Uncontrollable BP

bnd777 said:

Would an 87 yr old with a BP of 214 despite all kinds of BP meds have any symptoms from a BP
this high ?

Not necessarily.

Quoted message said:

Are there symptoms/signs that will come and go ?

There can be.

Quoted message said:

Should they still be allowed to drive ?

Better would be medical treatment to control blood pressure instead of taking away a person's
driver's license.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

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

Quoted message said:

bnd777 said:

Would an 87 yr old with a BP of 214 despite all kinds of BP meds have

any

Quoted message said:

Quoted message said:

symptoms from a BP this high ?

Not necessarily.

Quoted message said:

Are there symptoms/signs that will come and go ?

There can be.

Quoted message said:

Should they still be allowed to drive ?

Better would be medical treatment to control blood pressure instead of

taking

Quoted message said:

away a person's driver's license.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist heartmdphd.comheartmdphd.comOpen ↗

#
But as I understand it they have tried every medical avenue/drugs to control the BP and they dont
work so if it was your patient what would you do ?

"bnd777" <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

Would an 87 yr old with a BP of 214 despite all kinds of BP meds have any symptoms from a BP
this high ?

I had 'uncontrollable' BP some months ago(180-200). I went to see 7 doctors with no avail. Looking
back, if I had just added diurectics to an ACE inhibitor OR 24-hour slow releasing beta=blocker to a
calcium channel blocker, my BP would have been controlled. But at that time, out of desperation and
...and probably a lot of ignorance on their part, my doctors prescribed a 'combination' approach for
me. The latter includes a bit of everything. The drug interactions between those 'bits of
everything' generated a lot of blood pressure spikes throughout the day. I took away those short-
lived beta-blocker upon Dr. Chung's advice. Now, my BP is being normalized by 10 mg of Zestril,
which could be strengthened with another tablet or 1/2 of a tablet of Diazide.

Perhaps if you could tell Dr Chung what you are taking, he could give you some good ideas.

Good luck!

FP
=======================

Quoted message said:

Are there symptoms/signs that will come and go ?

Should they still be allowed to drive ?

bnd777 schrieb:

Quoted message said:

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

Quoted message said:

bnd777 said:

Would an 87 yr old with a BP of 214 despite all kinds of BP meds have

any

Quoted message said:

Quoted message said:

symptoms from a BP this high ?

I believe there is a saying about high blood pressure:

"The first major symptom may be death"

It's sometimes also called "the silent killer".

So even if someone does not have any apparent adverse effects from high blood pressure that is not
so say that they are not in danger.

Quoted message said:

Quoted message said:

Not necessarily.

Quoted message said:

Are there symptoms/signs that will come and go ?

There can be.

Quoted message said:

Should they still be allowed to drive ?

Better would be medical treatment to control blood pressure instead of

taking

Quoted message said:

away a person's driver's license.

Quoted message said:

But as I understand it they have tried every medical avenue/drugs to control the BP and they dont
work so if it was your patient what would you do ?

Have they also tried a combination of different drugs? One medicine is often not enough to control
blood pressure. What does she currently take? IRC you mentioned that she still salts her food. This
might be unadvisable and may reduce the effect of some medicines.

Thorsten

PS: I'm not a physician and therefore not giving medical advice, just general information to the
best of my knowledge.

--
"Nothing in biology makes sense, except in the light of evolution"

(Theodosius Dobzhansky)

Re: driving - not a good idea for an 87 year-old with TIA's and uncontrolled BP. Won't you feel
guilty if she kills someone while driving?

"bnd777" <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

Would an 87 yr old with a BP of 214 despite all kinds of BP meds have any symptoms from a BP
this high ?

Are there symptoms/signs that will come and go ?

Should they still be allowed to drive ?

bnd777 said:

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

Quoted message said:

bnd777 said:

Would an 87 yr old with a BP of 214 despite all kinds of BP meds have

any

Quoted message said:

Quoted message said:

symptoms from a BP this high ?

Not necessarily.

Quoted message said:

Are there symptoms/signs that will come and go ?

There can be.

Quoted message said:

Should they still be allowed to drive ?

Better would be medical treatment to control blood pressure instead of

taking

Quoted message said:

away a person's driver's license.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist heartmdphd.comheartmdphd.comOpen ↗

#
But as I understand it they have tried every medical avenue/drugs to control the BP and they dont
work so if it was your patient what would you do ?

I have never seen a patient whose blood pressure could not be controlled.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

Problem is we dont want her to drive but any suggestion that she might give up is met with hell fire
She already takes BP meds plus diuretics has no intention of changing diet etc and the doctors seem
to have tried all drug combos

"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Re: driving - not a good idea for an 87 year-old with TIA's and uncontrolled BP. Won't you feel
guilty if she kills someone while driving?

"bnd777" <[email hidden]> wrote in message

news:<[email hidden]>...

Quoted message said:

Quoted message said:

Would an 87 yr old with a BP of 214 despite all kinds of BP meds have

any

Quoted message said:

Quoted message said:

symptoms from a BP this high ?

Are there symptoms/signs that will come and go ?

Should they still be allowed to drive ?

