General fitness, health and nutrition · Public discussion

Are the dilating effects the same?

Francispoon · 2004-02-28T14:52:51+00:00

If I could lower my bp to say 130/80, using two approaches, would the effects of dilating on blood vessels the same. These approaches are(1)10 mg of Plendil and (2)5 mg of Plendil and 5 mg of beta-blocker. Thank you in advance, FP

Started by Francispoon · 28 February 2004 · Last activity 6 March 2004 · 16 posts · 796 views

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01 / Original postAre the dilating effects the same?Francispoon · 28 Feb 2004 02 / This pagePosts 1–16Page 1 of 1 · chronological order 03 / Latest replyPost #16Dr. Andrew B. C · 6 Mar 2004

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Original section: General fitness, health and nutrition
Published: 28 February 2004
Last activity: 6 March 2004
Original author: Francispoon
Posts: 16
Discussion status: Public discussion
Total views: 796
Views / 30 days: 2

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Original post
Francispoon
Archived post

28 February 2004, 14:52 UTC #1

If I could lower my bp to say 130/80, using two approaches, would the effects of dilating on
blood vessels the same. These approaches are(1)10 mg of Plendil and (2)5 mg of Plendil and 5 mg
of beta-blocker.
Thank you in advance,
FP

Report
Dr. Andrew B. C
Archived post

28 February 2004, 14:52 UTC #2

francispoon said:
If I could lower my bp to say 130/80, using two approaches, would the effects of dilating on blood
vessels the same. These approaches are(1)10 mg of Plendil and (2)5 mg of Plendil and 5 mg of beta-
blocker.
The answer is probably "no."
Quoted message said:

Thank you in advance,
You are welcome, Francis :-)
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.com
**
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Francispoon
Archived post

29 February 2004, 03:52 UTC #3

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon said:
If I could lower my bp to say 130/80, using two approaches, would the effects of dilating on
blood vessels the same. These approaches are(1)10 mg of Plendil and (2)5 mg of Plendil and 5 mg
of beta-blocker.
The answer is probably "no."
Thus if the purpose is to dilate blood vessels, is it better to use 10 mg of Plendil as opposed to
the combination (2)? The reason why i ask you this is because my doctor who looks after my tinnitus
thinks i need blood vessels dilator in order to make the oxygen supply in the brain more sufficient.
I had tinnitus coming out in the process when i was changing from a single pill(10 mg of Norvase) to
a combination treatment. I am wondering if the combination treatment produces less vessel dilating
effect than the single pill approach. Kindly shed some light on this so that I could discuss with my
doctor in order to move back towards the single pill approach.
Thank You very much in advance,
FP
=============================================>
Quoted message said:
Quoted message said:

Thank you in advance,
You are welcome, Francis :-)
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist heartmdphd.comheartmdphd.com
** Who is the humblest person in the universe? makeashorterlink.commakeashorterlink.com
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Dr. Andrew B. C
Archived post

29 February 2004, 06:13 UTC #4

francispoon said:
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
news:<[email hidden]>...
Quoted message said:
francispoon said:
If I could lower my bp to say 130/80, using two approaches, would the effects of dilating on
blood vessels the same. These approaches are(1)10 mg of Plendil and (2)5 mg of Plendil and 5
mg of beta-blocker.
The answer is probably "no."
Thus if the purpose is to dilate blood vessels, is it better to use 10 mg of Plendil as opposed to
the combination (2)? The reason why i ask you this is because my doctor who looks after my
tinnitus thinks i need blood vessels dilator in order to make the oxygen supply in the brain more
sufficient. I had tinnitus coming out in the process when i was changing from a single pill(10 mg
of Norvase) to a combination treatment. I am wondering if the combination treatment produces less
vessel dilating effect than the single pill approach. Kindly shed some light on this so that I
could discuss with my doctor in order to move back towards the single pill approach.
Beta blockers are known to worsen migraines. If your tinnitus is due to cerebrovascular dysfunction,
it is conceivable that beta blockers may worsen your tinnitus.
Quoted message said:

Thank You very much in advance,
You are welcome, Francis.
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
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Francispoon
Archived post

29 February 2004, 13:34 UTC #5

"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:
> If I could lower my bp to say 130/80, using two approaches, would the effects of dilating on
> blood vessels the same. These approaches are(1)10 mg of Plendil and (2)5 mg of Plendil and 5
> mg of beta-blocker.
>
The answer is probably "no."
Thus if the purpose is to dilate blood vessels, is it better to use 10 mg of Plendil as opposed
to the combination (2)? The reason why i ask you this is because my doctor who looks after my
tinnitus thinks i need blood vessels dilator in order to make the oxygen supply in the brain
more sufficient. I had tinnitus coming out in the process when i was changing from a single
pill(10 mg of Norvase) to a combination treatment. I am wondering if the combination treatment
produces less vessel dilating effect than the single pill approach. Kindly shed some light on
this so that I could discuss with my doctor in order to move back towards the single pill
approach.
Beta blockers are known to worsen migraines. If your tinnitus is due to cerebrovascular
dysfunction, it is conceivable that beta blockers may worsen your tinnitus.
One more question: The 'sound point' in my head travels from side to side; one day on the left and
the next day on the right. Do you think such a movement has something to do with the signals sent
out by the beta-blocker in my bp medicine regimen? I am very curious and wish to know urgently.
Thank you in advance,
FP
==============================================
Quoted message said:

