I changed high bp medicine about a few months ago and have experienced moments in which my bp seems out of control no matter what I do. I went to see seversal doctors and was given several recipees. Each usually worked for a week or so and then all of a sudden my bp just refused to comply any more. I noted that most of the medicine used falls into the category of calcium channel blocker. With the co-administration of beta-blocker, they stand a chance but without beta=blocker, the experience could be quite frightening. Some doctors told me that is because i am too nervous, and other doctors pointed out this is because I moved out of the old medication too abruptly and therefore the body refuses to accept new medication.
Currently i am using two systems to protect myself. I take 5 mg of Zestrial and a beta-blocker in the morning and 10 mg of nifedipine around 2pm. While the Zestrial is sustained release on a 24 hours basis, the tablet of 10 mg of nifedipine last only for 12 hours. I am using these two medicines in case one fails me. I would welcome some suggestion as to how to take out one and keep the other without the same set of disarray that took place before. Given a choice, I would keep Zestrial as i am under the impression that ACE Inhibitor is better for hereditary bp and my blood vessels are getting less elastic with age.
I changed high bp medicine about a few months ago and have experienced moments in which my bp seems out of control no matter what I do. I went to see seversal doctors and was given several recipees. Each usually worked for a week or so and then all of a sudden my bp just refused to comply any more. I noted that most of the medicine used falls into the category of calcium channel blocker. With the co-administration of beta-blocker, they stand a chance but without beta=blocker, the experience could be quite frightening.
Hmm.
Quoted message said:
Some doctors told me that is because i am too nervous, and other doctors pointed out this is because I moved out of the old medication too abruptly and therefore the body refuses to accept new medication.
Your doctors are guessing.
Quoted message said:
Currently i am using two systems to protect myself. I take 5 mg of Zestrial and a beta-blocker in the morning and 10 mg of nifedipine around 2pm. While the Zestrial is sustained release on a 24 hours basis, the tablet of 10 mg of nifedipine last only for 12 hours. I am using these two medicines in case one fails me. I would welcome some suggestion as to how to take out one and keep the other without the same set of disarray that took place before.
What is your height and weight?
Quoted message said:
Given a choice, I would keep Zestrial as i am under the impression that ACE Inhibitor is better for hereditary bp and my blood vessels are getting less elastic with age.
I changed high bp medicine about a few months ago and have experienced moments in which my bp seems out of control no matter what I do. I went to see seversal doctors and was given several recipees. Each usually worked for a week or so and then all of a sudden my bp just refused to comply any more. I noted that most of the medicine used falls into the category of calcium channel blocker. With the co-administration of beta-blocker, they stand a chance but without beta=blocker, the experience could be quite frightening. Some doctors told me that is because i am too nervous, and other doctors pointed out this is because I moved out of the old medication too abruptly and therefore the body refuses to accept new medication.
I had a simular problem several years ago. My BP would suddenly spike up out of sight. By the time I would get to a Dr. it would be back down. After many visits I finally got there when it was still up. 220/150 and that was after it started coming down. The Dr. finally realized I had not been lying all the other times. Don't know why someone would make something like that up. She got it under control with Procardia.
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon wrote:
snipped...
Quoted message said:
Quoted message said:
Currently i am using two systems to protect myself. I take 5 mg of Zestrial and a beta-blocker in the morning and 10 mg of nifedipine around 2pm. While the Zestrial is sustained release on a 24 hours basis, the tablet of 10 mg of nifedipine last only for 12 hours. I am using these two medicines in case one fails me. I would welcome some suggestion as to how to take out one and keep the other without the same set of disarray that took place before.
What is your height and weight?
I am 57-58 years ago and weight 160pounds. Currently i am following the advice of a patient doctor. I am taking 10 mg of Zestril and 25 mg of beta-log in the morning at 8pm, and, if the bp is still too high by say 4-5pm, say 140-150/90-95, i will take another 10 mg of nifedipine and one lodoz. I will see how it goes. Now, I have accepted that I may need to take medications twice and the old days of taking just one to take care of the whole day could be a by-gone memory. Also, I have discovered that beta blocker is quite important in the overall mix. Seems that nothing works without it!
Rdg.,
FP ==============================================
Quoted message said:
Quoted message said:
Given a choice, I would keep Zestrial as i am under the impression that ACE Inhibitor is better for hereditary bp and my blood vessels are getting less elastic with age.
[email hidden] (GS) wrote in message news:<[email hidden]>...