Sounds like you've done your best. I know first hand how difficult it can be to get older folks to
do what's best for them. Good luck.

"bnd777" <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

Problem is we dont want her to drive but any suggestion that she might give up is met with hell
fire She already takes BP meds plus diuretics has no intention of changing diet etc and the
doctors seem to have tried all drug combos

"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Re: driving - not a good idea for an 87 year-old with TIA's and uncontrolled BP. Won't you feel
guilty if she kills someone while driving?

"bnd777" <[email hidden]> wrote in message

news:<[email hidden]>...

Quoted message said:

Quoted message said:

Would an 87 yr old with a BP of 214 despite all kinds of BP meds have

any

Quoted message said:

Quoted message said:

symptoms from a BP this high ?

Are there symptoms/signs that will come and go ?

Should they still be allowed to drive ?

Quoted message said:

Perhaps if you could tell Dr Chung what you are taking, he could give you some good ideas.

Is the medicine in Toprol (XL form) made with a diuretic included?

Chuck

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

Quoted message said:

Quoted message said:

Perhaps if you could tell Dr Chung what you are taking, he could give you some good ideas.

Is the medicine in Toprol (XL form) made with a diuretic included?

I am using 10 mg of Zestril, which is an ACE inhibitor. If the strength were still weak, I would add
another tablet of hydrochloridediazide. They are separate tablets. The other doctor in HK used to
prescribe me one single Lodoz tablet(diutectics and short-lived beta-blocker) and ask me to take
that in conjunction with other pills such as Zestril or Nifedipine. The result was intermittent bp
spike-ups, which the 7 other doctors called *my* 'psychological dependence'.

If you had problems regarding medicine, Dr. Chung is the one you should go and the advice is FREE!

FP
===================================

Quoted message said:

Chuck

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

Quoted message said:

[email hidden] (ChuckMSRD) wrote in message

news:<[email hidden]>...

Quoted message said:

Quoted message said:

Quoted message said:

Perhaps if you could tell Dr Chung what you are taking, he could give you some good ideas.

Is the medicine in Toprol (XL form) made with a diuretic included?

I am using 10 mg of Zestril, which is an ACE inhibitor. If the strength were still weak, I would
add another tablet of hydrochloridediazide. They are separate tablets. The other doctor in HK used
to prescribe me one single Lodoz tablet(diutectics and short-lived beta-blocker) and ask me to
take that in conjunction with other pills such as Zestril or Nifedipine. The result was
intermittent bp spike-ups, which the 7 other doctors called *my* 'psychological dependence'.

If you had problems regarding medicine, Dr. Chung is the one you should go and the advice is FREE!

FP
===================================

Quoted message said:

Chuck

Meds she is taking

Tritace 10mg Atenolol 50mg Bendrofluazide 2.5mg Plendil 2.5mg added 2 weeks ago

Also for last 2 months has been on Arcoxia 60mg for the pain of severe osteoporosis (other
painkillers had no effect)

Theres a suspicion that Arcoxia is causing the uncontrollable BP

She has a recurrant dry tickle cough swollen ankles slow and tired sounds breathless on exertion

opinions welcome

"bnd777" <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

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

Quoted message said:

[email hidden] (ChuckMSRD) wrote in message

news:<[email hidden]>...

Quoted message said:

Quoted message said:

>Perhaps if you could tell Dr Chung what you are taking, he could give you some good ideas.

Is the medicine in Toprol (XL form) made with a diuretic included?

I am using 10 mg of Zestril, which is an ACE inhibitor. If the strength were still weak, I would
add another tablet of hydrochloridediazide. They are separate tablets. The other doctor in HK
used to prescribe me one single Lodoz tablet(diutectics and short-lived beta-blocker) and ask me
to take that in conjunction with other pills such as Zestril or Nifedipine. The result was
intermittent bp spike-ups, which the 7 other doctors called *my* 'psychological dependence'.

If you had problems regarding medicine, Dr. Chung is the one you should go and the advice
is FREE!

FP
===================================

Quoted message said:

Chuck

Meds she is taking

Tritace 10mg Atenolol 50mg Bendrofluazide 2.5mg Plendil 2.5mg added 2 weeks ago

Also for last 2 months has been on Arcoxia 60mg for the pain of severe osteoporosis (other
painkillers had no effect)

Theres a suspicion that Arcoxia is causing the uncontrollable BP

She has a recurrant dry tickle cough swollen ankles slow and tired sounds breathless on exertion

opinions welcome

I am not a doctor but by looking at the way your doctor prescribes to your grandmom, that doctor is
not much of a doctor any way. I doubt if he is fully aware of drug interaction between all those
kinds of drugs and what their impact is on her.

I would, first of all, change a doctor, preferrably to one in a state hospital rather than a private
clinic. After all, medicine prescription is more a function of experience than theories.

Then you tell that doctor about 2 options suggested by very well known doctors:
(1)10 mg of Zestril plus a tablet of Diazide(hydrochloridediazide) daily. OR
(2)10 mg of Norvase plus 5 or 10 mg of 'Concord' 24 hours slow releasing beta-blocker.

I would go for (1) first, in view of the fact that she is suffering from a swellen angle.

But go for another doctor first and ask.

FP