ravip Posted April 5, 2023 Share Posted April 5, 2023 There seems to be many 'Blood Pressure Classifications'. What would be the best and why so many types of classifications? Link to comment Share on other sites More sharing options...
mokwit Posted April 6, 2023 Share Posted April 6, 2023 Anyone heard of Losartan causing extreme fatigue (can't do normal routines)? Link to comment Share on other sites More sharing options...
jaiyenyen Posted April 6, 2023 Share Posted April 6, 2023 Madiplot gave me water retention. My legs and feet swelled up significantly. The doctor adjusted my meds and everything returned to normal. Link to comment Share on other sites More sharing options...
PPMMUU Posted April 6, 2023 Share Posted April 6, 2023 12 hours ago, ravip said: There seems to be many 'Blood Pressure Classifications'. What would be the best and why so many types of classifications? The ISH 2020 guidelines are the latest edition of the International Society of Hypertension Global Hypertension Practice Guidelines, released in 2020. As a result, they represent the most rigorous and evidence-based guidelines available. Based on this, I highly recommend considering the ISH 2020 guidelines when seeking hypertension practice guidelines. 1 Link to comment Share on other sites More sharing options...
brewsterbudgen Posted April 6, 2023 Share Posted April 6, 2023 1 hour ago, jaiyenyen said: Madiplot gave me water retention. My legs and feet swelled up significantly. The doctor adjusted my meds and everything returned to normal. Interesting. Were you taking 10mg or 20mg? I've been on 10mg for 5 years without any side-effects. Link to comment Share on other sites More sharing options...
Sheryl Posted April 6, 2023 Share Posted April 6, 2023 1 hour ago, brewsterbudgen said: Interesting. Were you taking 10mg or 20mg? I've been on 10mg for 5 years without any side-effects. Madiplot is a calcium channel blocker. Same class as amlodopine. Swelling of feet and legs is a known side effects of this class of dtug. Side effects do not occur in all patients. This particular effect occurs in about 1/4 of people taking these medications i.e. 3 out 9f 4 people do not experience it. 1 Link to comment Share on other sites More sharing options...
Sheryl Posted April 6, 2023 Share Posted April 6, 2023 3 hours ago, mokwit said: Anyone heard of Losartan causing extreme fatigue (can't do normal routines)? Are you feeling this msmsinly in your legs? Weskness/heaviness in ghr legs is a known (but not very common) side effect. Overall fatigue is not common. When did this start? and when did you last have a complete check up? Any other underlying diseases? Other medications? Link to comment Share on other sites More sharing options...
mokwit Posted April 6, 2023 Share Posted April 6, 2023 (edited) 52 minutes ago, Sheryl said: Are you feeling this msmsinly in your legs? Weskness/heaviness in ghr legs is a known (but not very common) side effect. Overall fatigue is not common. When did this start? and when did you last have a complete check up? Any other underlying diseases? Other medications? Sheryl, what follows is quite involved and maybe off topic, so if you don't want to go there that is understood. Noticed "stiffness" in my legs over a number of days following starting the drug that caused me to reduce the length of my usual morning walk. Started a few days after starting Losartan Had pre admission checks for surgery in Nov. Currently having most blood things monitored. Here's the difficult part - stage 4 colon cancer that has spread to the lungs but not the liver as of 1 year ago MRI scan and Alkaline Phosphatase is normal. 