Quoted message said:

Thank You very much in advance,
You are welcome, Francis.
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist heartmdphd.comheartmdphd.com
** Who is the humblest person in the universe? makeashorterlink.commakeashorterlink.com
What is all this about? makeashorterlink.commakeashorterlink.com
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Dr. Andrew B. C
Archived post

1 March 2004, 08:52 UTC #6

francispoon said:

"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:
>
> > If I could lower my bp to say 130/80, using two approaches, would the effects of dilating
> > on blood vessels the same. These approaches are(1)10 mg of Plendil and (2)5 mg of Plendil
> > and 5 mg of beta-blocker.
> >
>
> The answer is probably "no."
Thus if the purpose is to dilate blood vessels, is it better to use 10 mg of Plendil as
opposed to the combination (2)? The reason why i ask you this is because my doctor who looks
after my tinnitus thinks i need blood vessels dilator in order to make the oxygen supply in
the brain more sufficient. I had tinnitus coming out in the process when i was changing from a
single pill(10 mg of Norvase) to a combination treatment. I am wondering if the combination
treatment produces less vessel dilating effect than the single pill approach. Kindly shed some
light on this so that I could discuss with my doctor in order to move back towards the single
pill approach.
Beta blockers are known to worsen migraines. If your tinnitus is due to cerebrovascular
dysfunction, it is conceivable that beta blockers may worsen your tinnitus.
One more question: The 'sound point' in my head travels from side to side; one day on the left and
the next day on the right. Do you think such a movement has something to do with the signals sent
out by the beta-blocker in my bp medicine regimen?
If the beta-blocker has been invariant, it would be hard to connect the beta-blocker with this
variation in 'sound point.'
Quoted message said:
I am very curious and wish to know urgently.
Thank you in advance,

You are welcome, Francis.
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
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Francispoon
Archived post

2 March 2004, 13:58 UTC #7

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message snipped...
Quoted message said:
Beta blockers are known to worsen migraines. If your tinnitus is due to cerebrovascular
dysfunction, it is conceivable that beta blockers may worsen your tinnitus.
My ENT doctor suggests that my tinnitus is due exactly to 'cerebrovascular' conditions, and
encourages me to do away with beta-blocker. That means I have to alter my bp regimen again.
Give me some courage to do so, Dr. Chung. My GP has already prescribed TANATRIL in place of the
beta-blocker.
FP
==============================================
Quoted message said:

Quoted message said:

Thank You very much in advance,
You are welcome, Francis.
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist heartmdphd.comheartmdphd.com
** Who is the humblest person in the universe? makeashorterlink.commakeashorterlink.com
What is all this about? makeashorterlink.commakeashorterlink.com
Is this spam? makeashorterlink.commakeashorterlink.com

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Francispoon
Archived post

2 March 2004, 13:58 UTC #8

And the new bp med prescribed to me by doctor named TANATRIL is known to have side-effects among
which tinnitus is one of them.
So it is a catch 22 situation.
comments?
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:
> If I could lower my bp to say 130/80, using two approaches, would the effects of dilating on
> blood vessels the same. These approaches are(1)10 mg of Plendil and (2)5 mg of Plendil and 5
> mg of beta-blocker.
>
The answer is probably "no."
Thus if the purpose is to dilate blood vessels, is it better to use 10 mg of Plendil as opposed
to the combination (2)? The reason why i ask you this is because my doctor who looks after my
tinnitus thinks i need blood vessels dilator in order to make the oxygen supply in the brain
more sufficient. I had tinnitus coming out in the process when i was changing from a single
pill(10 mg of Norvase) to a combination treatment. I am wondering if the combination treatment
produces less vessel dilating effect than the single pill approach. Kindly shed some light on
this so that I could discuss with my doctor in order to move back towards the single pill
approach.
Beta blockers are known to worsen migraines. If your tinnitus is due to cerebrovascular
dysfunction, it is conceivable that beta blockers may worsen your tinnitus.
Quoted message said:

Thank You very much in advance,
You are welcome, Francis.
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist heartmdphd.comheartmdphd.com
** Who is the humblest person in the universe? makeashorterlink.commakeashorterlink.com
What is all this about? makeashorterlink.commakeashorterlink.com
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Dr. Andrew B. C
Archived post