Quoted message said:
In article said:
I changed high bp medicine about a few months ago and have experienced moments in which my bp seems out of control no matter what I do. I went to see seversal doctors and was given several recipees. Each usually worked for a week or so and then all of a sudden my bp just refused to comply any more. I noted that most of the medicine used falls into the category of calcium channel blocker. With the co-administration of beta-blocker, they stand a chance but without beta=blocker, the experience could be quite frightening. Some doctors told me that is because i am too nervous, and other doctors pointed out this is because I moved out of the old medication too abruptly and therefore the body refuses to accept new medication.
I had a simular problem several years ago. My BP would suddenly spike up out of sight. By the time I would get to a Dr. it would be back down. After many visits I finally got there when it was still up. 220/150 and that was after it started coming down. The Dr. finally realized I had not been lying all the other times. Don't know why someone would make something like that up. She got it under control with Procardia.
Thanks for sharing your experience. I experience spike=ups too and a very useful tool i have always carried in my pocket is 'lodoz tablets'. It contains 6.5 mg of hydrochloridediazide and 5 mg of bisoprolol furamate. Whenever a spike-up comes, a lodoz tablet would just knock it right down at least for a while.
[email hidden] (GS) wrote in message news:<[email hidden]>...
Quoted message said:
In article said:
I changed high bp medicine about a few months ago and have experienced moments in which my bp seems out of control no matter what I do. I went to see seversal doctors and was given several recipees. Each usually worked for a week or so and then all of a sudden my bp just refused to comply any more. I noted that most of the medicine used falls into the category of calcium channel blocker. With the co-administration of beta-blocker, they stand a chance but without beta=blocker, the experience could be quite frightening. Some doctors told me that is because i am too nervous, and other doctors pointed out this is because I moved out of the old medication too abruptly and therefore the body refuses to accept new medication.
I had a simular problem several years ago. My BP would suddenly spike up out of sight. By the time I would get to a Dr. it would be back down. After many visits I finally got there when it was still up. 220/150 and that was after it started coming down. The Dr. finally realized I had not been lying all the other times. Don't know why someone would make something like that up. She got it under control with Procardia.
By the way, is Procardia a generic form of nifedipine? I had been on 20mg of generic nifedipine(taken twice daily) and my blood pressure was under control. Then i went to visit a fancy doctor who graduated from Stanford. She prescribed adalat gits 30 mg tablets to me, taken once daily, in order to be more convenient. After some time, sudden surges took place and i was frightened. I suppose these are two different kinds of medicine though the name is the same 'nifedipine'.
Could you talk to your doctor and tell me what the Procardio you are using?
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon wrote:
snipped...
Quoted message said:
Quoted message said:
Currently i am using two systems to protect myself. I take 5 mg of Zestrial and a beta-blocker in the morning and 10 mg of nifedipine around 2pm. While the Zestrial is sustained release on a 24 hours basis, the tablet of 10 mg of nifedipine last only for 12 hours. I am using these two medicines in case one fails me. I would welcome some suggestion as to how to take out one and keep the other without the same set of disarray that took place before.
What is your height and weight?
I am 57-58 years ago and weight 160pounds.
Your ideal weight might be 135 pounds.
You might be 25 pounds overweight.
Quoted message said:
Currently i am following the advice of a patient doctor. I am taking 10 mg of Zestril and 25 mg of beta-log in the morning at 8pm, and, if the bp is still too high by say 4-5pm, say 140-150/90-95, i will take another 10 mg of nifedipine and one lodoz. I will see how it goes.
Why not another Zestril?
Quoted message said:
Now, I have accepted that I may need to take medications twice and the old days of taking just one to take care of the whole day could be a by-gone memory.
If you lost 25 pounds, you might go back to just once a day.
Quoted message said:
Also, I have discovered that beta blocker is quite important in the overall mix. Seems that nothing works without it!
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon said:
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon wrote:
snipped...
Quoted message said:
> Currently i am using two systems to protect myself. I take 5 mg of > Zestrial and a beta-blocker in the morning and 10 mg of nifedipine > around 2pm. While the Zestrial is sustained release on a 24 hours > basis, the tablet of 10 mg of nifedipine last only for 12 hours. I am > using these two medicines in case one fails me. I would welcome some > suggestion as to how to take out one and keep the other without the > same set of disarray that took place before.
What is your height and weight?
I am 57-58 years ago and weight 160pounds.
Your ideal weight might be 135 pounds.
You might be 25 pounds overweight.
