need some answers

[email hidden] (francispoon) wrote in message news:<[email hidden]>...

Quoted message said:

I have been on 30 mg of adalat gits a day for the past half a month.
In the first week of taking the new medicine, the blood pressure was
relatively normal. It was 135-40/80-85 both before bed time and in
the morning before taking med. But a flu came and with the flu my bp
went as high as 180-200/90-100.

Not surprisingly.

Quoted message said:

I immediately put back my
lodoz(diuretics and beta blocker combined) and the bp had a
significant reduction. I used to take lodoz before with 2 tablets of
nifedipine(10 mg each taken twice a day) but changed the whole regime
upon the doctor's advice 'for convenience' into a single tablet of 30
mg of adalat gits. The curious thing is i used to hear quite a bit of
buzz in my ear with the new medication of adalat gits but with the
lodoz put back, the buzz sound was greatly reduced too.

Question:

(1)do you think it is a good idea for me to go back to the old
arrangement?

As long as you involve your doctor, I don't see a problem with it.

Quoted message said:

(2)for the past years my experience with calcium channel blocker is
that the body gets tired of it easily and this medication is not very
stable or effective without other med to go with it. should i
consider changing to other categories of drugs?

Ace inhibitors have more data supporting their use for prevention of
cardiovascular and renal disease than calcium channel blockers.

Quoted message said:

(3)could a high blood pressure like 180/100 be tolerated during the
cold in order to give the new med a chance?

If you are having symptoms from the elevated pressures, this should be
addressed instead of "tolerated."

Quoted message said:

Thanks,

FP

You're welcome.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com

Quoted message said:

[email hidden] (francispoon) wrote in message

news:<[email hidden]>...

Quoted message said:

Quoted message said:

I have been on 30 mg of adalat gits a day for the past half a month.
In the first week of taking the new medicine, the blood pressure was
relatively normal. It was 135-40/80-85 both before bed time and in
the morning before taking med. But a flu came and with the flu my bp
went as high as 180-200/90-100.

Were you taking any over the counter medications for your flu? Many of they
have an effect on your B.P.
Derek.

[email hidden] (francispoon) wrote in message news:<[email hidden]>...

Quoted message said:

[email hidden] (Dr. Andrew B. Chung, MD/PhD) wrote in message news:<[email hidden]>...

Quoted message said:

[email hidden] (francispoon) wrote in message news:<[email hidden]>...

Quoted message said:

I have been on 30 mg of adalat gits a day for the past half a month.
In the first week of taking the new medicine, the blood pressure was
relatively normal. It was 135-40/80-85 both before bed time and in
the morning before taking med. But a flu came and with the flu my bp
went as high as 180-200/90-100.

Not surprisingly.

Quoted message said:

I immediately put back my
lodoz(diuretics and beta blocker combined) and the bp had a
significant reduction. I used to take lodoz before with 2 tablets of
nifedipine(10 mg each taken twice a day) but changed the whole regime
upon the doctor's advice 'for convenience' into a single tablet of 30
mg of adalat gits. The curious thing is i used to hear quite a bit of
buzz in my ear with the new medication of adalat gits but with the
lodoz put back, the buzz sound was greatly reduced too.

Question:

(1)do you think it is a good idea for me to go back to the old
arrangement?

As long as you involve your doctor, I don't see a problem with it.

Quoted message said:

(2)for the past years my experience with calcium channel blocker is
that the body gets tired of it easily and this medication is not very
stable or effective without other med to go with it. should i
consider changing to other categories of drugs?

Ace inhibitors have more data supporting their use for prevention of
cardiovascular and renal disease than calcium channel blockers.

Thank you very much for the reply.

I am trying to move out of nifedipine altogether but will do it
gradually for fear that my blood pressure may get out of control. The
reason is because i suspect it to have a bearing with my tinnitus that
took place about 2 months ago at the same time when I moved up my
daily intake of nifedipine from 10 to 20 mg, and went worse when I
moved into adalat gits which comes with the min 30 mg tablets.

Questions:
(1)Do you have anything to suggest to help alter my above-mentioned
combination gradually? How about replacing one tablet of nifedipine
with one tablet of plendil 2.5 mg or others?

