello

admin — Thu, 27 May 2010 15:36:48 +0000

Question: Hypertension in 30 years. 54. Was added GSD, subklin. hypothyroidism. Violation of tolerance. glucose (poka0 sugar ot6 to 7. PCP). climax. Took Concor and indapamide in the morning, enap5 evening. Because zakashlya began drinking prestarium2. Pressure evening 130/120- 85-80, and in the morning anyway 140/90-95. There were pain behind the sternum at about the same time, with 17-19 hours. Regardless of the load and everything else. Running different. passes or by itself or validol (from the nitro.. aching head). In the annotation to prestariumu, pain behind the breastbone possible. Watched a cardiologist, but did not specifically say. I'm afraid to get used to the diuretic, indapamide stopped drinking. edema appear above and below the eyes. pressure jumps up to 160/100. (Because diabetes tried fiziotenz 3 weeks. Nebilet then, do not hold 130/90). I do not understand the cause of pain behind the breastbone. Tell me, please. that in this case, replace or change mestammi or cancel. Do not want to increase the sugar, but the pressure is very important! The doctor said I do not know. that you choose. I work as a teacher. . . . Thank in advance for your reply.

Answer: First try for a week every day to take prestarium in one and the same dose of 4 mg. Retrosternal pain he causes; overdoses have not yet been described. Validol or valokordin on the circumstances. Do not be afraid of adjusting to a diuretic. Obesity is probably available.

High pressure Mama

admin — Wed, 26 May 2010 21:00:08 +0000

Question: Dear doctor, good morning. My mother 78 years, weight 74 kg with an increase in 154 cm leads a normal life, adheres to a diet, do not drink lots of fluids, in the spring of fasting. It is a former teacher, the experience of 45 years. Actively working in the school to 70 years. At the moment, it hurts high top Dalen to 200-220, with normal lower – 70, especially in the last 4 years. Pressure rises mainly in the middle of the night, around 3m or in the morning, while she feels it in his sleep and wakes up at 6 o'clock in the morning. And then it is very difficult to bring down. O'clock to 11.12 days, she knocks him to 160 or below. Day of the upper pressure ranges between 130 – 160. Below 130 – she was experiencing weakness. It takes – atakand (about a year), the dose – 3 / 4 tablet 0. 16 regular, daily at the same time or with a shift by 1 hour ago on the night she takes Capoten no less than 1 / 2 tablets or more if the pressure is already starting to rise. In the morning, to bring down the pressure it takes 1 pill Capoten, and then, if it is high in an hour is 1, and if not reduced, it is a pill Adelfan. After this uplift pressure day, or more can pass well and the pressure is kept within 140-160. Thus, if the hood or take additional adelfan, the upper pressure may drop to 110-120, and the bottom to 58 and it feels bad. This situation is exhausting, because every time it waits for the evening with figures of pressure, so depending on it to adjust the dose of the hood, and "catch" the situation turns out badly anyway. Situation is particularly acute in zvyazi with her feelings about the recent death of her brother. Of the funds, which she tried and abandoned them on the grounds that they do not help or help enough – prestarium, arifon retard. Most effective for her bonnet adelfan. To a doctor. Own doctor and appointed Atakand and allowed him to combine with kapotenom. Measures the pressure regularly. Keeps a diary. The question is: how and by what means (in any combination, temporary mode) to adjust the pressure in the upper limits of 130-140, without affecting the lower and maintain it at this level. We are ready to buy and expensive drugs, as long as they helped. Thanks in advance for the answer. Sincerely, Luba

Answer: 'doctor has ordered Atakand and allowed him to combine with kapotenom'. It is important to know at what dose. Atakand causes _dozozavisimoe_ gradual lowering of blood pressure for 24 hours. available in tablet dose of 8 and 16 mg. You can take it once and in the afternoon. For lack of effectiveness can be combined with the reception diuretic (usually Hypothiazid). And try to abandon the indiscriminate taking short-acting drugs.

Malignant hypertension-resistant

admin — Wed, 26 May 2010 13:39:30 +0000

Question: My father 52 years and have 3 years of stable level gipertoniyana 160 100 with frequent crisis to 220 110. It feels ondavlenie only during crises and 160 100 does not even feel. Rabotasvyazanna with emotional overload. Assessed in kontseproshlogo year – all tests and kardiograma normal. Since the beginning of the year vrachnaznachil him a new scheme CHARTER 10 in the morning and Concor 10 (5 in the morning ivecherom) before taking Lopril H 20 Locri 10 in the morning and lunch Lopril 20vecherom – the pressure was kept stable 160 100. Now with Hartilom 10a is max dose pressure was at 180 100 with poor health. The doctor insists on the angiogram of the kidneys – ie presumably podozrevaetstenoz renal arteries but nevertheless nazanchil max dose Hartilaa stenosis can not take it. Can the Charter in such dozepovyshat pressure and worsen kidney function if the stenosis imeetsyai why the doctor insists on continuing his admission if podozrevaetproblemy with the kidneys?

