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Archive for the ‘Hypertension’ Category

Question: I am 62 years old, hypertension (160-100), tachycardia and sclerosis of brain vessels. By prescription accept diroton 5 mg and Egilok of 12 mg daily for 3 years already. Pressure was kept 140-95. Recently, the doctor ordered additional Indap one ampoule daily. Pew month, the pressure was 110-80. How you can take a long Indap? Do we need a break? Can I take it like 2 times a week?

Answer: And how you feel at such a pressure? If normal, then so and take a while. Indap intended for daily administration, is a weak diuretic with a very good influence on the cardiovascular system. See how you do not have enough diuretics. In terms of prevention of heart attacks and strokes, the lower the pressure, the better (up to certain limits, of course, to zero, no need to shoot down). So the focus should be on their own experience.

Question: Treatment of hypertension: over 2 years old drink appointed cardiologist Concor 5mg tablets, 10mg norvask. The pressure is constantly maintained in the norm of 120/80 to 105/70. However, I noticed that the onset of summer often kept the pressure on 90/60 to 100/65. At this time, I reduce the dose to 5mg norvaska. Performance slightly increased but not significantly. Then I try 5mg norvask divided in half and then a week later I started "jumping" pressure from 98/60 to 150/90 episodes. I take off the pressure korinfarom 1tab and return to 5mg norvasku. By the way, at low pressure, I do not feel any discomfort, but with increasing concern to 140/90, and from this it has LARGE increases. Furthermore, addition to the winter period there is instability of pressure, and I have to increase the dose of 10mg norvaska and with this rule before the summer period, mostly stable. The real question: whether to strive to improve the performance of pressure, if it falls below the established norm in the above scheme of treatment?

Answer: It was so nice to read your question because you are very responsible attitude to treatment. Focus on your state of health at a low blood pressure – if the head strength and weakness in the body – to reduce the dosage, if all goes well, it does not tend to increase pressure, as will his race. Incidentally, Concor to 2.5 did not try to reduce (if not more than 75 pulse alone)? You can try to maintain 10 norvaska.

Question: Hypertension in man. Accepts monopril 20 mg and indapamide 2.5 mg. Recently, gout tortured. In the summary of monopril have information – side effect – the gout. Tell me please, what should monopril?

Answer: First of all – you are sure that it is gout? Diagnosis confirmed rheumatologist? A typical attack of pain in the metatarsophalangeal joint with redness and increased temperature, increased uric acid in the blood (though not necessarily, but still). Or is it a traumatic arthrosis?. If, indeed, gout, then yes, there are among the side effects of ACE inhibitors gout. There is a kinship of drugs – angiotensin receptor blockers such as valsartan, Irbesartan, they have no gout in side effects. It makes sense to try to replace monopril. The specific dose and name of the drug – a physician with full-time appointment. Incidentally, if we speak of gout, then indapamide, which belongs to thiazide derivatives, are more likely to cause increased levels of uric acid in the blood.

Question: Please advise if there any effective remedy against high pressure. My grandmother 63 years, its pressure – 190 and sometimes 206 to 120 in general, the pulse as a general was 120, very frightened, called ambulance, put a shot. Help please, nothing helps!

Answer: Good morning. Unfortunately you do not specify what you tried to use to reduce the pressure and how it's put medicine physicians ambulances your grandmother. For the purpose of drug therapy, you should refer to the therapist, cardiologist, that he had diagnosed and picked up an adequate pathogenetic therapy. After all, not knowing the patient and not studying the history of his illness can not prescribe medication, especially when it comes to blood vessels. More information about arterial hypertension and its causes, you can read here: http://medportal. ru / enc / cardiology / giper /

Question: I am 24 years old, doctors diagnosed with Stage 2 hypertension, the risk 2. Pierced riboksin. I night pressure rises to 180/125. And in the morning dropped to 75/55, pulse constant different. They appointed me to drink from the high-pressure hood, from a low of Inderal, but not getting any better, other treatments are not appointed. Can you please tell me what to do? I already can not sleep, I'm afraid that does not wake up. Thanks in advance!

Answer: Dear Patient, first I advise you to start a notebook, where you'll literally puts what you said the doctor. The fact that Inderal – a cure for high, and not from the low pressure. It is unknown even to first-year students, the majority of pregnant women and old grannies. Apparently, you mixed up with excitement and wonder that do not feel good, if a low pressure taking Inderal, further reducing his blood pressure. Riboksin The drug has no therapeutic effect, its effectiveness is comparable to the effectiveness of simple water. You need to take tablets on the pressure in the evening, if you increase the pressure in the night. Ask the doctor to have you do a product with a longer duration of action, their is a lot of variety. On the internet I appoint you to a particular treatment does not have the right, sorry. But most important – inspect, should know the reason for the increase of pressure. There are likely to have secondary hypertension, it is often curable. It is necessary to pass a general analysis of blood and urine tests, blood chemistry (potassium, urea, creatinine, glucose), blood for thyroid hormones (TSH, T4), perhaps further research. "Other treatment is not indicated" – so is your health, and not them. If they do not prescribe, then try to consult in major hospitals, cardiology centers.