I know what my doctor will say. He will urge me to stay on and
dismiss beta-blocker content in Lodoz(5 mg of bisoprolol fumarate
+6.25 mg of hydrochlorothiazide) as being a possible cause for my poor
erection and will ask me to put up with my tinnitus. So I would
forget about him first.

You might need to consider changing doctors.

Quoted message said:

(2)I am using a kind of generic fidedipine drugs which are made like
adalat [censored]. It needs to be taken twice a day. But when i moved to
adalat gits (30 mg) about half a month ago, i found the new drug
(adalat gits) to be totally ineffective without its drug interaction
with beta-blocker. The day before I discontinued adalat gits, I took
one tablet with a diazide(25 mg hydrochloridethiazide) at 8am in the
morning. But 10am, my bp went to 170/100 and this was not the first
time! So that was the clear signal i should discontinue adalat gits.
Now I am back to the old combination as mentioned above. Whenever my
bp is out of control, i have found a Lodoz to be my life saver! IS
THERE ANY DIFFERENCE BETWEEN ADALAT [censored] AND ADALAT GITS?

I believe the pharmacokinetics are a little different. Regarding
this, I am not certain.

Quoted message said:

(3)I used to be on Norvase for many years until sometime this year I
discovered the tablet was getting weaker and weaker. I moved out of
it upon a doctor's advice and moved into nifedipine. I tried to get
back also upon two doctors' advice but have been unsuccessful. It
took me A LOT OF suffering to have finally realized that most calcium
channel blockers are not effective to me at all AT THIS TIME without a
drug interaction with beta-blockers. And i do find beta-blockers to
hiner my erection. But now i place controlling my bp as the first
priority and ask my girl friend to 'work harder' when she is with me.
So Dr. Chung, what do you think is the reason that my body no longer
responds to calcium channel blockers adminstered either alone or with
diurectics(with the exception of indapamide, which caused me headache
and constipation)? Is there anything wrong or changed with my body
metabolism?

Hypertension typically worsens with age and weight gain.

Quoted message said:

Thank you in advance for your answers, in particular to how you would
advise me to alter my current medication intake. By the way, I just
had to try by trials and errors to have come up with my current
combination, sometimes with doctorS' advises during crisis about 2-3
months ago. Most of the doctorS' advices did not work at all. Most
new med combinations prescribed worked for the initial few days and
all of a sudden my bp got out of hand. Without that Lodoz, I would
have been in serious trouble by now.

I so miss the old days in which I took just one pill a day for my hbp.
Now i have to take med twice and sometimes 3 times daily. Taking bp
med is now an issue in my daily life and is getting very unpleasant.

Thanks,

You're welcome.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com

Thank you for the reply. I moved to another doctor who is WORSE. So
I came back to the old one who is at least willing to 'work with me'.
I will keep the morning combination intact and gradually move onto an
ACE inhibitor. I was on ace inhibitors initally many years ago but
due to its effect on my sexual performance, i moved to calcium channel
blocker. Now, my priority is safety rather than performance on bed.

Will enrol in an exercise program and see if things will improve.

Rdg.,

FP
=========================================
[email hidden] (Dr. Andrew B. Chung, MD/PhD) wrote in message news:<[email hidden]>...

Quoted message said:

[email hidden] (francispoon) wrote in message news:<[email hidden]>...

Quoted message said:

[email hidden] (Dr. Andrew B. Chung, MD/PhD) wrote in message news:<[email hidden]>...

Quoted message said:

[email hidden] (francispoon) wrote in message news:<[email hidden]>...
> I have been on 30 mg of adalat gits a day for the past half a month.
> In the first week of taking the new medicine, the blood pressure was
> relatively normal. It was 135-40/80-85 both before bed time and in
> the morning before taking med. But a flu came and with the flu my bp
> went as high as 180-200/90-100.

Not surprisingly.