Answer: (18. 02. 07) Plans are not fundamentally different: and there and a beta-blocker in combination with the ACE inhibitor. Unproven stenosis is not a contraindication (contra – confirmed _dvuhstoronniy_ stenosis). The temporary decrease in kidney function in the application of ACE-I may appear without stenosis. Increase the pressure, these medications can not. Generally, during krizovoe not the case for renal vascular hypertension and even normal ECG evidence against it. In my opinion, simply select appropriate treatment and be sure to take a number of measures personally: http://doktor. ru / qa / davlenie / article. html? id = 51966.

How to stop receiving Concor?

admin — Tue, 25 May 2010 21:39:57 +0000

Question: I am 24 years old. In 2004, diagnosed with: chronic glomerulonephritis, mixed forms. In fall 2005, was tormented by headaches, the cause found only when the measured pressure – 140/100. No, I did not take drugs. In December 2005, became pregnant. At the early stage of pregnancy pressure rose to 140/100 periodically. Doctor prescribed clonidine. And after 25 weeks the pressure was high all the time. Diastolic. not less than 100-110. 3 times a day has dopegit. Intake increases, but no effect. Then fully switched to clonidine. And when clonidine stopped to help me make Caesar (the 35 th week, the pressure was 200/100), because the ESF has started. In the hospital constantly given clonidine and 130/90, and 140/100. Then I was transferred to the nephrology department. Clonidine was given only when the pressure was increased to 180. Because of the abrupt withdrawal of the drug pressure jumped to 240/130. After such a shock began to feel increasing pressure. 2 weeks has betalok Table 0.5. 2 times a day and enalapril on 2 tables. 2 times a day. The diagnosis is hypertension grade 3, optometrist – retinopathy. After discharge continued to take the above medications, blood pressure 110/70 and pulse rate no higher than 50. And then the pressure was unstable, changed to 10 times a day. Cardiologist advised to take Concor 2,5 mg. It feels good. But changing weather pressure jumped up to 150-160/110. Another cardiologist generally sharply reversed Concor and appointed co-renitek ½ – 1 tab. continuously and at an elevated pressure korinfar. Co-renitek never went and I returned to Concor. We accept Concor 1.25 mg, with an increase – clonidine. Can I stop taking Concor? I was told that abrupt withdrawal could lead to hypertensive crisis. Tired to be afraid of high pressure. Maybe go to a less powerful medication from the same group? I due Concor could not and the child breast milk to feed.

Answer: (18. 02. 07) to find out the laboratory, whether chronic renal failure, and if it is pronounced, then steadily through all possible means, to maintain blood pressure to below 130/80. Independently take any action not desirable. That is, to understand the causes of hypertension, renal failure, if not, it is another matter. Cancel Concor recommend slowly decreasing the dose under medical supervision. Giving specific advice in absentia is not possible.

Problems with the pressure

admin — Fri, 21 May 2010 21:39:59 +0000

Question: doctor! I am 32 years with hypertension 25 years ago 140/803 years asked the cardiologist, it does not mean a single set of analysis and prescribed 2ST PRESTARIUM 4ml I accept and domaobychno measure the pressure above 135/80 is not rising, it podnimaetsya with great excitement, and usually when the measured pressure at doctor then 160/80, kardiograma in order. I would like to ask you a few questions: 1. I have been in the gym if I could continue, after exercise pressure in order? 2. I work shift: day, night skazyvaetsya it to increase pressure? 3. What do you advise to the account continue treatment or not may add a diuretic? 4. How reassuring would you suggest? To contact the doctor lost the desire to once and for all. Blagadaryu in advance for your reply.

Answer: The tests do not really need. 1. Can. 2. Affects, of course, if after the change have not fully rest (by 5-8 mmHg. Cent.). 3. If you normally above 135/80 in natural, so to speak, the conditions do not rise, then this treatment is sufficient. 4. It is possible that soothing can be replaced prestarium, this means the following: http://www. doktor. ru / qa / davlenie / qa. html? id = 53610.