Question: My husband 40 years, more than 10 years, he has high blood pressure – the last 140-150 years, believes "working" when comes to drinking 160-170 Enap 10 mg, go to the doctors flatly refused, citing the inevitability of his illness, with regard to bad heredity (both parents with youth suffer from hypertension). Tell me, please, not whether to replace Enap any other medication, I heard that it is not harmless, and often counterfeited? Thank you very much.

Answer: Helen, very sorry that your husband is so true to their health. Years to 50, if it is not treated, can expect serious problems. His heredity of hypertension – so what? You can drink the pills and reduce the risk of heart attack and stroke many times. Not thinking about themselves or about you. Enap should not drink at "working" pressure (this does not exist, there is less than 130/80 normal and elevated, which should be treated), and constantly. As for fakes, it really is Enap often forged, I recommend patients to take an analog of reniteka. As for "safety" – drugs from the group of ACE inhibitors – one of the safest in medicine. Risk of poisoned sausage that we eat every day, significantly higher than the risk of side effects from ACE inhibitors. And if you read everything that is written in the annotations to the drug and to apply it to yourself, you can go crazy.

Question: I still during the first pregnancy has increased the pressure, not much to 140/90 – but my head hurts badly. The second pregnancy almost from the beginning saw the Courant and other drugs. Pressure rose rare. But childbirth is behind (the past 5 months), but I sometimes pressure and rises, with the rapid pulse – 140/90, pulse 135. Medicines do not accept, as a breast feed. I do not know what to do, the doctors still do not want to apply because they do not want to interrupt lactation at the time of examination. Please advise if that can be taken to reduce the pressure during lactation.

Answer: Marina, according to the American advice, there are several groups of drugs that can be taken when feeding, the breast milk falls below 2% of the dose, so it is not dangerous for the child. First of all, this beta-blockers (Inderal, metoprolol, but NOT atenolol), calcium channel blockers (verapamil, diltiazem). Given your tachycardia, can recommend beta-blockers. Specific drug and dose appoint full-time physician at the reception.

Question: Hypertension is the second degree, this year the fifth crisis, while taking (permanently) and Concor noliprela-A sudden, has become commonplace (for the fifth year) crisis, at the level of 180 to 120, with This is a solution of magnesium virtually no effect, are cramps and spasms throughout the body, are present in the gastro pain, vomiting, and then – while (cauterized and drip of the same magnesium) – let me go. Was oncology kidney, was operated, but the crises have been before. Maybe some other trouble is provoking this pressure? To the heart no comments on the EKG, check the load – the norm. Work, however, is nervous, he, too, can themselves inside the "cheat", what to do if the age is "working".

Answer: Eugene, one must explore, once such crises. The thyroid gland, adrenal glands – are the most frequent causes of secondary hypertension. I advise you to contact the major cardiology hospital, so they had all the necessary examinations. And once "wound" itself – would be a good idea and a neurologist or a therapist to consult.

Question: wife davlenie160/100, began to drink enalozid (1 tablet) + furosemide (0.5 pill), decreased pressure on the 120/100. Please advise if how to reduce the lower pressure. And can we stop taking enalozid?

Answer: I think that adequately chosen medication to treat hypertension, you can try the drug from the group of calcium blockers in combination with Hypothiazid (dose and specific drug the doctor prescribes for daytime admission). Definitely not need to drink together enalozid, which contains gipotiazid diuretic, and furosemide, which is also a diuretic. Furosemide – no medicine for treatment of hypertension, it is used when expressed edema. A kidney examined her husband?

Question: My mother is ill with diabetes in 1996, since 2007 – type 2 diabetes – insulin. Accepts "NovoMix-30 Flex-pen, 2 times a day, in my opinion, to 30 units. Currently, a significant deterioration of the left eye. This eye underwent surgery in 2008, and now a temporary loss of vision in that eye. Pressure often surpasses 200. What drugs to lower blood pressure can be recommended, taking into account all ills? Advance grateful. Laura

Answer: Laura, appoint agents for the internet I have no right. I can only say that the binding agents for the treatment of hypertension in diabetes mellitus are calcium blockers (like verapamil) and ACE inhibitors (such Enap). Specific drug appoint a doctor after examining the patient. Also advise immediately contact an ophthalmologist – that this "temporary loss of vision"? This may be venous thrombosis of the retina, retinal detachment, it seriously!