6 months of XELOX chemo ending Oct 26th - 2 weeks before Losartan started I seemed to be finally getting my energy and motivation back then after about a week after starting Losartan I just crashed and spent days in bed.If you just looked at the starting Losartan and the result it might seem to be Losartan, but I got more busy than normal and maybe triggered chemo related Chronic Fatigue Syndrome. Oncologist asked me the name of the drug and when I said "Losartan", replied "it's the drug" with such seeming conviction that I did not ask for supporting factors. She didn't believe it was the chemo coz all blood counts e.g RBC were back to normal. The internet says different. this was the pattern (figures are blood pressure): 2-Feb 133 80 132 72 losartan 1 Feb evening 3-Feb 127 76 129 71 NORMAL 2 WEEKS PRIOR 4-Feb 122 81 121 67 WEAKENING 5-Feb 122 74 122 63 WEAKENING 6-Feb 125 82 118 70 WEAKENING 7-Feb 130 84 121 68 WEAKENING 8-Feb 139 84 122 73 WEAKENING 9-Feb 129 83 113 75 WEAKENING 10-Feb 139 77 126 74 WEAK 11-Feb 130 86 115 70 WEAK 12-Feb 123 72 118 69 EXTREME FATIGUE 13-Feb 120 70 113 73 EXTREME FATIGUE 14-Feb 127 74 120 72 EXTREME FATIGUE 15-Feb 123 68 113 67 EXTREME FATIGUE 16-Feb 131 75 110 65 EXTREME FATIGUE 17-Feb 136 81 129 71 EXTREME FATIGUE 18-Feb 132 79 121 68 EXTREME FATIGUE 19-Feb 134 84 121 67 NO Lotarsan pm 20-Feb 133 81 120 70 Stop Lotarsan T-1 21-Feb 124 77 118 67 EXTREME FATIGUE 22-Feb 124 85 120 69 EXTREME FATIGUE 23-Feb 123 76 119 66 Start recover (1/2 day) 24-Feb 135 79 117 69 HALF DAY 25-Feb 132 81 122 69 Full Day 26-Feb 137 75 125 71 HALF DAY 27-Feb 140 86 129 72 HALF DAY 28-Feb 134 83 HALF DAY 1-Mar 124 83 123 70 HALF DAY 2-Mar 129 83 115 71 HALF DAY 3-Mar 131 75 114 72 HALF DAY 4-Mar 137 86 125 76 HALF DAY 5-Mar 128 81 HALF DAY 6-Mar 135 83 129 72 HALF DAY 7-Mar 134 83 114 76 HALF DAY 8-Mar 129 84 121 71 HALF DAY 9-Mar 134 77 124 71 HALF DAY 10-Mar 139 82 123 72 HALF DAY 11-Mar 133 78 117 70 HALF DAY 12-Mar 139 80 HALF DAY 13-Mar 121 81 117 68 HALF DAY 14-Mar 128 73 126 73 HALF DAY 15-Mar 136 81 123 69 HALF DAY 16-Mar 126 83 118 68 NEAR NORMAL 17-Mar 128 76 126 71 NEAR NORMAL 18-Mar 116 63 NEAR NORMAL 19-Mar 133 76 121 71 NEAR NORMAL 20-Mar 118 72 122 71 NEAR NORMAL 21-Mar 136 81 118 72 NEAR NORMAL 22-Mar 132 78 125 71 NEAR NORMAL 23-Mar 120 77 NEAR NORMAL 24-Mar 125 80 121 71 NEAR NORMAL 25-Mar 128 71 119 65 NEAR NORMAL 26-Mar 130 77 127 71 WEAK 27-Mar 127 77 120 70 WEAK 28-Mar 119 75 120 65 EXTREME FATIGUE 29-Mar 126 72 HALF DAY 30-Mar 117 78 122 70 EXTREME FATIGUE 31-Mar 130 79 120 73 HALF DAY 1-Apr 116 78 126 71 EXTREME FATIGUE While cancer may be the obvious cause - there seem no other symptoms yet that would indicate that stage. From a medically qualified friend: fatigue due to cancer usually presents with other findings such as,focal pain, abnormal lab values, abnormal imaging findings, symptoms in the organ system (heart, lungs GI tract etc.) where the primary or mets may have occurred, worsening pain without pain meds, the fatigue does not lessen with time and not receiving a cycle of chemo, specific signs such as jaundice, cough, skin lesions , weight loss, loss of appetite etc.etc However, it may be hard to discern chemo vs cancer related fatigue, if there are only very early and/or subtle findings......often time will tell after early overlapping possibilities. In other words the cause usually declares its etiology in time. I hope this helps considering that there is no absolute definitive interpretation of the cause fatigue early on inits course after numerous cycles of chemo. Edited April 6, 2023 by mokwit Link to comment Share on other sites More sharing options...