Receiving Egiloka

admin — Tue, 18 May 2010 15:00:49 +0000

Question: Because of the stress and anxiety started to rise systolic blood pressure, tachycardia occurred instances, one could sense the heartbeat. An acquaintance of the doctor advised Egilok, and I am now 2 years take medication (50 mg. Per day). Please tell me whether long-term safe taking this medication. If I will not take medicine in time begins the heartbeat and increases a little pressure. Are there any psychic dependence on drugs?

Answer: (15. 03. 07) 23. Generally it is a question to those who gave advice. The long reception is safe. Psychic dependence is developed.

Unwavering hypertension

admin — Sat, 15 May 2010 15:00:31 +0000

Question: I am 52 years I resistant gipretoniya already proto zhenii 7 years against the background of menopause. The last two years Dalen is constantly at 170 -190 / 90-100. Has a cardiologist, attempts were made to find a suitable remedy but many antihypertensive drugs I had a wet cough / such as monopril, prestarium, egilok, tromboass / cough was so persistent that I had to abandon the use of the drugs and the treatment of allergic bronchitis. March 3, 2007 I have an odd gait like dancing, I called an ambulance pressure I was 270/140 I had a magnesium intravenously and gave nefidipina tablet under the tongue. The pressure dropped to 200/100. The next day, the therapist assigned to me Concor kaventon gipotiazid + nevrapatolog appointed system with kaventonom, piracetam. eufelinom. Hollin and analginum + aktovegin intravenously in saline. Consistent reduction of pressure below 180/100 were observed for 17 days. I went to a cardiologist. I appointed noliprel and abolished Concor. Two days later my pressure rose to 220/110 and appeared strong heartbeat. Emergency doctor gave me a system with aktovegigom intravenous magnesium firasemid intravenous pressure decreased slightly but zetem again began to rise. It constantly maintained a strong heartbeat. Just hammer in his ears. After the adoption of Concor 10 mg of quickly returned to normal pressure opustilosdo170/90. Could the removal Concor provoke such an attack? Can I use a background of treatment with leeches? Are there ways to treat hypertension, but how the selection of medicines, drug allergies to tons of drugs is becoming more widely? My weight 125 kghr pancreatitis xp cholecystitis adrenal glands and kidneys, without changes to the ultrasound.

Answer: (1) abolition of Concor may provoke a sharp reception in blood pressure, is indicated in the attached instructions to properatu. (2) hirudotherapy (leech) is not contraindicated. (3) there is no alternative, these side effects are not allergic.

Nor does treatment

admin — Fri, 14 May 2010 21:00:40 +0000

Question: Doctor, I will be very grateful if you answer me. I am 58 years old, hypertension hereditary until 2007, Mr. pressure rose after the stress load, but not more than 170/100. This year, I was tortured, was 6 crises, and 3 times I had not sogla lower (under the tongue clonidine) and calls an ambulance. I passed all the tests in February, including hormones. Everything is relative in the normal ECG with indicators of hypertension. The policeman appointed therapist (I picked herself, because of enalaprilovyh-cough) Doctor approved: a single dose diovan 0,8, kardilopin 10mg in the evening, also appointed injection piracetam and nikotinku. All cases by appointment. Last night, the pressure jumped to 210/110! I am in despair. I have 2 questions: 1. Characterized by a given treatment and not whether the low dosage. 2. Can I add diovan-600 (I bought it) and do not ask if I was not in a floor-ku, and to more grads. doctor?

Answer: I'm sorry, but in absentia examination prescribed treatments do not spend. Diovan is in tablets 0. 08 and 0. 16; the maximum effect is expected after 4 weeks of admission. Kardilopin relatively often give side effects. There is a drug co-diovan two doses. If there are climacteric "layering", add sedatives.

Hypertension, severe dizziness

admin — Thu, 13 May 2010 21:00:54 +0000

Question: I suffer from high blood pressure 45 years (now 69) last year 2 in the morning take egilok 0. 25 and instenon. Instenon alternating with tanakanom, betaserkom, ginkbeloba. Blood pressure: some 200 to 100, 145 at 85, 165 to 100. More worrisome is dizziness, especially in the morning to 3-4 hours. By the evening almost feel well, despite the pressure indicators. Now doctor рекомедовал GOPTEN and Arifon retard. Do you have any advice? Gopten have not yet bought, a little afraid. (From Enap was angioedema, was treated in the CDB-long, 15 years ago), so afraid of allergy. Thank Vasya

Answer: takes the minimal dose of one antihypertensive agents (egilok) – this is clearly insufficient, the dose can be increased up until the pulse becomes too rare (less than 200 mg in two divided doses, and 25 mg per tablet) . Arifon show you. Gopten belong to the same chemical class of medicines that Enap, so that the reaction can be predicted.