2 March 2004, 14:56 UTC #9

--------------4F4B1427E553C31DB5D4A973
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
francispoon said:
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message snipped...
Quoted message said:
Beta blockers are known to worsen migraines. If your tinnitus is due to cerebrovascular
dysfunction, it is conceivable that beta blockers may worsen your tinnitus.
My ENT doctor suggests that my tinnitus is due exactly to 'cerebrovascular' conditions, and
encourages me to do away with beta-blocker. That means I have to alter my bp regimen again.
Give me some courage to do so, Dr. Chung. My GP has already prescribed TANATRIL in place of the
beta-blocker.
FP
I don't have that power, but my Lord does.
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
Is this spam?
makeashorterlink.commakeashorterlink.com
--------------4F4B1427E553C31DB5D4A973
Content-Type: text/html; charset=us-ascii
Content-Transfer-Encoding: 7bit
<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
<html>
francispoon wrote:
<blockquote TYPE=CITE>"Dr. Andrew B. Chung, MD/PhD" <[email hidden]>
wrote in message
 snipped...
 > Beta blockers are known to worsen migraines. If your tinnitus
is due to cerebrovascular dysfunction, it is conceivable that beta blockers
may worsen your tinnitus.
My ENT doctor suggests that my tinnitus is due exactly to
 'cerebrovascular' conditions, and encourages me to do away with
 beta-blocker. That means I have to alter my bp regimen again.
Give me some courage to do so, Dr. Chung. My GP has already
 prescribed TANATRIL in place of the beta-blocker.
FP
 <a href="makeashorterlink.commakeashorterlink.com"></a> </blockquote>
I don't have that power, but my Lord does.
 
Servant to the humblest person in the universe,
Andrew
--
 Dr. Andrew B. Chung, MD/PhD
 Board-Certified Cardiologist
 <A HREF="heartmdphd.comheartmdphd.com">heartmdphd.comheartmdphd.com</A>
**
 Who is the humblest person in the universe?
 <A HREF="makeashorterlink.commakeashorterlink.com">makeashorterlink.commakeashorterlink.com</A>
What is all this about?
 <A HREF="makeashorterlink.commakeashorterlink.com">makeashorterlink.commakeashorterlink.com</A>
Is this spam?
 <A HREF="makeashorterlink.commakeashorterlink.com">makeashorterlink.commakeashorterlink.com</A>
 </html>
--------------4F4B1427E553C31DB5D4A973--

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Dr. Andrew B. C
Archived post

2 March 2004, 16:12 UTC #10

--------------6FDEBB2347660BA4133D7B61
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
francispoon said:
And the new bp med prescribed to me by doctor named TANATRIL is known to have side-effects among
which tinnitus is one of them.
So it is a catch 22 situation.
comments?
FP
The potential for a given side effect is not the same as its realization.
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
Is this spam?
makeashorterlink.commakeashorterlink.com
--------------6FDEBB2347660BA4133D7B61
Content-Type: text/html; charset=us-ascii
Content-Transfer-Encoding: 7bit
<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
<html>
francispoon wrote:
<blockquote TYPE=CITE>And the new bp med prescribed to me by doctor named
TANATRIL is known
 to have side-effects among which tinnitus is one of them.
So it is a catch 22 situation.
comments?
FP
 <a href="makeashorterlink.commakeashorterlink.com"></a> </blockquote>
The potential for a given side effect is not the same as its realization.
 
Servant to the humblest person in the universe,
Andrew
--
 Dr. Andrew B. Chung, MD/PhD
 Board-Certified Cardiologist
 <A HREF="heartmdphd.comheartmdphd.com">heartmdphd.comheartmdphd.com</A>
**
 Who is the humblest person in the universe?
 <A HREF="makeashorterlink.commakeashorterlink.com">makeashorterlink.commakeashorterlink.com</A>
What is all this about?
 <A HREF="makeashorterlink.commakeashorterlink.com">makeashorterlink.commakeashorterlink.com</A>
Is this spam?
 <A HREF="makeashorterlink.commakeashorterlink.com">makeashorterlink.commakeashorterlink.com</A>
 </html>
--------------6FDEBB2347660BA4133D7B61--

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Francispoon
Archived post

4 March 2004, 22:19 UTC #11

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon said:
And the new bp med prescribed to me by doctor named TANATRIL is known to have side-effects among
which tinnitus is one of them.
So it is a catch 22 situation.
comments?
FP
The potential for a given side effect is not the same as its realization.
TANATRIL hydrochloride contains elements of a diurectics. Right??????????
FP
========================
Quoted message said:
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist heartmdphd.comheartmdphd.com
** Who is the humblest person in the universe? makeashorterlink.commakeashorterlink.com
What is all this about? makeashorterlink.commakeashorterlink.com
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--