> I immediately put back my
> lodoz(diuretics and beta blocker combined) and the bp had a
> significant reduction. I used to take lodoz before with 2 tablets of
> nifedipine(10 mg each taken twice a day) but changed the whole regime
> upon the doctor's advice 'for convenience' into a single tablet of 30
> mg of adalat gits. The curious thing is i used to hear quite a bit of
> buzz in my ear with the new medication of adalat gits but with the
> lodoz put back, the buzz sound was greatly reduced too.
>
> Question:
>
> (1)do you think it is a good idea for me to go back to the old
> arrangement?

As long as you involve your doctor, I don't see a problem with it.

> (2)for the past years my experience with calcium channel blocker is
> that the body gets tired of it easily and this medication is not very
> stable or effective without other med to go with it. should i
> consider changing to other categories of drugs?

Ace inhibitors have more data supporting their use for prevention of
cardiovascular and renal disease than calcium channel blockers.

Thank you very much for the reply.

I am trying to move out of nifedipine altogether but will do it
gradually for fear that my blood pressure may get out of control. The
reason is because i suspect it to have a bearing with my tinnitus that
took place about 2 months ago at the same time when I moved up my
daily intake of nifedipine from 10 to 20 mg, and went worse when I
moved into adalat gits which comes with the min 30 mg tablets.

Questions:
(1)Do you have anything to suggest to help alter my above-mentioned
combination gradually? How about replacing one tablet of nifedipine
with one tablet of plendil 2.5 mg or others?

I know what my doctor will say. He will urge me to stay on and
dismiss beta-blocker content in Lodoz(5 mg of bisoprolol fumarate
+6.25 mg of hydrochlorothiazide) as being a possible cause for my poor
erection and will ask me to put up with my tinnitus. So I would
forget about him first.

You might need to consider changing doctors.

Quoted message said:

(2)I am using a kind of generic fidedipine drugs which are made like
adalat [censored]. It needs to be taken twice a day. But when i moved to
adalat gits (30 mg) about half a month ago, i found the new drug
(adalat gits) to be totally ineffective without its drug interaction
with beta-blocker. The day before I discontinued adalat gits, I took
one tablet with a diazide(25 mg hydrochloridethiazide) at 8am in the
morning. But 10am, my bp went to 170/100 and this was not the first
time! So that was the clear signal i should discontinue adalat gits.
Now I am back to the old combination as mentioned above. Whenever my
bp is out of control, i have found a Lodoz to be my life saver! IS
THERE ANY DIFFERENCE BETWEEN ADALAT [censored] AND ADALAT GITS?

I believe the pharmacokinetics are a little different. Regarding
this, I am not certain.

Quoted message said:

(3)I used to be on Norvase for many years until sometime this year I
discovered the tablet was getting weaker and weaker. I moved out of
it upon a doctor's advice and moved into nifedipine. I tried to get
back also upon two doctors' advice but have been unsuccessful. It
took me A LOT OF suffering to have finally realized that most calcium
channel blockers are not effective to me at all AT THIS TIME without a
drug interaction with beta-blockers. And i do find beta-blockers to
hiner my erection. But now i place controlling my bp as the first
priority and ask my girl friend to 'work harder' when she is with me.
So Dr. Chung, what do you think is the reason that my body no longer
responds to calcium channel blockers adminstered either alone or with
diurectics(with the exception of indapamide, which caused me headache
and constipation)? Is there anything wrong or changed with my body
metabolism?

Hypertension typically worsens with age and weight gain.

Quoted message said:

Thank you in advance for your answers, in particular to how you would
advise me to alter my current medication intake. By the way, I just
had to try by trials and errors to have come up with my current
combination, sometimes with doctorS' advises during crisis about 2-3
months ago. Most of the doctorS' advices did not work at all. Most
new med combinations prescribed worked for the initial few days and
all of a sudden my bp got out of hand. Without that Lodoz, I would
have been in serious trouble by now.

I so miss the old days in which I took just one pill a day for my hbp.
Now i have to take med twice and sometimes 3 times daily. Taking bp
med is now an issue in my daily life and is getting very unpleasant.

Thanks,

You're welcome.

Humbly,

Andrew

When I was much younger, I was able to switch from one med to a
different kind of hbp med at will. Now, i somehow 'feel' that once i
am out of one med, it is very difficult for me to get back to the same
kind of med. I was out of Norvase and could never get back until i
realized, after a lot of suffering, that this whole category of pills
named calcium channel blockers is not that effective in controlling my
bp without being co-administered with beta-blockers. Is such a change
permanent because of the passage of time or aging?