I AM 175 CM TALL. So by that standard i might not be that fat. I used to be able to control my bp just a few months ago when i was still around 160 lbs. What do you think?
Quoted message said:
Quoted message said:
Currently i am following the advice of a patient doctor. I am taking 10 mg of Zestril and 25 mg of beta-log in the morning at 8pm, and, if the bp is still too high by say 4-5pm, say 140-150/90-95, i will take another 10 mg of nifedipine and one lodoz. I will see how it goes.
Why not another Zestril?
I have found Zestril to have somewhat hindered my erection. Secondly, Zestril is getting weaker and weaker since I tried it a few days ago. It used to be able to last until 5pm before i experience the tension. Now, by 1:30pm, it already starts the buzzing sound. The blood pressure is 160/90 by 12:30 noon today. So i put on my nifedipine and lodoz immediately.
Give me some ideas, please!
FP =========================================
Quoted message said:
Quoted message said:
Now, I have accepted that I may need to take medications twice and the old days of taking just one to take care of the whole day could be a by-gone memory.
If you lost 25 pounds, you might go back to just once a day.
Quoted message said:
Also, I have discovered that beta blocker is quite important in the overall mix. Seems that nothing works without it!
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon said:
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>... > francispoon wrote:
snipped... > > Currently i am using two systems to protect myself. I take 5 mg of > > Zestrial and a beta-blocker in the morning and 10 mg of nifedipine > > around 2pm. While the Zestrial is sustained release on a 24 hours > > basis, the tablet of 10 mg of nifedipine last only for 12 hours. I am > > using these two medicines in case one fails me. I would welcome some > > suggestion as to how to take out one and keep the other without the > > same set of disarray that took place before. > > What is your height and weight? > I am 57-58 years ago and weight 160pounds.
Your ideal weight might be 135 pounds.
You might be 25 pounds overweight.
I AM 175 CM TALL.
Which is 5'9" and would lead to an ideal weight of possibly 136 pounds if you are female and 145 lbs if you are male.
Quoted message said:
So by that standard i might not be that fat.
You might still be 24 pounds overweight if female and 15 pounds overweight if male.
Quoted message said:
I used to be able to control my bp just a few months ago when i was still around 160 lbs. What do you think?
You might be able to control your BP better if lighter.
Quoted message said:
Quoted message said:
Quoted message said:
Currently i am following the advice of a patient doctor. I am taking 10 mg of Zestril and 25 mg of beta-log in the morning at 8pm, and, if the bp is still too high by say 4-5pm, say 140-150/90-95, i will take another 10 mg of nifedipine and one lodoz. I will see how it goes.
Why not another Zestril?
I have found Zestril to have somewhat hindered my erection.
Ok, so you are male.
Quoted message said:
Secondly, Zestril is getting weaker and weaker since I tried it a few days ago. It used to be able to last until 5pm before i experience the tension. Now, by 1:30pm, it already starts the buzzing sound. The blood pressure is 160/90 by 12:30 noon today. So i put on my nifedipine and lodoz immediately.
Losing weight is good but is a long shot from here and here this minute I need to take care of my crisis right now.
The leaflet of Zestrial clearly says that the starting dosage for patients with essential hypertension is 10 mg while the effective maintenance is 20 mg daily. I took 10 mg of Zestrial this morning at 8am plus a Lodoz. By 4pm, the bp is 142/80. It could be higher as the evening progresses. Is this still too high? Could i raise it to 15 mg with a Lodoz in the morning.
Thank you for your quick reply.
Rdg.,
FP ===================================
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon said:
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon wrote:
> "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>... > > francispoon wrote: > > snipped... > > > Currently i am using two systems to protect myself. I take 5 mg of > > > Zestrial and a beta-blocker in the morning and 10 mg of nifedipine > > > around 2pm. While the Zestrial is sustained release on a 24 hours > > > basis, the tablet of 10 mg of nifedipine last only for 12 hours. I am > > > using these two medicines in case one fails me. I would welcome some > > > suggestion as to how to take out one and keep the other without the > > > same set of disarray that took place before. > > > > What is your height and weight? > > > I am 57-58 years ago and weight 160pounds.
Your ideal weight might be 135 pounds.
You might be 25 pounds overweight.
I AM 175 CM TALL.
Which is 5'9" and would lead to an ideal weight of possibly 136 pounds if you are female and 145 lbs if you are male.
Quoted message said:
So by that standard i might not be that fat.
You might still be 24 pounds overweight if female and 15 pounds overweight if male.