The Fugitive Posted April 6, 2023 Share Posted April 6, 2023 Repeatedly rejected from donating blood aged 30 and referred to my GP. BP readings were around 165/110. GP prescribed Furosemide, advising she would gradually reduce the dose to zero. My BP would return to normal and remain normal without medication. Absolutely correct! I was then able to recommence donating blood plus plasma and platelets and have also participated in many clinical trials. Current BP readings at age 66; 128/80. What is mystifying is the tutting and shaking of the head by doctors when they read my history and I tell them this story. According to them, this method of treatment cannot work. Either the sphygmomanometers were faulty or the staff weren't reading them correctly? Link to comment Share on other sites More sharing options...
Sheryl Posted April 6, 2023 Share Posted April 6, 2023 @mokwit Yoh did not realky answer my first question which is if the weakness/fatigue is mainly in the legs vs all over. Losartan can cause stiff/weak legs but is a less likely explanation for extreme over all fatigue. You also don't mention chemo dates. How long since last given? And when was your last CBC? (Blood count). Extreme fatigue in chemo patients often accompanies drop in RBC/WBC and this can come on quite suddenly. Unless you had a CBC in past 2 week I would suggest to repeat it and when you do, also check electrolytes. Make sure to stay well hydrated in this heat. Abd replace electrolytes if you have been sweating. How hugh wsdad BP before starting losartan? And what dose are you on? Link to comment Share on other sites More sharing options...
mokwit Posted April 6, 2023 Share Posted April 6, 2023 (edited) 16 minutes ago, Sheryl said: @mokwit Yoh did not realky answer my first question which is if the weakness/fatigue is mainly in the legs vs all over. Losartan can cause stiff/weak legs but is a less likely explanation for extreme over all fatigue. You also don't mention chemo dates. How long since last given? And when was your last CBC? (Blood count). Extreme fatigue in chemo patients often accompanies drop in RBC/WBC and this can come on quite suddenly. Unless you had a CBC in past 2 week I would suggest to repeat it and when you do, also check electrolytes. Make sure to stay well hydrated in this heat. Abd replace electrolytes if you have been sweating. How hugh wsdad BP before starting losartan? And what dose are you on? First noticed stiffness and lack of stamina in the legs - worsening of what started after chemo session 5. Generally not so much weak bodily in terms of strength but just feel extremely fatigued and ill to the point of staying in bed. This from wiki pretty much describes it: Greatly lowered ability to do activities that were usual before the illness. This drop in activity level occurs along with fatigue and must last six months or longer. Worsening of symptoms after physical or mental activity that would not have caused a problem before the illness. The amount of activity that might aggravate the illness is difficult for a person to predict, and the decline often presents 12 to 48 hours after the activity.[28] The 'relapse', or 'crash', may last days, weeks or longer. This is known as post-exertional malaise (PEM). Sleep problems; people may still feel weary after full nights of sleep, or may struggle to stay awake, fall asleep or stay asleep. Additionally, one of the following symptoms must be present:[15] Problems with thinking and memory (cognitive dysfunction, sometimes described as "brain fog") https://en.wikipedia.org/wiki/Chronic_fatigue_syndrome Also: Post-exertional malaise PEM is triggered by "minimal"[3] physical or mental activities that were previously tolerated, and that healthy people tolerate, like attending a social event, grocery shopping, or even taking a shower.