THX

FP
===============================================
[email hidden] (Dr. Andrew B. Chung, MD/PhD) wrote in message news:<[email hidden]>...

Quoted message said:

[email hidden] (francispoon) wrote in message news:<[email hidden]>...

Quoted message said:

[email hidden] (Dr. Andrew B. Chung, MD/PhD) wrote in message news:<[email hidden]>...

Quoted message said:

[email hidden] (francispoon) wrote in message news:<[email hidden]>...
> I have been on 30 mg of adalat gits a day for the past half a month.
> In the first week of taking the new medicine, the blood pressure was
> relatively normal. It was 135-40/80-85 both before bed time and in
> the morning before taking med. But a flu came and with the flu my bp
> went as high as 180-200/90-100.

Not surprisingly.

> I immediately put back my
> lodoz(diuretics and beta blocker combined) and the bp had a
> significant reduction. I used to take lodoz before with 2 tablets of
> nifedipine(10 mg each taken twice a day) but changed the whole regime
> upon the doctor's advice 'for convenience' into a single tablet of 30
> mg of adalat gits. The curious thing is i used to hear quite a bit of
> buzz in my ear with the new medication of adalat gits but with the
> lodoz put back, the buzz sound was greatly reduced too.
>
> Question:
>
> (1)do you think it is a good idea for me to go back to the old
> arrangement?

As long as you involve your doctor, I don't see a problem with it.

> (2)for the past years my experience with calcium channel blocker is
> that the body gets tired of it easily and this medication is not very
> stable or effective without other med to go with it. should i
> consider changing to other categories of drugs?

Ace inhibitors have more data supporting their use for prevention of
cardiovascular and renal disease than calcium channel blockers.

Thank you very much for the reply.

I am trying to move out of nifedipine altogether but will do it
gradually for fear that my blood pressure may get out of control. The
reason is because i suspect it to have a bearing with my tinnitus that
took place about 2 months ago at the same time when I moved up my
daily intake of nifedipine from 10 to 20 mg, and went worse when I
moved into adalat gits which comes with the min 30 mg tablets.

Questions:
(1)Do you have anything to suggest to help alter my above-mentioned
combination gradually? How about replacing one tablet of nifedipine
with one tablet of plendil 2.5 mg or others?

I know what my doctor will say. He will urge me to stay on and
dismiss beta-blocker content in Lodoz(5 mg of bisoprolol fumarate
+6.25 mg of hydrochlorothiazide) as being a possible cause for my poor
erection and will ask me to put up with my tinnitus. So I would
forget about him first.

You might need to consider changing doctors.

Quoted message said:

(2)I am using a kind of generic fidedipine drugs which are made like
adalat [censored]. It needs to be taken twice a day. But when i moved to
adalat gits (30 mg) about half a month ago, i found the new drug
(adalat gits) to be totally ineffective without its drug interaction
with beta-blocker. The day before I discontinued adalat gits, I took
one tablet with a diazide(25 mg hydrochloridethiazide) at 8am in the
morning. But 10am, my bp went to 170/100 and this was not the first
time! So that was the clear signal i should discontinue adalat gits.
Now I am back to the old combination as mentioned above. Whenever my
bp is out of control, i have found a Lodoz to be my life saver! IS
THERE ANY DIFFERENCE BETWEEN ADALAT [censored] AND ADALAT GITS?

I believe the pharmacokinetics are a little different. Regarding
this, I am not certain.

Quoted message said:

(3)I used to be on Norvase for many years until sometime this year I
discovered the tablet was getting weaker and weaker. I moved out of
it upon a doctor's advice and moved into nifedipine. I tried to get
back also upon two doctors' advice but have been unsuccessful. It
took me A LOT OF suffering to have finally realized that most calcium
channel blockers are not effective to me at all AT THIS TIME without a
drug interaction with beta-blockers. And i do find beta-blockers to
hiner my erection. But now i place controlling my bp as the first
priority and ask my girl friend to 'work harder' when she is with me.
So Dr. Chung, what do you think is the reason that my body no longer
responds to calcium channel blockers adminstered either alone or with
diurectics(with the exception of indapamide, which caused me headache
and constipation)? Is there anything wrong or changed with my body
metabolism?