Quoted message said:
I used to be able to control my bp just a few months ago when i was still around 160 lbs. What do you think?
You might be able to control your BP better if lighter.
Quoted message said:
Quoted message said:
> Currently i am following > the advice of a patient doctor. I am taking 10 mg of Zestril and 25 > mg of beta-log in the morning at 8pm, and, if the bp is still too high > by say 4-5pm, say 140-150/90-95, i will take another 10 mg of > nifedipine and one lodoz. I will see how it goes.
Why not another Zestril?
I have found Zestril to have somewhat hindered my erection.
Ok, so you are male.
Quoted message said:
Secondly, Zestril is getting weaker and weaker since I tried it a few days ago. It used to be able to last until 5pm before i experience the tension. Now, by 1:30pm, it already starts the buzzing sound. The blood pressure is 160/90 by 12:30 noon today. So i put on my nifedipine and lodoz immediately.
[email hidden] (francispoon) wrote in message news:<[email hidden]>...
Quoted message said:
Thank you for the reply.
Losing weight is good but is a long shot from here and here this minute I need to take care of my crisis right now.
Why is losing weight a long shot?
Quoted message said:
The leaflet of Zestrial clearly says that the starting dosage for patients with essential hypertension is 10 mg while the effective maintenance is 20 mg daily. I took 10 mg of Zestrial this morning at 8am plus a Lodoz. By 4pm, the bp is 142/80. It could be higher as the evening progresses. Is this still too high?
It is still high but not dangerously so.
Quoted message said:
Could i raise it to 15 mg with a Lodoz in the morning.
Now my bp is basically under control. My problem for the past few months has been that most of the doctors here in China are not that familiar with imported drugs and the two in HK, one of them happened to have graduated from Stanford, have more theory than practices with their combination approach. Finally, i resorted back to the old medicine I used when i first had treatment.
Currently, i am controlling my bp with 10 mg of Zestrial and one tablet of Lodoz, and 25 mg of short lived betalog in the afternoon only when necessary. This is not an ideal combination as i still need to put on that beta-log. But with time hope someone could make a suggestion. Perhaps you could suggest a 24 hours sustained released beta-blocker or low dosage.
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:
Thank you for the reply.
Losing weight is good but is a long shot from here and here this minute I need to take care of my crisis right now.
Why is losing weight a long shot?
Quoted message said:
The leaflet of Zestrial clearly says that the starting dosage for patients with essential hypertension is 10 mg while the effective maintenance is 20 mg daily. I took 10 mg of Zestrial this morning at 8am plus a Lodoz. By 4pm, the bp is 142/80. It could be higher as the evening progresses. Is this still too high?
It is still high but not dangerously so.
Quoted message said:
Could i raise it to 15 mg with a Lodoz in the morning.
It is not advisable to use a short-acting beta-blocker for addressing the "spikes" of what sounds like labile hypertension. The reason is beta-blockers can cause rebound hypertension making things even more "labile."
I would suggest that whatever beta-blocker dose (preferably long-acting) that is determined to be optimal should be left alone. If you are symptomatic from the BP "spikes", nitroglycerin can be considered as a way of addressing this labile component of your hypertension.
[email hidden] (francispoon) wrote in message news:<[email hidden]>...
Quoted message said:
Now my bp is basically under control. My problem for the past few months has been that most of the doctors here in China are not that familiar with imported drugs and the two in HK, one of them happened to have graduated from Stanford, have more theory than practices with their combination approach. Finally, i resorted back to the old medicine I used when i first had treatment.
Currently, i am controlling my bp with 10 mg of Zestrial and one tablet of Lodoz, and 25 mg of short lived betalog in the afternoon only when necessary. This is not an ideal combination as i still need to put on that beta-log. But with time hope someone could make a suggestion. Perhaps you could suggest a 24 hours sustained released beta-blocker or low dosage.
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:
Thank you for the reply.
Losing weight is good but is a long shot from here and here this minute I need to take care of my crisis right now.
Why is losing weight a long shot?
Quoted message said:
The leaflet of Zestrial clearly says that the starting dosage for patients with essential hypertension is 10 mg while the effective maintenance is 20 mg daily. I took 10 mg of Zestrial this morning at 8am plus a Lodoz. By 4pm, the bp is 142/80. It could be higher as the evening progresses. Is this still too high?
It is still high but not dangerously so.
Quoted message said:
Could i raise it to 15 mg with a Lodoz in the morning.