[2] Emotional distress, injury, sleep deprivation, infections, and spending too long standing or sitting up are other as potential triggers.[4] The resulting symptoms are disproportionate to the triggering activity and are often debilitating, potentially rendering someone housebound or bedbound until they recover.[5][4][6][2] Had this during chemo after walking back from Chula. Nice walk then next 2 days in bed. https://en.wikipedia.org/wiki/Post-exertional_malaise Last chemo was Oct 26th - 8 sessions over 6 months Xelox. RBC/WBC have always been normal/above threshold throughout. Last was in March when I was already had been feeling the extreme fatigue. Oncologist pointed to RBC/WBC being normal as indication it was not chemo caused. Well hydrated and not sweating as in aircon nearly 24/7 Dose was 50mg starting 1 Feb and stopped 19 Feb.. Blood pressure values were similar: 3-Jan 150 82 134 75 4-Jan 137 79 120 75 5-Jan 134 78 109 64 6-Jan 134 79 127 91 7-Jan 140 78 129 73 8-Jan 137 79 123 70 9-Jan 132 78 110 70 10-Jan 125 82 128 77 11-Jan 125 73 121 69 12-Jan 138 74 128 73 13-Jan 139 81 137 77 14-Jan 131 76 122 70 15-Jan 122 80 126 70 16-Jan 120 76 128 72 17-Jan 138 83 121 76 18-Jan 136 81 110 67 19-Jan 143 78 128 69 20-Jan 133 82 136 77 21-Jan 119 85 137 78 22-Jan 145 81 116 76 23-Jan 131 84 125 72 24-Jan 137 82 127 70 25-Jan 146 80 126 71 26-Jan 137 77 Motivation Go out, eat healthy 27-Jan Taste for food amS amD pmS pmD 2-Feb 133 80 132 72 losartan 1 Feb evening 3-Feb 127 76 129 71 NORMAL 2 WEEKS 4-Feb 122 81 121 67 WEAKENING 5-Feb 122 74 122 63 WEAKENING 6-Feb 125 82 118 70 WEAKENING 7-Feb 130 84 121 68 WEAKENING 8-Feb 139 84 122 73 WEAKENING 9-Feb 129 83 113 75 WEAKENING 10-Feb 139 77 126 74 WEAK 11-Feb 130 86 115 70 WEAK 12-Feb 123 72 118 69 EXTREME FATIGUE 13-Feb 120 70 113 73 EXTREME FATIGUE 14-Feb 127 74 120 72 EXTREME FATIGUE 15-Feb 123 68 113 67 EXTREME FATIGUE 16-Feb 131 75 110 65 EXTREME FATIGUE 17-Feb 136 81 129 71 EXTREME FATIGUE 18-Feb 132 79 121 68 EXTREME FATIGUE 19-Feb 134 84 121 67 NO Lotarsan pm 20-Feb 133 81 120 70 Stop Lotarsan T-1 21-Feb 124 77 118 67 EXTREME FATIGUE Edited April 6, 2023 by mokwit Link to comment Share on other sites More sharing options...
connda Posted April 6, 2023 Share Posted April 6, 2023 It could be 145/85 one day and 110/75 the next. I don't worry about it. Link to comment Share on other sites More sharing options...
Sheryl Posted April 6, 2023 Share Posted April 6, 2023 11 minutes ago, mokwit said: First noticed stiffness and lack of stamina in the legs. Generally not so much weak bodily in terms of strength but just feel extremely fatigued and ill to the point of staying in bed. Last chemo was Oct 26th - 8 sessions over 6 months Xelox. RBC/WBC have always been normal/above threshold throughout. Last was in March when I was already had been feeling the extreme fatigue. Oncologist pointed to RBC/WBC being normal as indication it was not chemo caused. Well hydrated and not sweating as in aircon nearly 24/7 Dose was 50mg starting 1 Feb and stopped 19 Feb.. 118 67 EXTREME FATIGUE So you stopped losartsn 19 Feb? But still feeling tired? Link to comment Share on other sites More sharing options...