Hypertension typically worsens with age and weight gain.

Quoted message said:

Thank you in advance for your answers, in particular to how you would
advise me to alter my current medication intake. By the way, I just
had to try by trials and errors to have come up with my current
combination, sometimes with doctorS' advises during crisis about 2-3
months ago. Most of the doctorS' advices did not work at all. Most
new med combinations prescribed worked for the initial few days and
all of a sudden my bp got out of hand. Without that Lodoz, I would
have been in serious trouble by now.

I so miss the old days in which I took just one pill a day for my hbp.
Now i have to take med twice and sometimes 3 times daily. Taking bp
med is now an issue in my daily life and is getting very unpleasant.

Thanks,

You're welcome.

Humbly,

Andrew

francispoon said:

Thank you for the reply.

You are welcome.

Quoted message said:

I moved to another doctor who is WORSE.

Sorry about that.

Quoted message said:

So
I came back to the old one who is at least willing to 'work with me'.

Hmm.

Quoted message said:

I will keep the morning combination intact and gradually move onto an
ACE inhibitor. I was on ace inhibitors initally many years ago but
due to its effect on my sexual performance, i moved to calcium channel
blocker. Now, my priority is safety rather than performance on bed.

Beta blockers typically affect ED more than ACE inhibitors.

Quoted message said:

Will enrol in an exercise program and see if things will improve.

Would also suggest you ask your doctor about the 2PD approach:

http://www.heartmdphd.com/wtloss.asp

if you are overweight (BMI greater than 20).

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

francispoon said:

When I was much younger, I was able to switch from one med to a
different kind of hbp med at will. Now, i somehow 'feel' that once i
am out of one med, it is very difficult for me to get back to the same
kind of med. I was out of Norvase and could never get back until i
realized, after a lot of suffering, that this whole category of pills
named calcium channel blockers is not that effective in controlling my
bp without being co-administered with beta-blockers. Is such a change
permanent because of the passage of time or aging?

In my experience, hypertension worsens with aging *and* weight gain. Sometimes the latter is more important than the former.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

francispoon said:

When I was much younger, I was able to switch from one med to a
different kind of hbp med at will. Now, i somehow 'feel' that once i
am out of one med, it is very difficult for me to get back to the same
kind of med. I was out of Norvase and could never get back until i
realized, after a lot of suffering, that this whole category of pills
named calcium channel blockers is not that effective in controlling my
bp without being co-administered with beta-blockers. Is such a change
permanent because of the passage of time or aging?

In my experience, hypertension worsens with aging *and* weight gain. Sometimes the latter is more important than the former.

I seem to have found the answer to my dilemma.

I was talking to a friend of mine who went through the same
experience. His suffering was stopped when he applied a beta blocker
named CONCORD to his existing Norvase. This beta blocker is believed
to cut out signals sent from hidden tension in our inner mind,
according to his doctor's explanation. By the way, his doctor is the
family doctor of Li Kar Shing or the wealthiest man in HK. I found out
that the beta blocker element in Lodoz named BISOPROLOL FUMARATE is
called bi-concord and has the same tranquilizing effect as CONCORD.
That perhaps is why I need this pill (Lodoz) to go with almost any
kind of hypertensive medicine administered.

Last 5 months i was going through pain and fear, and I went to see
many doctors for answers. At this time, I might have found it. It is
'hidden anxiety or tension' that is pumping up my blood pressure.

I took 10 mg of Zestril this morning with a Lodoz, and an additional
25 mg of betalog at 3pm. By 8:30 this evening, my blood pressure was
130/80! This does have something to do with the nerve calming herb
pills i took this morning with the synthetic medication. That is why
i am thinking of replacing that 25 mg of betalog with a CONCORD 5.
That latter, i was told, is more sustained releasing.

Comments?

Thanks,

FP

Quoted message said:

Humbly,

Andrew