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Francispoon
Archived post

5 March 2004, 05:33 UTC #12

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
francispoon said:
And the new bp med prescribed to me by doctor named TANATRIL is known to have side-effects among
which tinnitus is one of them.
So it is a catch 22 situation.
comments?
FP
The potential for a given side effect is not the same as its realization.
Do you know of an ACE inhibitor that does not contain elements of hydrochloride? I experienced
stedio effect when i took it yesterday. Now, i am back to calcium channel blocker and beta-blocker.
FP
=============================
Quoted message said:
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist heartmdphd.comheartmdphd.com
** Who is the humblest person in the universe? makeashorterlink.commakeashorterlink.com
What is all this about? makeashorterlink.commakeashorterlink.com
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--

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Dr. Andrew B. C
Archived post

5 March 2004, 10:17 UTC #13

francispoon said:

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
news:<[email hidden]>...
Quoted message said:
francispoon said:
And the new bp med prescribed to me by doctor named TANATRIL is known to have side-effects
among which tinnitus is one of them.
So it is a catch 22 situation.
comments?
FP
The potential for a given side effect is not the same as its realization.
Do you know of an ACE inhibitor that does not contain elements of hydrochloride? I experienced
stedio effect when i took it yesterday. Now, i am back to calcium channel blocker and beta-
blocker.
FP
Most ACE inhibitors are available in formulations without hydrochlorothiazide.
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
Is this spam?
makeashorterlink.commakeashorterlink.com

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Francispoon
Archived post

6 March 2004, 07:03 UTC #14

"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:
> And the new bp med prescribed to me by doctor named TANATRIL is known to
> have side-effects among which tinnitus is one of them.
>
> So it is a catch 22 situation.
>
> comments?
>
> FP
>
The potential for a given side effect is not the same as its realization.
Do you know of an ACE inhibitor that does not contain elements of
hydrochloride? I experienced stedio effect when i took it yesterday. Now, i
am back to calcium channel blocker and beta-blocker.
FP
Most ACE inhibitors are available in formulations without hydrochlorothiazide.
One more question: The name TANATRIL HYDROCHLORIDE is that of an ACE
inhibitor. Does it mean it contains more or less the same substance as HYDROCHLORIDE-
THIAZIDE? The latter used to produce 'stedio effect' on me from my
tinnitus. Remember?
FP
========================================================
Quoted message said:
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
heartmdphd.comheartmdphd.com
** Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about? makeashorterlink.commakeashorterlink.com
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Francispoon
Archived post

6 March 2004, 12:47 UTC #15

"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:
> And the new bp med prescribed to me by doctor named
> TANATRIL is known to have side-effects among which
> tinnitus is one of them.
>
> So it is a catch 22 situation.
>
> comments?
>
> FP
>
The potential for a given side effect is not the same
as its realization.
Do you know of an ACE inhibitor that does not contain
elements of hydrochloride? I experienced stedio effect
when i took it yesterday. Now, i am back to calcium
channel blocker and beta-blocker.
FP
Most ACE inhibitors are available in formulations without
hydrochlorothiazide.
Why is it not a good idea to use plainly 10 mg of Plendil to
save the trouble of using 5 mg of Plendil and 5mg of an ACE
inhibitor? My GP thinks if 5mg of Plendil does not do a good
job on its own, additional mg will not do it. That is why
she has chosen the 'combination' approach for me which
involves more than one kind of med.
FP
================================
Quoted message said:
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
heartmdphd.comheartmdphd.com
** Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
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Dr. Andrew B. C
Archived post

6 March 2004, 15:18 UTC #16

francispoon said:
"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:
>
> > And the new bp med prescribed to me by doctor
> > named TANATRIL is known to have side-effects among
> > which tinnitus is one of them.
> >
> > So it is a catch 22 situation.
> >
> > comments?
> >
> > FP
> >
>
> The potential for a given side effect is not the
> same as its realization.
Do you know of an ACE inhibitor that does not contain
elements of hydrochloride? I experienced stedio effect
when i took it yesterday. Now, i am back to calcium
channel blocker and beta-blocker.
FP
Most ACE inhibitors are available in formulations
without hydrochlorothiazide.
Why is it not a good idea to use plainly 10 mg of Plendil
to save the trouble of using 5 mg of Plendil and 5mg of an
ACE inhibitor?
It may be a good idea for you. Medical care should be and
often is individualized.
Quoted message said:
My GP thinks if 5mg of Plendil does not do a good job on
its own, additional mg will not do it.
Each doctor has his/her own style of doing things.
Quoted message said:
That is why she has chosen the 'combination' approach for
me which involves more than one kind of med.
Is she not receptive to your discussions with her?
Servant to the humblest person in the universe,
Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.com
**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.com
What is all this about?
makeashorterlink.commakeashorterlink.com
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