mokwit Posted April 6, 2023 Share Posted April 6, 2023 (edited) 7 minutes ago, Sheryl said: So you stopped losartsn 19 Feb? But still feeling tired? Yes, but not the extreme stay in bed all day that I had while I was taking it. Seemed to recover from needing to stay in bed a few days after I stopped it. Have had some day almost like that. 2-Feb 133 80 132 72 losartan 1 Feb evening 3-Feb 127 76 129 71 NORMAL 2 WEEKS 4-Feb 122 81 121 67 WEAKENING 5-Feb 122 74 122 63 WEAKENING 6-Feb 125 82 118 70 WEAKENING 7-Feb 130 84 121 68 WEAKENING 8-Feb 139 84 122 73 WEAKENING 9-Feb 129 83 113 75 WEAKENING 10-Feb 139 77 126 74 WEAK 11-Feb 130 86 115 70 WEAK 12-Feb 123 72 118 69 EXTREME FATIGUE 13-Feb 120 70 113 73 EXTREME FATIGUE 14-Feb 127 74 120 72 EXTREME FATIGUE 15-Feb 123 68 113 67 EXTREME FATIGUE 16-Feb 131 75 110 65 EXTREME FATIGUE 17-Feb 136 81 129 71 EXTREME FATIGUE 18-Feb 132 79 121 68 EXTREME FATIGUE 19-Feb 134 84 121 67 NO Lotarsan pm 20-Feb 133 81 120 70 Stop Lotarsan T-1 21-Feb 124 77 118 67 EXTREME FATIGUE 22-Feb 124 85 120 69 EXTREME FATIGUE 23-Feb 123 76 119 66 Start recover (1/2 day) 24-Feb 135 79 117 69 HALF DAY 25-Feb 132 81 122 69 Full Day 26-Feb 137 75 125 71 HALF DAY 27-Feb 140 86 129 72 HALF DAY 28-Feb 134 83 HALF DAY 1-Mar 124 83 123 70 HALF DAY 2-Mar 129 83 115 71 HALF DAY 3-Mar 131 75 114 72 HALF DAY 4-Mar 137 86 125 76 HALF DAY 5-Mar 128 81 HALF DAY 6-Mar 135 83 129 72 HALF DAY 7-Mar 134 83 114 76 HALF DAY 8-Mar 129 84 121 71 HALF DAY 9-Mar 134 77 124 71 HALF DAY 10-Mar 139 82 123 72 HALF DAY 11-Mar 133 78 117 70 HALF DAY 12-Mar 139 80 HALF DAY 13-Mar 121 81 117 68 HALF DAY 14-Mar 128 73 126 73 HALF DAY 15-Mar 136 81 123 69 HALF DAY 16-Mar 126 83 118 68 NEAR NORMAL 17-Mar 128 76 126 71 NEAR NORMAL 18-Mar 116 63 NEAR NORMAL 19-Mar 133 76 121 71 NEAR NORMAL 20-Mar 118 72 122 71 NEAR NORMAL 21-Mar 136 81 118 72 NEAR NORMAL 22-Mar 132 78 125 71 NEAR NORMAL 23-Mar 120 77 NEAR NORMAL 24-Mar 125 80 121 71 NEAR NORMAL 25-Mar 128 71 119 65 NEAR NORMAL 26-Mar 130 77 127 71 WEAK 27-Mar 127 77 120 70 WEAK 28-Mar 119 75 120 65 EXTREME FATIGUE 29-Mar 126 72 HALF DAY 30-Mar 117 78 122 70 EXTREME FATIGUE 31-Mar 130 79 120 73 HALF DAY 1-Apr 116 78 126 71 EXTREME FATIGUE Note this: 10-Feb 139 77 126 74 WEAK 11-Feb 130 86 115 70 WEAK AND 26-Mar 130 77 127 71 WEAK 27-Mar 127 77 120 70 WEAK Got 2 day warning (with hindsight) as started feeling unwell fatigued when doing normal things. Note I have added some things to post. Edited April 6, 2023 by mokwit Link to comment Share on other sites More sharing options...
Sheryl Posted April 6, 2023 Share Posted April 6, 2023 It appears that the losartan was at most just a part of the problem since wermeks after stopping you are still weak more often than not. Also seems your BP off it is not too bad. Link to comment Share on other sites More sharing options...
mokwit Posted April 6, 2023 Share Posted April 6, 2023 (edited) 10 minutes ago, Sheryl said: It appears that the losartan was at most just a part of the problem since wermeks after stopping you are still weak more often than not. Also seems your BP off it is not too bad. Yes I crashed again after stopping Losartan and recovering. There was a 3 week period when I was motivated and active again - the third week coinciding with Losartan. Maybe I just overdid it for how well recovered I was['nt] from chemo and triggered a crash independent of Losartan. I tend to think this is Chemo related. Same thing but 2 or 3 times worse than when on chemo - but on chemo I exerted less and rested more. Edited April 6, 2023 by mokwit Link to comment Share on other sites More sharing options...
sherwood Posted April 6, 2023 Share Posted April 6, 2023 180/112 last year but been like that for a decade. I returned to Australia for work and found a good GP who told me even a driving license was out of the question. Telmisartan+Amlodipine put me in the right direction so now around 125/83 so all good. Rate@40-5 mg per day. Stay of the grog was her advice, mostly.. I got a job as a hard rock underground truck driver at age 63 so yes most things are possible lf you try. 1 Link to comment Share on other sites More sharing options...
