Sheryl

Recommended dosing of losartan is once a day. I can find no data on taking it in divided doses as you suggest. Also, the divided doses you would be taking are at sub-theraputic amounts. Why are you thinking of a change? What is your BP like with Losartan 75 mg once a day as prescribed?

Why on earth do you assume you will "suffer side effects"? Most people do not. I think you know very well the substantial risks of leaving your BP untreated.

You should discuss with your doctor as there may have been a specific reason for putting you on a calcium channel blocker. If there was not then yes could switch to an ARB like Losartan. Readily available in Thailand and inexpensive. However at 50mg dose sometimes effect does not last full 24 hours i.e. your BP may rise later in the day.

Chances are that at 55 you have moved into a new 5 year age bracket hence the big increase. Will likely drop back to just inflationary increases until 5 years from now when you'll see another "bump" and so on. You can if you wish decrease your premium by taking a larger deductible or combination of deductible and copay. Just make sure you can easily cover the deductible and/or copay

3 different medications of which class/type? If you experience side effects with one BP medication, likely will do so with other medications of the same or related class. In the case of valsartan, it is an ARB and these in turn are closely related to ACE inhibitors. So should try something not in either class.

Vast majority of people do not experience this. As with most side effects, just an unlucky minority.

Agree. Elevate that TV screen to eye level. And add a lumbar support pillow.

Exactly and without seeing a doctor he cannot be sure which he has.

Trying to resolve with company first is standard advice, anywhere. General conditions of any policy will specify complsint procedures and appeal channel. @traveldan ask to see Genseal Conditions. I suspect same whether policy purchased from their Guernsey or Bekgium office but you can verify.

Open abdominal hysterectomy maybe 150-200k. Laparoscopic or vaginal, maybe 250-300k. Before I recommend please verify re fertility desires and whether want open or other procedure, makes a big difference. If she is wanting to preserve fertility would be altogether different procedure.

Is your friend wanting to have (or retain the option to fave) children in future? As treatment of fibroids is complex only when there are fertilith concerns. Otherwise a simple hysterectomy sllfes it and any Ob-Gtn can do that. What exactly is the issue she is having in US? Medical or insurance?

Definitely see a good ortho first. For shoulder issues a simple physical exam and possibly ultrasound often suffice for diagnosis. Sometimes shoulder pain can be from cervical spine. Something to consider if exam does not indicate shoulder pathology. In CM many recommend Dr. Chanakarn. https://chanakarn.com/

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Actually residing in your home country and having health cover there are pretty much the assumption hor any travel policy. In addition to covering only emergent care, a travel policy can simply pay to help you get back "home" rather than pay for care jn Thailand. Or it can pay just for getting you stabllized then flown home. So not usually a good alternative for people permanently settled in Thailand.

Are you on any medications? Alcohol intake?

Could try https://www.staysure.co.uk/senior-citizen-travel-insurance/ But if living permanently in Thailand with no home country address why a travel policy? Or is it for trips elsewhere out of Thailand?

Have you tried just a rehydration drink? In this climate you sweat a lot and this means loss of fluid and electrolytes. Those electrolyte packets at 7-11 (well diluted) or green coconut water can help a lot

There are a number of them. Usually best to get a policy isdued in your home country, where are you & he from?

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He is asking about availability in the Philippines not in Thailand. OP, Lexapro is available but requires a prescription. Clonazepam (Clonopin but different brand names in Philpppines) and Zolpidem (Ambien but by diffferent brand names) are available but controlled drugs, needs special prescription etc and I do not know if any ordinary pharmacy will fill it or not. Lorazepam (Ativan) seems not available.

These are not simple questions to answer, especially if the person asking does not have a grasp of basic physiology and pathology. I already answered the last question several posts back. High blood pressure can be secondary to a range of other medical conditions, or (most often) it can be what is called primary or essential hypertension. It results from increased resistance/stiffness in the arteries. Genetic pre-disposition is a common factor. Diet and lifestyle can be risk factors as well. See https://my.clevelandclinic.org/health/diseases/22024-primary-hypertension-formerly-known-as-essential-hypertension If by low blood pressure you mean blood pressures at the lower end of normal, or even slightly under, all it tells you is that this person does not have hypertension. Genuine hypotension -- blood pressure well below normal range -- has a wide range of causes. The most common causes would be hemorraghic blood loss and dehydration, but there are many others as well.

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