The Fugitive Posted April 6, 2023 Share Posted April 6, 2023 11 minutes ago, sherwood said: 180/112 last year but been like that for a decade. I returned to Australia for work and found a good GP who told me even a driving license was out of the question. Telmisartan+Amlodipine put me in the right direction so now around 125/83 so all good. Rate@40-5 mg per day. Stay of the grog was her advice, mostly.. I got a job as a hard rock underground truck driver at age 63 so yes most things are possible lf you try. That's wonderful. Very pleased for you! Somethings obviously change (and for the better). At one time your history would have precluded such (or even most) employment. Employers must now recognise that conditions which can be kept well under control should be no bar to employment? 1 Link to comment Share on other sites More sharing options...
sherwood Posted April 6, 2023 Share Posted April 6, 2023 Yer I was lucky as medicals are mandatory for most jobs these days. Worked for 10 months, 12 hrs by 14 days and hope I never do it again. I think I could do it one more time if the site was Ok. Good remuneration for sure. 1 Link to comment Share on other sites More sharing options...
Sandboxer Posted April 6, 2023 Share Posted April 6, 2023 (edited) At age 49, and 105kg at 185cm, I take 100mg Losartan (120-125/75-80) - unmedicated it's about 135-145/85-90. Also take a beta blocker (Carvidilol 12.5mg) to slow the RHR down to 70-75 bpm, from 90ish unmedicated. I've seen so many expats in the Philippines and LOS needlessly drop dead way too early because they were too stupid or too lazy to monitor their most basic vitals. It's really almost Darwinian. A dumb as riding motorbikes without helmet/drunk etc. Edited April 6, 2023 by Sandboxer 1 Link to comment Share on other sites More sharing options...
sandyf Posted April 6, 2023 Share Posted April 6, 2023 19 hours ago, BigStar said: The cut-off point for diagnosing high blood pressure does not change with age. --https://www.medicalnewstoday.com/articles/what-is-the-average-blood-pressure-by-age-chart-and-more#blood-pressure-definition So you think that 140/80 would mean the same to a 35 year old as an 85 year old. 1 Link to comment Share on other sites More sharing options...
sandyf Posted April 6, 2023 Share Posted April 6, 2023 On 4/4/2023 at 7:45 PM, Woof999 said: Thai doctor at Bangkok Hospital Pattaya took me off my UK atenolol prescription and changed it to cozaar / losartan. Said it was better for me, easier to buy here and cheaper. I was prescribed atenolol in the UK back in 1980 and then about 20 years later the doctor took me off that and put me on an Ace inhibitor. I was under the impression that was UK policy at the time unless there were side effects. Link to comment Share on other sites More sharing options...
sandyf Posted April 6, 2023 Share Posted April 6, 2023 On 4/4/2023 at 7:35 PM, Stocky said: I was diagnosed with hypertension aged 35 . I was also diagnosed early thirties, i think I had it when I was discharged from the RAF when I was 30, bit of farting about getting my papers signed. After first reading had to wait for half an hour, then after the second scratched his head and picked up the pen. As you say I am sure it runs in families. Link to comment Share on other sites More sharing options...
Des1 Posted April 6, 2023 Share Posted April 6, 2023 lots of helpful information here, thanks everyone. 1 Link to comment Share on other sites More sharing options...
sandyf Posted April 6, 2023 Share Posted April 6, 2023 On 4/4/2023 at 5:10 PM, steveb5 said: What is the blood pressure range that medication is necessary. My blood pressure after a second reading averages about 135 but first reading sometimes around 145 average. You haven't said how old you are. Some will say age has nothing to do with it, but it does. If you are 90, you don't really have anything to worry about, chances are you will die before it deteriorates much more. If however you are 50 you ought to be taking some precautionary measures. Link to comment Share on other sites More sharing options...
Popular Post The Fugitive Posted April 6, 2023 Popular Post Share Posted April 6, 2023 26 minutes ago, Sandboxer said: At age 49, and 105kg at 185cm, I take 100mg Losartan (120-125/75-80) - unmedicated it's about 135-145/85-90. Also take a beta blocker (Carvidilol 12.5mg) to slow the RHR down to 70-75 bpm, from 90ish unmedicated. I've seen so many expats in the Philippines and LOS needlessly drop dead way too early because they were too stupid or too lazy to monitor their most basic vitals. It's really almost Darwinian. A dumb as riding motorbikes without helmet/drunk etc. Thanks for this. At almost 50 years of age your unmedicated BP readings would not be a cause for concern to most in UK. Your Resting Heart Rate may raise an eyebrow. Unfortunately, we in UK weren't brought up with preventative medicine and believe that 'you're OK until you aren't'. Also, that 'no medicine is the best medicine' and we musn't bother our doctor's unless we have some serious complaint that we've put up with for a long time and it's been getting worse. As you say, it's all a recipe for disaster. Possibly the fact that all consultations and treatment are completely free puts us off spending any money on additional health care/prevention. When many British tourists won't even take out travel insurance, what hope for private healthcare plans? 3 Link to comment Share on other sites More sharing options...
mokwit Posted April 6, 2023 Share Posted April 6, 2023 26 minutes ago, The Fugitive said: musn't bother our doctor's unless we have some serious complaint that we've put up with for a long time and it's been getting worse. Wasn't that just it in the UK. Patients were regarded as a nuisance. 1 1 Link to comment Share on other sites More sharing options...
Sheryl Posted April 6, 2023 Share Posted April 6, 2023 1 hour ago, sandyf said: I was prescribed atenolol in the UK back in 1980 and then about 20 years later the doctor took me off that and put me on an Ace inhibitor. I was under the impression that was UK policy at the time unless there were side effects. Beta blockers are no longer recommended for first lien treatment of hypertension (though they are still very useful for other things including some heart conditions). For first line treatment of hypertension nowasdays: ACE inhibitor, ARB, or calcium channel blocker. If these alone do not do the trick, or if there is heart failure present, a diuretic may be added. 1 Link to comment Share on other sites More sharing options...
ignis Posted April 6, 2023 Share Posted April 6, 2023 Put on Enalapril 20 MG 2x day back in the 1990s in the UK been here just over 19 years many Dr here have tried to change to ? better ? Newer Med"s that did not work or bad reactions.. last 7 years been on 1x evenings Prenolol 25mg + 1x mornings Losartan 50 mg + 1 x evenings 2 mg Dozozin [one Dr mixed more pills in my Prescriptions for BP with bad results] For years take at home my BP at least 1 x day, normally 130 - 140 over 68 -78 Age: 72 - 1.88 tall - 103 kg No idea why will suddenly go up 220/130 or suddenly drop 54/32 + passing out... Madiplot, lisinopril and amlodopine. I cannot take both give bad swelling of legs/ankles/feet The annoying things here.... the moment you get to Hospital they must do BP reading sometimes this can be high = your on a bed in a moment and given 2 or 3 different pills.. Never found out what they are, + or an injection of ? no idea. 1 Link to comment Share on other sites More sharing options...
BigStar Posted April 6, 2023 Share Posted April 6, 2023 (edited) 2 hours ago, sandyf said: So you think that 140/80 would mean the same to a 35 year old as an 85 year old. What did the statement say? Both cases would need meds, or a change of lifestyle, to bring the numbers into normal range. The 85 year old doesn't get a free pass. But he's probably let himself go so many years already that I'd question how much lifestyle change alone--to the extent achievable--could help. Some, perhaps, depending on his condition. He'd probably just add meds to his current stack. A study of interest: The researchers concluded that, for adults aged 80 years or older, intensively controlling systolic blood pressure to less than 120 mmHg lowers the risk of heart attacks, stroke, death, and mild cognitive impairment, but increases the risk of declines in kidney function. [most got the kidney issue under control] --Blood Pressure Control for People Aged 80 and Older: What’s the Right Target? Edited April 6, 2023 by BigStar Link to comment Share on other sites More sharing options...
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